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octreotide acetate 100 ug/mL Medicare Part D Coverage

Brand name: Sandostatin
Dosage form
INJECTION, SOLUTION
Route
INTRAVENOUS; SUBCUTANEOUS
0%
of Medicare Part D plans
cover octreotide acetate
10 of 5,530 plans
5.0
Avg. formulary tier

Formulary Tier Distribution

How Medicare Part D plans classify octreotide acetate. Lower tiers = lower copays.

Tier 5 - Specialty 100%
10 plans

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octreotide acetate Medicare Coverage by State

Coverage rates and average costs vary significantly by state. Click a state to see the specific plans available there.

Frequently Asked Questions about octreotide acetate

0% of Medicare Part D plans cover octreotide acetate. It is most commonly placed on Tier 5. Coverage varies by plan and geographic area.

Costs vary by plan. Enter your ZIP code above to see exact prices for plans in your area.

octreotide acetate is placed on Tier 5 by most Medicare Part D plans. Lower tier numbers generally mean lower copays.

0% of plans require prior authorization for octreotide acetate. Prior authorization means your doctor must confirm the drug is medically necessary before the plan will cover it.

Coverage statistics based on CMS formulary data for plan year 2026. Data updated regularly. Methodology →