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olsalazine sodium 250 mg/1 Medicare Part D Coverage

Brand name: Dipentum
Dosage form
CAPSULE, GELATIN COATED
Route
ORAL
5%
of Medicare Part D plans
cover olsalazine sodium
293 of 5,530 plans
4.9
Avg. formulary tier

Formulary Tier Distribution

How Medicare Part D plans classify olsalazine sodium. Lower tiers = lower copays.

Tier 1 - Preferred Generic 2%
5 plans • avg $0.00/mo
Tier 4 - Non-Preferred Drug 8%
24 plans • avg $15.88/mo
Tier 5 - Specialty 83%
244 plans • avg $0.00/mo
Tier 6 - Select Care 7%
20 plans • avg $0.00/mo

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olsalazine sodium 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 olsalazine sodium

5% of Medicare Part D plans cover olsalazine sodium. 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.

olsalazine sodium 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 olsalazine sodium. 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 →