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Penicillin G Sodium 5000000 [USP'U]/1 Medicare Part D Coverage

Dosage form
INJECTION, POWDER, FOR SOLUTION
Route
INTRAMUSCULAR; INTRAVENOUS
Drug class
Antibiotics — Penicillins
88%
of Medicare Part D plans
cover Penicillin G Sodium
4,870 of 5,530 plans
3.8
Avg. formulary tier
$12.00
Median 30-day copay
$0.00–$24.00
Copay range

Formulary Tier Distribution

How Medicare Part D plans classify Penicillin G Sodium. Lower tiers = lower copays.

Tier 1 - Preferred Generic 3%
133 plans • avg $0.00/mo
Tier 2 - Generic 11%
554 plans • avg $1.23/mo
Tier 3 - Preferred Brand 0%
3 plans • avg $0.00/mo
Tier 4 - Non-Preferred Drug 79%
3,855 plans • avg $4.30/mo
Tier 5 - Specialty 7%
318 plans • avg $0.00/mo
Tier 6 - Select Care 0%
7 plans • avg $0.00/mo

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Penicillin G Sodium Medicare Coverage by State

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

Alabama 100% Arizona 100% Arkansas 100% California 100% avg $0.08 Colorado 100% Connecticut 100% Delaware 100% District of Columbia 100% Florida 100% Georgia 100% avg $0.07 Hawaii 100% Idaho 100% Illinois 100% Indiana 100% Iowa 100% Kansas 100% Kentucky 100% Louisiana 100% Maine 100% avg $0.82 Maryland 100% avg $2.18 Massachusetts 100% avg $8.63 Michigan 100% avg $11.75 Minnesota 100% Mississippi 100% Missouri 100% Montana 100% Nebraska 100% Nevada 100% New Hampshire 100% New Jersey 100% New Mexico 100% New York 100% North Carolina 100% North Dakota 100% Ohio 100% Oklahoma 100% Oregon 100% avg $0.28 Pennsylvania 100% Puerto Rico 100% Rhode Island 100% South Carolina 100% South Dakota 100% Tennessee 100% avg $3.12 Texas 100% Utah 100% avg $4.09 Vermont 100% Virginia 100% Washington 100% avg $1.23 West Virginia 100% Wisconsin 100% Wyoming 100%

Alternative Medications in the Same Drug Class

Other drugs in the Antibiotics — Penicillins that Medicare Part D plans also cover.

Amoxicillin and Clavulanate Potassium Avg Tier 2.2 $15.00/mo 5,529 plans Amoxicillin Avg Tier 1.4 $18.00/mo 5,529 plans Amoxicillin Avg Tier 1.2 $18.00/mo 5,529 plans Amoxicillin Avg Tier 1.2 $18.00/mo 5,529 plans Amoxicillin Avg Tier 1.2 $18.00/mo 5,529 plans Ampicillin and Sulbactam Avg Tier 3.6 $12.00/mo 5,529 plans Ampicillin Avg Tier 1.9 $15.00/mo 5,529 plans Amoxicillin Avg Tier 1.3 $18.00/mo 5,529 plans

Frequently Asked Questions about Penicillin G Sodium

88% of Medicare Part D plans cover Penicillin G Sodium. It is most commonly placed on Tier 4. Coverage varies by plan and geographic area.

The median 30-day copay for Penicillin G Sodium on Medicare Part D is $12.00 at a preferred pharmacy. Costs range from $0.00 to $24.00 depending on the plan.

Penicillin G Sodium is placed on Tier 4 by most Medicare Part D plans. Lower tier numbers generally mean lower copays.

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

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