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Rimantadine Hydrochloride 100 mg/1 Medicare Part D Coverage

Dosage form
TABLET, FILM COATED
Route
ORAL
89%
of Medicare Part D plans
cover Rimantadine Hydrochloride
4,917 of 5,530 plans
3.6
Avg. formulary tier
$12.00
Median 30-day copay
$0.00–$24.00
Copay range

Formulary Tier Distribution

How Medicare Part D plans classify Rimantadine Hydrochloride. Lower tiers = lower copays.

Tier 1 - Preferred Generic 3%
161 plans • avg $0.00/mo
Tier 2 - Generic 13%
638 plans • avg $1.73/mo
Tier 3 - Preferred Brand 6%
315 plans • avg $1.64/mo
Tier 4 - Non-Preferred Drug 77%
3,803 plans • avg $4.54/mo

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Rimantadine Hydrochloride 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 Rimantadine Hydrochloride

89% of Medicare Part D plans cover Rimantadine Hydrochloride. It is most commonly placed on Tier 4. Coverage varies by plan and geographic area.

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

Rimantadine Hydrochloride 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 Rimantadine Hydrochloride. 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 →