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Ultramicrosize Griseofulvin Tablets 125 mg/1 Medicare Part D Coverage

Brand name: Ultramicrosize Griseofulvin
Dosage form
TABLET, COATED
Route
ORAL
96%
of Medicare Part D plans
cover Ultramicrosize Griseofulvin Tablets
5,286 of 5,530 plans
3.7
Avg. formulary tier
$12.00
Median 30-day copay
$0.00–$24.00
Copay range

Formulary Tier Distribution

How Medicare Part D plans classify Ultramicrosize Griseofulvin Tablets. Lower tiers = lower copays.

Tier 1 - Preferred Generic 3%
168 plans • avg $0.00/mo
Tier 2 - Generic 8%
412 plans • avg $1.20/mo
Tier 3 - Preferred Brand 1%
43 plans • avg $7.27/mo
Tier 4 - Non-Preferred Drug 88%
4,663 plans • avg $4.56/mo

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Ultramicrosize Griseofulvin Tablets 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 Ultramicrosize Griseofulvin Tablets

96% of Medicare Part D plans cover Ultramicrosize Griseofulvin Tablets. It is most commonly placed on Tier 4. Coverage varies by plan and geographic area.

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

Ultramicrosize Griseofulvin Tablets 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 Ultramicrosize Griseofulvin Tablets. 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 →