Drug Coverage Check · Plan Year 2026
Does this plan cover
Lupron Depot?
Verified · CMS 2026
YES — Covered
Lupron Depot is covered on Tier 5
Cost Details
30-Day Supply
- Preferred Pharmacy
- 0.3% coinsurance
- Standard Pharmacy
- 0.3% coinsurance
90-Day / Mail Order
- Preferred / Mail Order
- 0.3% coinsurance
Deductible
- Applies to This Drug?
- Yes — deductible applies before copay
- Plan Deductible
- $500.00 / year