Medicare Part D Coverage Gap
Ampicillin-Sulbactam Cost in the Medicare Donut Hole
In the Medicare Part D coverage gap, patients pay 25% of drug costs for Ampicillin-Sulbactam (Ampicillin/Sulbactam). That means approximately $21 per fill at retail. Script Unlock cash prices start from $38 — compare to find your best option.
Ampicillin-Sulbactam Cost Comparison — Donut Hole vs Cash Pay
Retail price
$85
Donut hole (25%)
$21
Script Unlock cash
from $38
How the Medicare Donut Hole Works for Ampicillin-Sulbactam
- Initial coverage: you pay your plan copay
- Coverage gap (donut hole): you pay 25% of Ampicillin-Sulbactam cost
- Catastrophic coverage: you pay very little once TrOOP reached
- Script Unlock cash price may beat your gap cost-sharing
FAQs — Ampicillin-Sulbactam and Medicare Donut Hole
How much does Ampicillin-Sulbactam cost in the Medicare donut hole?
In the Medicare Part D coverage gap (donut hole), you typically pay 25% of the drug cost for Ampicillin-Sulbactam. Based on a retail price of $85, that would be approximately $21. Compare this to Script Unlock's cash price of from $38 — you may save by paying cash instead of using your Medicare coverage.
Is it cheaper to pay cash for Ampicillin-Sulbactam during the donut hole?
It depends on the pharmacy and your specific plan. Script Unlock cash prices start from $38 — compare this to your specific Medicare plan's donut hole cost for Ampicillin-Sulbactam. Some patients find cash pay cheaper; others find Medicare still wins.
Does paying cash for Ampicillin-Sulbactam count toward my Medicare deductible or donut hole?
Generally no — paying cash typically does not count toward your Medicare Part D True Out-of-Pocket (TrOOP) spending that helps you exit the coverage gap. However, this can be worthwhile if the cash price is significantly lower than your donut hole cost-sharing. Consult your Medicare plan's EOB for your specific situation.
This information is for educational purposes. Medicare Part D coverage gaps vary by plan. Consult your plan's EOB and a Medicare counselor for personalized guidance.