Medicare Part D Coverage Gap
Co-codamol Cost in the Medicare Donut Hole
In the Medicare Part D coverage gap, patients pay 25% of drug costs for Co-codamol (Codeine phosphate / Paracetamol). That means approximately $5 per fill at retail. Script Unlock cash prices start from $12 — compare to find your best option.
Co-codamol Cost Comparison — Donut Hole vs Cash Pay
Retail price
$18
Donut hole (25%)
$5
Script Unlock cash
from $12
How the Medicare Donut Hole Works for Co-codamol
- Initial coverage: you pay your plan copay
- Coverage gap (donut hole): you pay 25% of Co-codamol cost
- Catastrophic coverage: you pay very little once TrOOP reached
- Script Unlock cash price may beat your gap cost-sharing
FAQs — Co-codamol and Medicare Donut Hole
How much does Co-codamol cost in the Medicare donut hole?
In the Medicare Part D coverage gap (donut hole), you typically pay 25% of the drug cost for Co-codamol. Based on a retail price of $18, that would be approximately $5. Compare this to Script Unlock's cash price of from $12 — you may save by paying cash instead of using your Medicare coverage.
Is it cheaper to pay cash for Co-codamol during the donut hole?
It depends on the pharmacy and your specific plan. Script Unlock cash prices start from $12 — compare this to your specific Medicare plan's donut hole cost for Co-codamol. Some patients find cash pay cheaper; others find Medicare still wins.
Does paying cash for Co-codamol 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.