Medicare Part D Coverage Gap
Naltrexone/Bupropion Cost in the Medicare Donut Hole
In the Medicare Part D coverage gap, patients pay 25% of drug costs for Naltrexone/Bupropion (Naltrexone/Bupropion). That means approximately $63 per fill at retail. Script Unlock cash prices start from $163 — compare to find your best option.
Naltrexone/Bupropion Cost Comparison — Donut Hole vs Cash Pay
Retail price
$250
Donut hole (25%)
$63
Script Unlock cash
from $163
How the Medicare Donut Hole Works for Naltrexone/Bupropion
- Initial coverage: you pay your plan copay
- Coverage gap (donut hole): you pay 25% of Naltrexone/Bupropion cost
- Catastrophic coverage: you pay very little once TrOOP reached
- Script Unlock cash price may beat your gap cost-sharing
FAQs — Naltrexone/Bupropion and Medicare Donut Hole
How much does Naltrexone/Bupropion cost in the Medicare donut hole?
In the Medicare Part D coverage gap (donut hole), you typically pay 25% of the drug cost for Naltrexone/Bupropion. Based on a retail price of $250, that would be approximately $63. Compare this to Script Unlock's cash price of from $163 — you may save by paying cash instead of using your Medicare coverage.
Is it cheaper to pay cash for Naltrexone/Bupropion during the donut hole?
It depends on the pharmacy and your specific plan. Script Unlock cash prices start from $163 — compare this to your specific Medicare plan's donut hole cost for Naltrexone/Bupropion. Some patients find cash pay cheaper; others find Medicare still wins.
Does paying cash for Naltrexone/Bupropion 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.