Does Aetna Medicare Chronic Care Total (HMO C-SNP) cover medroxyprogesterone?
Aetna Medicare Chronic Care Total (HMO C-SNP)
H3146-036-0 · MA_LOCAL · Medicare Part D
medroxyprogesterone
Do you get help with your Medicare drug costs?None of these
Optional. Some plans charge less at a preferred pharmacy. Enter your ZIP to see which pharmacies near you take this plan — pick yours and the price above is re-worked for it. Until you do, we show what a standard pharmacy costs. Nothing here is saved.
medroxyprogesteroneunder Aetna Medicare Chronic Care Total (HMO C-SNP)
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
$0per 30-day fill
Part D caps what you pay out of pocket at $2,100 for 2026. From the first fill — no deductible on this drug.
This plan charges the same at every pharmacy in its network — where you fill it will not change this figure.
- Tier
- Tier 1
- Approval first
- Not needed
- Try another first
- No
- Amount limit
- None
Talk to your pharmacist or doctor before acting on anything here. They can see your full history and this page cannot. Never start, stop, or switch a medication based on it. Coverage rules change and plans make exceptions — your pharmacy can check your exact benefit in seconds.As of Sep 16, 2026 · CMS Part D monthly PUF. Reference information, not medical advice and not a price.
Covered forms and strengths (6)
- 0.65 ML medroxyprogesterone acetate 160 MG/ML Prefilled Syringe [depo-subQ provera]Tier 3
- 1 ML medroxyprogesterone acetate 150 MG/ML InjectionTier 3
- 1 ML medroxyprogesterone acetate 150 MG/ML Prefilled SyringeTier 3
- medroxyprogesterone acetate 10 MG Oral TabletTier 1
- medroxyprogesterone acetate 2.5 MG Oral TabletTier 1
- medroxyprogesterone acetate 5 MG Oral TabletTier 1