Does HAP Medicare Prime (PPO) cover leuprolide?
HAP Medicare Prime (PPO)
H2322-016-0 · MA_LOCAL · Medicare Part D
leuprolide
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.
leuprolideunder HAP Medicare Prime (PPO)
Covered — some forms require prior authorization
3 of 18 covered forms have a condition attached. Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
15%of the price your plan negotiates
Medicare hasn’t published this plan’s negotiated price for this drug yet — that file is updated every three months, and newly launched drugs appear in it late. Your pharmacy can quote the exact amount today. Part D caps what you pay out of pocket at $2,100 for 2026. Before that, you pay the full price until you have paid $200 this year.
This plan charges the same at every pharmacy in its network — where you fill it will not change this figure.
- Tier
- Tier 3
- Approval first
- Required
- 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 (18)
- 0.25 ML leuprolide acetate 30 MG/ML Prefilled Syringe [Eligard]Tier 3
- 0.375 ML leuprolide acetate 120 MG/ML Prefilled Syringe [Eligard]Tier 3
- 0.375 ML leuprolide acetate 120 MG/ML Prefilled Syringe [Vabrinty]Tier 5Approval first
- 0.375 ML leuprolide acetate 60 MG/ML Prefilled Syringe [Eligard]Tier 3
- 0.375 ML leuprolide acetate 60 MG/ML Prefilled Syringe [Vabrinty]Tier 5Approval first
- 0.5 ML leuprolide acetate 60 MG/ML Prefilled Syringe [Eligard]Tier 3
- 0.5 ML leuprolide acetate 60 MG/ML Prefilled Syringe [Vabrinty]Tier 5Approval first
- 1 ML leuprolide acetate 3.75 MG/ML Prefilled Syringe [Lupron]Tier 5
- 1 ML leuprolide acetate 7.5 MG/ML Prefilled Syringe [Lupron]Tier 5
- 1.5 ML leuprolide acetate 15 MG/ML Prefilled Syringe [Lupron]Tier 5
- 1.5 ML leuprolide acetate 30 MG/ML Prefilled Syringe [Lupron]Tier 5
- 1.5 ML leuprolide acetate 7.5 MG/ML Prefilled Syringe [Lupron]Tier 5
- 4-Month 1.5 ML leuprolide acetate 20 MG/ML Prefilled Syringe [Lupron]Tier 5
- leuprolide acetate 22.5 MG Injection [Lutrate]Tier 4
- leuprolide acetate 5 MG/ML Injectable SolutionTier 4
- Pediatric 1 ML leuprolide acetate 7.5 MG/ML Prefilled Syringe [Lupron]Tier 5
- Pediatric 1.5 ML leuprolide acetate 30 MG/ML Prefilled Syringe [Lupron]Tier 5
- Pediatric 1.5 ML leuprolide acetate 7.5 MG/ML Prefilled Syringe [Lupron]Tier 5