Does Keystone 65 Preferred Rx (HMO) cover topiramate?
Keystone 65 Preferred Rx (HMO)
H3952-020-0 · MA_LOCAL · Medicare Part D
topiramate
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.
topiramateunder Keystone 65 Preferred Rx (HMO)
Covered — some forms require step therapy
1 of 18 covered forms have a condition attached. You may need to try a cheaper medication first — your doctor’s office handles it.
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 2
- Approval first
- Not needed
- Try another first
- Required
- 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)
- 24 HR topiramate 100 MG Extended Release Oral CapsuleTier 4
- 24 HR topiramate 200 MG Extended Release Oral CapsuleTier 5
- 24 HR topiramate 25 MG Extended Release Oral CapsuleTier 4
- 24 HR topiramate 50 MG Extended Release Oral CapsuleTier 4
- Sprinkle 24 HR topiramate 100 MG Extended Release Oral CapsuleTier 4
- Sprinkle 24 HR topiramate 150 MG Extended Release Oral CapsuleTier 4
- Sprinkle 24 HR topiramate 200 MG Extended Release Oral CapsuleTier 4
- Sprinkle 24 HR topiramate 25 MG Extended Release Oral CapsuleTier 4
- Sprinkle 24 HR topiramate 50 MG Extended Release Oral CapsuleTier 4
- topiramate 100 MG Oral TabletTier 2
- topiramate 15 MG Oral CapsuleTier 4
- topiramate 200 MG Oral TabletTier 2
- topiramate 25 MG Oral CapsuleTier 4
- topiramate 25 MG Oral TabletTier 2
- topiramate 25 MG/ML Oral SolutionTier 4
- topiramate 25 MG/ML Oral Solution [Eprontia]Tier 4Try another first
- topiramate 50 MG Oral CapsuleTier 4
- topiramate 50 MG Oral TabletTier 2