Does Troy Medicare (HMO) cover epoetin alfa?
Troy Medicare (HMO)
H4676-001-0 · MA_LOCAL · Medicare Part D
epoetin alfa
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.
epoetin alfaunder Troy Medicare (HMO)
Covered — requires prior authorization
Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
$100per 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 4
- 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)
- 1 ML epoetin alfa 10000 UNT/ML Injection [Procrit]Tier 4Approval first
- 1 ML epoetin alfa 2000 UNT/ML Injection [Epogen]Tier 4Approval first
- 1 ML epoetin alfa 2000 UNT/ML Injection [Procrit]Tier 4Approval first
- 1 ML epoetin alfa 3000 UNT/ML Injection [Epogen]Tier 4Approval first
- 1 ML epoetin alfa 3000 UNT/ML Injection [Procrit]Tier 4Approval first
- 1 ML epoetin alfa 4000 UNT/ML Injection [Epogen]Tier 4Approval first
- 1 ML epoetin alfa 4000 UNT/ML Injection [Procrit]Tier 4Approval first
- 1 ML epoetin alfa 40000 UNT/ML Injection [Procrit]Tier 5Approval first
- 1 ML epoetin alfa-epbx 10000 UNT/ML Injection [Retacrit]Tier 4Approval first
- 1 ML epoetin alfa-epbx 2000 UNT/ML Injection [Retacrit]Tier 4Approval first
- 1 ML epoetin alfa-epbx 3000 UNT/ML Injection [Retacrit]Tier 4Approval first
- 1 ML epoetin alfa-epbx 4000 UNT/ML Injection [Retacrit]Tier 4Approval first
- 1 ML epoetin alfa-epbx 40000 UNT/ML Injection [Retacrit]Tier 4Approval first
- epoetin alfa 10000 UNT/ML Injectable Solution [Epogen]Tier 4Approval first
- epoetin alfa 20000 UNT/ML Injectable Solution [Epogen]Tier 4Approval first
- epoetin alfa 20000 UNT/ML Injectable Solution [Procrit]Tier 5Approval first
- epoetin alfa-epbx 10000 UNT/ML Injectable Solution [Retacrit]Tier 4Approval first
- epoetin alfa-epbx 20000 UNT/ML Injectable Solution [Retacrit]Tier 4Approval first