FillMapUPMC for Life Complete Care (HMO D-SNP)

Does UPMC for Life Complete Care (HMO D-SNP) cover lamotrigine?

UPMC for Life Complete Care (HMO D-SNP)
H4279-001-0 · MA_LOCAL · Medicare Part D
lamotrigine
Your Extra Help level

Everyone on this plan has Medicare and Medicaid, which qualifies you for Extra Help automatically — so the figures below already use the statutory copays, not this plan’s published cost sharing. Nothing here is saved.

Full Extra Help: no deductible, and at most $5.10 generic or $12.65 brand-name per fill.

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.

lamotrigineunder UPMC for Life Complete Care (HMO D-SNP)
Covered — the conditions depend on which form
Not the same for every form: 1 of 21 need your plan’s approval first, and 10 of 21 usually need a preferred medication tried first. Check your exact form in the list below — your doctor’s office handles either.
What you'd pay
$0per 30-day fill

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 $615 this year.

This plan charges the same at every pharmacy in its network — where you fill it will not change this figure.

Amount limit applies — this plan covers 1500 mL per 30 days. You can still fill it — more than that needs your plan's approval, which your doctor's office requests.
Tier
Tier 2
Approval first
Required
Try another first
Required
Amount limit
1500 mL per 30 days
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 (21)

  • 24 HR lamotrigine 100 MG Extended Release Oral TabletTier 4Try another first
  • 24 HR lamotrigine 200 MG Extended Release Oral TabletTier 4Try another first
  • 24 HR lamotrigine 25 MG Extended Release Oral TabletTier 4Try another first
  • 24 HR lamotrigine 250 MG Extended Release Oral TabletTier 4Try another first
  • 24 HR lamotrigine 300 MG Extended Release Oral TabletTier 4Try another first
  • 24 HR lamotrigine 50 MG Extended Release Oral TabletTier 4Try another first
  • lamotrigine 10 MG/ML Oral Suspension [Subvenite]Tier 5Approval first1500 mL per 30 days
  • lamotrigine 100 MG Disintegrating Oral TabletTier 3Try another first
  • lamotrigine 100 MG Oral TabletTier 2
  • lamotrigine 100 MG Oral Tablet [Subvenite]Tier 2
  • lamotrigine 150 MG Oral TabletTier 2
  • lamotrigine 150 MG Oral Tablet [Subvenite]Tier 2
  • lamotrigine 200 MG Disintegrating Oral TabletTier 3Try another first
  • lamotrigine 200 MG Oral TabletTier 2
  • lamotrigine 200 MG Oral Tablet [Subvenite]Tier 2
  • lamotrigine 25 MG Disintegrating Oral TabletTier 3Try another first
  • lamotrigine 25 MG Oral TabletTier 2
  • lamotrigine 25 MG Oral Tablet [Subvenite]Tier 2
  • lamotrigine 25 MG Tablet for Oral SuspensionTier 2
  • lamotrigine 5 MG Tablet for Oral SuspensionTier 3
  • lamotrigine 50 MG Disintegrating Oral TabletTier 3Try another first

← All coverage for lamotrigine