Why would a generic drug be considered Tier 4 Non-preferred on all part D Medicare plans I've looked at?

[chrisboon]

Specifically: Sucralfate oral suspension. The liquid version has been generic since 2019.

There is a pill version that is so huge it's impossible for my husband to swallow after his esophagectomy.

 

[scottandrews]

@chrisboon I do not have a solid answer, I have a medicare insurance sales license.. my best guess is its too new and pharmaceutical companies fucking suck.

 

[resjudicata]

@chrisboon I have a generic medication that runs around $500 a month. It used to be that generic was less expensive but that went out the window some time ago.

A lot depends on a competitive market. If only one company is making the drug then it's going to be expensive even if it's generic.

 

[chrisboon]

@resjudicata Thanks, that makes sense

 

[fmontanay2]

@chrisboon The tablets can be crushed and dissolved in water. I’m not sure if that would be a cheaper option