• TRAMADOL HCL TAB 100MG ER is a Tier 3 generic drug. You pay the following costs at a network pharmacy:

    Peoples Health Choices 65 (HMO-POS) Northshore

    30-Day Supply: $45 at a retail pharmacy


    The costs listed above apply if the drug is covered by Medicare Part D; if the drug is covered by Medicare Part B, the costs may vary. Contact Peoples Health for more information.

    Dispensing limits apply to this drug. This drug is limited to a 1-month supply per prescription.

    There is a limit on the amount of this drug that you can fill: 30 per 30 days (* depending on package size) .

    The plan will cover only a certain amount of this drug for 1 copay or over a certain number of days. These limits may be in place to ensure safe and effective use of the drug. If your doctor prescribes more than this amount or thinks the limit is not right for your situation, you or your doctor can ask the plan to cover the additional quantity.

    An opioid drug used for the treatment of acute pain may be limited to a 7-day supply for members with no recent history of opioid use. This limit is intended to minimize long-term opioid use. For members who are new to the plan and have a recent history of using opioids, the limit may be overridden by the pharmacy when appropriate.

    Your doctor may need to provide additional information to your pharmacist when you fill a prescription for this drug. Additional quantity limits may apply across all drugs in the opioid class used for the treatment of pain. This additional limit is called a cumulative morphine milligram equivalent (MME), and is designed to monitor safe dosing levels of opioids for individuals who may be taking more than 1 opioid drug for pain management. If your doctor prescribes more than this amount or thinks the limit is not right for your situation, you or your doctor can ask the plan to cover the additional quantity.

    If you receive Extra Help from Medicare to pay for your prescription drug costs, your costs will be different. You will pay one of the following costs, depending on your level of Extra Help.

    Level 1: $4.15     Level 2: $1.45     Level 3: $0     Level 4: 15% coinsurance

    Extra Help is available for people with limited income and resources. Click here for more information about extra help.

    Click here to view other drugs in this therapeutic category.

    This drug is covered in the coverage gap for Peoples Health Group Medicare (HMO-POS), Peoples Health Group Medicare (HMO-POS) for Office of Group Benefits, Peoples Health Secure Health (HMO-POS D-SNP), and Peoples Health Secure Complete (HMO-POS D-SNP) plan members. Please see your plan's Evidence of Coverage for more information.

Last updated 10/02/2023