Affordability Check
How to afford Prometrium
Generic name: Progesterone
Pick how you're covered. We'll show you the cheapest legitimate way to get Prometrium — your insurance copay, manufacturer savings, charity grants, or cash price. It takes 30 seconds and we never ask for your personal information.
Pick an option above to see your specific path.
Different insurance means different laws and different savings. For example, Medicare patients cannot use manufacturer copay cards (federal law) — but the manufacturer almost always has a Patient Assistance Program that gives the drug free.
About Prometrium and its cost
What is this medication? Prometrium is a prescription medication that contains a synthesized version of the female hormone progesterone. It is primarily used as part of hormone replacement therapy in postmenopausal women who have not undergone a hysterectomy. When estrogen is taken alone to manage menopause symptoms, it can cause the lining of the uterus to thicken, which increases the risk of uterine cancer. Prometrium is prescribed alongside estrogen to help protect the uterine lining by balancing the effects of estrogen and reducing the risk of endometrial hyperplasia. In addition to its use in hormone replacement therapy, Prometrium is also used to treat secondary amenorrhea, a condition where a woman of childbearing age stops having regular menstrual periods. This condition often occurs when the body does not produce enough natural progesterone to trigger a normal cycle. By providing a supplemental dose of the hormone, the medication helps to restore a regular menstrual rhythm and induce a period. It is essential to use this medication only under the guidance of a healthcare professional, as it requires specific dosing schedules to mimic the body's natural cycles.
Prometrium is made by Besins Healthcare. Like most brand-name drugs, it's priced at a high list price — but patients rarely pay that list price. The options above are the real paths most people use to get it affordably.
Common questions
What's the cheapest way to afford Prometrium?
It depends on your insurance. On Medicare, apply for the manufacturer's Patient Assistance Program (PAP) — it gives the drug free if you meet income requirements. With private insurance, the manufacturer copay card usually drops your copay to $0-$25. Uninsured patients should compare the PAP with Cost Plus Drugs cash price.
Can I use a copay card with Medicare for Prometrium?
No — federal law (the Anti-Kickback Statute) prohibits manufacturer copay cards on Medicare, Medicaid, TriCare, and VA prescriptions. But Besins Healthcare has a separate Patient Assistance Program for Medicare beneficiaries. Check the options above.
Does my Medicare Part D plan cover Prometrium?
Part D coverage varies by plan. We query the CMS Prescription Drug Plan file to show you what percentage of plans cover it and at what tier. For your exact copay, pick "Medicare" above and check your plan's Summary of Benefits, or log in to Medicare.gov.
How long does a Patient Assistance Program take?
Most PAPs take 2-6 weeks from application to first fill. Ask the manufacturer about a "bridge supply" — many will ship 30 days free while your application is being reviewed so you don't go without the drug.
What if I have a high-deductible plan?
For generics, Cost Plus Drugs cash price is often cheaper than your deductible-phase copay. For brand names, the manufacturer copay card almost always wins. A GoodRx coupon can be a last resort for uncovered drugs, but it doesn't count toward your deductible.
Are there charity grants for Endometrial Hyperplasia?
Charities like HealthWell Foundation, PAN Foundation, Good Days, and the National Organization for Rare Disorders provide copay help for specific conditions. Funds often run out mid-year — apply early. We list the specific grants for your condition in the options above.
More about Prometrium
Full Prometrium drug page
FDA label, prior authorization rules, full indications list
More options for Endometrial Hyperplasia
Drugs, grants, and assistance for this condition
Guide to Patient Assistance Programs
How PAPs work, who qualifies, typical wait times
If your insurance denied coverage
5-level appeal playbook — Medicare has a 60% win rate at Level 3