Vaccines covered under Part D on every 2026 Connecticut Part D plan
Pick a drug class, or type the drugs you want to check, and see which of the 11 stand-alone Part D plans in Connecticut cover each one, on what tier, and with what restrictions.
- Covered
- Covered, needs prior authorization (PA) or step therapy (ST)
- Not on the formulary
- QL 60/30d = quantity limit, 60 units per 30 days
11 plans, cheapest premium first. Scroll sideways for all of them →
| Drug | Humana Basic Rx Plan$8.40/moS5884-102 | Wellcare Value Script$16.40/moS4802-137 | Blue MedicareRx Value Plus$20.70/moS2893-001 | Wellcare Classic$21.70/moS4802-076 | SilverScript Choice$32.70/moS5601-004 | AARP Medicare Rx Saver from UHC$38.70/moS5921-348 | Humana Value Rx Plan$73.60/moS5884-182 | Humana Premier Rx Plan$138.60/moS5884-149 | HealthSpring Assurance Rx$139.30/moS5617-008 | AARP Medicare Rx Preferred from UHC$155.10/moS5921-385 | Blue MedicareRx Premier$238.60/moS2893-003 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Shingrixzoster vaccine (shingles) | Tier 325% | Tier 325%QL 2/999d | Tier 1$0.00QL 1/999d | Tier 325%QL 2/999d | Tier 1$2.00QL 1/999d | Tier 3PA17%QL 0.5/1d | Tier 318% | Tier 3$45.00 | Tier 321%QL 1/999d | Tier 3PA15%QL 0.5/1d | Tier 1$1.00QL 1/999d |
| ArexvyRSV vaccine | Tier 1$0.00 | Tier 325% | Tier 1PA$0.00 | Tier 429% | Tier 3PA19%QL 1/999d | Tier 3PA17%QL 1/1d | Tier 1$0.00 | Tier 1$0.00 | Tier 3PA21%QL 1/365d | Tier 3PA15%QL 1/1d | Tier 1PA$1.00 |
| AbrysvoRSV vaccine | Tier 1$0.00 | Tier 325% | Tier 1PA$0.00 | Tier 429% | Tier 3PA19%QL 1/999d | Tier 3PA17%QL 1/1d | Tier 1$0.00 | Tier 1$0.00 | Tier 3PA21%QL 1/365d | Tier 3PA15%QL 1/1d | Tier 1PA$1.00 |
| mResviaRSV vaccine | Tier 1$0.00 | Tier 325% | Tier 1PA$0.00 | Tier 429% | Tier 3PA19%QL 0.5/999d | Tier 3PA17%QL 0.5/1d | Tier 1$0.00 | Tier 1$0.00 | Tier 3PA21%QL 1/365d | Tier 3PA15%QL 0.5/1d | Tier 1PA$1.00 |
| BoostrixTdap vaccine | Tier 1$0.00 | Tier 325% | Tier 1$0.00 | Tier 325% | Tier 1$2.00 | Tier 317%QL 0.5/1d | Tier 1$0.00 | Tier 1$0.00 | Tier 321% | Tier 315%QL 0.5/1d | Tier 1$1.00 |
| AdacelTdap vaccine | Tier 1$0.00 | Tier 325% | Tier 1$0.00 | Tier 325% | Tier 1$2.00 | Tier 317%QL 0.5/1d | Tier 1$0.00 | Tier 1$0.00 | Tier 321% | Tier 315%QL 0.5/1d | Tier 1$1.00 |
Where a plan covers several strengths or forms of a drug, the cell shows the least restricted one. Costs are the 30-day preferred-pharmacy cost-sharing in the initial coverage phase, from the CMS 2026 formulary files. Click a plan for its full drug list.