MedicarePartD.guide

A non-government resource built from CMS public data

VERZENIO 50 mg Tablet

Also known as Abemaciclib. Coverage in Missouri (CMS PDP Region 18).

10 of 10 stand-alone Part D plans in Missouri cover this drug on tier 5.

10 of 10 plans apply a prior authorization, step therapy or quantity limit.

141 Medicare Advantage plans in MO do cover it

Medicare Advantage plans carry their own formularies, separate from stand-alone Part D. A patient on an MA-PD plan may have coverage even where no PDP lists the drug. MO: 141 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Wellcare Value Script (PDP)$9.60/mo premium · $615.00 deductible5Specialty Tier25%—$277.5089$1,665.056 units
  • Prior authorization
  • Quantity limit 6 per 30 days
Wellcare Classic (PDP)$10.70/mo premium · $615.00 deductible5Specialty Tier25%—$277.5089$1,665.056 units
  • Prior authorization
  • Quantity limit 6 per 30 days
Humana Basic Rx Plan (PDP)$16.50/mo premium · $615.00 deductible5Specialty Tier25%—$295.3644$1,772.196 units
  • Prior authorization
  • Quantity limit 6 per 30 days
Humana Value Rx Plan (PDP)$33.70/mo premium · $601.00 deductible5Specialty Tier26%—$295.3644$1,772.196 units
  • Prior authorization
  • Quantity limit 6 per 30 days
HealthSpring Extra Rx (PDP)$70.70/mo premium · $615.00 deductible5Specialty Tier25%—$278.7708$1,672.626 units
  • Prior authorization
  • Quantity limit 6 per 30 days
AARP Medicare Rx Saver from UHC (PDP)$71.90/mo premium · $615.00 deductible5Specialty Tier25%—$315.1715$18,910.2960 units
  • Prior authorization
  • Quantity limit 56 per 28 days
HealthSpring Assurance Rx (PDP)$74.30/mo premium · $615.00 deductible5Specialty Tier25%—$278.6791$1,672.076 units
  • Prior authorization
  • Quantity limit 6 per 30 days
SilverScript Choice (PDP)$94.90/mo premium · $615.00 deductible5Specialty Tier25%—$311.5776—
  • Prior authorization
AARP Medicare Rx Preferred from UHC (PDP)$125.40/mo premium · $130.00 deductible5Specialty Tier31%—$315.1715$18,910.2960 units
  • Prior authorization
  • Quantity limit 56 per 28 days
Humana Premier Rx Plan (PDP)$126.40/mo premium · $0.00 deductible5Specialty Tier33%—$295.3644$1,772.196 units
  • Prior authorization
  • Quantity limit 6 per 30 days

Cost-sharing is the initial coverage phase at a preferred pharmacy; a percentage is coinsurance of the plan’s negotiated price, and the deductible may apply first. CMS publishes a negotiated price per unit, so the 30-day fill is shown only where the plan’s own quantity limit supplies the quantity.

See coverage in all 39 regions →