MedicarePartD.guide

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HUMALOG JUNIOR KWIKPEN 100 [iU]/mL Injection, Solution

Also known as Insulin Lispro. Coverage in Alabama and Tennessee (CMS PDP Region 12).

4 of 12 stand-alone Part D plans in Alabama and Tennessee cover this drug on tier 3.

Lowest 30-day cost $47.00 at a preferred pharmacy. 2 of 4 plans apply a prior authorization, step therapy or quantity limit.

70 Medicare Advantage plans in AL, TN 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. AL: 36 plans · TN: 34 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
AARP Medicare Rx Saver from UHC (PDP)$63.20/mo premium · $615.00 deductible3Preferred Brand17%17%$10.9610—None
BlueRx Essential (PDP)$76.20/mo premium · $615.00 deductible3Preferred Brand19%19%$10.8990$65.396 units
  • Quantity limit 6 per 30 days
AARP Medicare Rx Preferred from UHC (PDP)$119.30/mo premium · $130.00 deductible3Preferred Brand17%17%$10.9610—None
BlueRx Enhanced Plus (PDP)$129.50/mo premium · $150.00 deductible3Preferred Brand$47.00$94.00$10.8990$65.396 units
  • 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 →