MedicarePartD.guide

A non-government resource built from CMS public data

AUGTYRO 160 mg Capsule

Also known as Repotrectinib. Coverage in Florida (CMS PDP Region 11).

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

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

583 Medicare Advantage plans in FL 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. FL: 583 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Wellcare Classic (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$639.4000$3,836.406 units
  • Prior authorization
  • Quantity limit 6 per 30 days
Wellcare Value Script (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$639.4000$3,836.406 units
  • Prior authorization
  • Quantity limit 6 per 30 days
Humana Value Rx Plan (PDP)$25.90/mo premium · $601.00 deductible5Specialty Tier26%—$533.2097$3,199.266 units
  • Prior authorization
  • Quantity limit 6 per 30 days
Humana Basic Rx Plan (PDP)$92.70/mo premium · $615.00 deductible5Specialty Tier25%—$533.2097$3,199.266 units
  • Prior authorization
  • Quantity limit 6 per 30 days
SilverScript Choice (PDP)$98.30/mo premium · $615.00 deductible5Specialty Tier25%—$554.2613$3,325.576 units
  • Prior authorization
  • Quantity limit 6 per 30 days
BlueMedicare Premier Rx (PDP)$98.60/mo premium · $615.00 deductible5Specialty Tier25%—$529.8438$3,179.066 units
  • Prior authorization
  • Quantity limit 6 per 30 days
AARP Medicare Rx Saver from UHC (PDP)$98.70/mo premium · $615.00 deductible5Specialty Tier25%—$554.3538$3,326.126 units
  • Prior authorization
  • Quantity limit 6 per 30 days
Humana Premier Rx Plan (PDP)$115.90/mo premium · $0.00 deductible5Specialty Tier33%—$533.2097$3,199.266 units
  • Prior authorization
  • Quantity limit 6 per 30 days
AARP Medicare Rx Preferred from UHC (PDP)$119.10/mo premium · $130.00 deductible5Specialty Tier31%—$554.3538$3,326.126 units
  • Prior authorization
  • Quantity limit 6 per 30 days
BlueMedicare Complete Rx (PDP)$217.00/mo premium · $615.00 deductible5Specialty Tier25%—$529.8438$3,179.066 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 →