MedicarePartD.guide

A non-government resource built from CMS public data

GENOTROPIN Kit

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

5 of 12 stand-alone Part D plans in Alabama and Tennessee cover this drug on tier 5.

5 of 5 plans apply a prior authorization, step therapy or quantity limit.

132 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: 65 plans · TN: 67 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 deductible5Specialty Tier25%—$96.2566—
  • Prior authorization
HealthSpring Extra Rx (PDP)$77.50/mo premium · $615.00 deductible5Specialty Tier25%—$91.2684—
  • Prior authorization
HealthSpring Assurance Rx (PDP)$87.20/mo premium · $615.00 deductible5Specialty Tier25%—$91.6121—
  • Prior authorization
SilverScript Choice (PDP)$97.30/mo premium · $615.00 deductible5Specialty Tier25%—$94.5273—
  • Prior authorization
AARP Medicare Rx Preferred from UHC (PDP)$119.30/mo premium · $130.00 deductible5Specialty Tier31%—$96.2566—
  • Prior authorization

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 →