MedicarePartD.guide

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DUPIXENT 300 mg/2mL Injection, Solution

Also known as Dupilumab. Coverage in Arkansas (CMS PDP Region 19).

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

12 of 12 plans apply a prior authorization, step therapy or quantity limit.

77 Medicare Advantage plans in AR 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. AR: 77 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%—$979.1354$8,812.229 units
  • Prior authorization
  • Quantity limit 8 per 28 days
Wellcare Value Script (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$979.1354$8,812.229 units
  • Prior authorization
  • Quantity limit 8 per 28 days
HealthSpring Assurance Rx (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$992.8665$8,935.809 units
  • Prior authorization
  • Quantity limit 8 per 28 days
Humana Basic Rx Plan (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$994.5573$8,951.029 units
  • Prior authorization
  • Quantity limit 8 per 28 days
Humana Value Rx Plan (PDP)$0.00/mo premium · $601.00 deductible5Specialty Tier26%—$994.5573$8,951.029 units
  • Prior authorization
  • Quantity limit 8 per 28 days
BlueMedicare Value Rx (PDP)$52.50/mo premium · $615.00 deductible5Specialty Tier25%—$1020.8321$9,187.499 units
  • Prior authorization
  • Quantity limit 8 per 28 days
HealthSpring Extra Rx (PDP)$54.50/mo premium · $615.00 deductible5Specialty Tier25%—$992.7752$8,934.989 units
  • Prior authorization
  • Quantity limit 8 per 28 days
AARP Medicare Rx Saver from UHC (PDP)$65.10/mo premium · $615.00 deductible5Specialty Tier25%—$1059.4647$9,535.189 units
  • Prior authorization
  • Quantity limit 8 per 28 days
SilverScript Choice (PDP)$73.50/mo premium · $615.00 deductible5Specialty Tier25%—$1033.9591$9,305.639 units
  • Prior authorization
  • Quantity limit 8 per 28 days
Humana Premier Rx Plan (PDP)$92.40/mo premium · $0.00 deductible5Specialty Tier33%—$994.5573$8,951.029 units
  • Prior authorization
  • Quantity limit 8 per 28 days
AARP Medicare Rx Preferred from UHC (PDP)$114.90/mo premium · $130.00 deductible5Specialty Tier31%—$1059.4647$9,535.189 units
  • Prior authorization
  • Quantity limit 8 per 28 days
BlueMedicare Premier Rx (PDP)$181.20/mo premium · $0.00 deductible5Specialty Tier33%—$1020.8321$9,187.499 units
  • Prior authorization
  • Quantity limit 8 per 28 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 →