MedicarePartD.guide

A non-government resource built from CMS public data

POSACONAZOLE 40 mg/mL Suspension

Coverage in New Jersey (CMS PDP Region 04).

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

3 of 3 plans apply a prior authorization, step therapy or quantity limit.

52 Medicare Advantage plans in NJ 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. NJ: 52 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Horizon Medicare Blue Rx Standard (PDP)$72.30/mo premium · $615.00 deductible5Specialty Tier25%—$10.7342—
  • Prior authorization
SilverScript Choice (PDP)$97.40/mo premium · $615.00 deductible5Specialty Tier25%—$8.0540$507.4063 units
  • Prior authorization
  • Quantity limit 63 per 30 days
Horizon Medicare Blue Rx Enhanced (PDP)$139.10/mo premium · $200.00 deductible5Specialty Tier30%—$10.7342—
  • 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 →