MedicarePartD.guide

A non-government resource built from CMS public data

PREDNISONE 5 mg/5mL Solution

Coverage in Colorado (CMS PDP Region 27).

10 of 10 stand-alone Part D plans in Colorado cover this drug on tier 2–4.

Lowest 30-day cost $10.00 at a preferred pharmacy. 4 of 10 plans apply a prior authorization, step therapy or quantity limit.

96 Medicare Advantage plans in CO 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. CO: 96 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
AARP Medicare Rx Preferred from UHC (PDP)$151.90/mo premium · $130.00 deductible2Generic$10.00$0.00$0.2242—None
Wellcare Value Script (PDP)$0.00/mo premium · $615.00 deductible4Non-Preferred Drug40%40%$0.5502—None
Humana Basic Rx Plan (PDP)$0.00/mo premium · $615.00 deductible4Non-Preferred Drug31%—$0.6577—
  • Prior authorization
Wellcare Classic (PDP)$2.20/mo premium · $615.00 deductible4Non-Preferred Drug29%29%$0.5502—None
Humana Value Rx Plan (PDP)$48.50/mo premium · $601.00 deductible4Non-Preferred Drug34%—$0.6577—
  • Prior authorization
HealthSpring Assurance Rx (PDP)$61.70/mo premium · $615.00 deductible4Non-Preferred Drug30%30%$0.5467—None
HealthSpring Extra Rx (PDP)$70.70/mo premium · $615.00 deductible4Non-Preferred Drug31%31%$0.5467—None
SilverScript Choice (PDP)$105.10/mo premium · $615.00 deductible4Non-Preferred Drug33%33%$0.6250—
  • Prior authorization
AARP Medicare Rx Saver from UHC (PDP)$125.00/mo premium · $615.00 deductible4Non-Preferred Drug33%—$0.5359—None
Humana Premier Rx Plan (PDP)$137.10/mo premium · $0.00 deductible4Non-Preferred Drug50%50%$0.6577—
  • 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.

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