MedicarePartD.guide

A non-government resource built from CMS public data

VENCLEXTA 50 mg Tablet, Film Coated

Also known as Venetoclax. Coverage in Colorado (CMS PDP Region 27).

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

10 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
Wellcare Value Script (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$84.4800$2,534.4030 units
  • Prior authorization
  • Quantity limit 7 per 7 days
Humana Basic Rx Plan (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$63.0176$1,890.5330 units
  • Prior authorization
  • Quantity limit 28 per 28 days
Wellcare Classic (PDP)$2.20/mo premium · $615.00 deductible5Specialty Tier25%—$84.4800$2,534.4030 units
  • Prior authorization
  • Quantity limit 7 per 7 days
Humana Value Rx Plan (PDP)$48.50/mo premium · $601.00 deductible5Specialty Tier26%—$63.0176$1,890.5330 units
  • Prior authorization
  • Quantity limit 28 per 28 days
HealthSpring Assurance Rx (PDP)$61.70/mo premium · $615.00 deductible5Specialty Tier25%—$62.4158$187.253 units
  • Prior authorization
  • Quantity limit 3 per 30 days
HealthSpring Extra Rx (PDP)$70.70/mo premium · $615.00 deductible5Specialty Tier25%—$62.4158$187.253 units
  • Prior authorization
  • Quantity limit 3 per 30 days
SilverScript Choice (PDP)$105.10/mo premium · $615.00 deductible5Specialty Tier25%—$68.3825$820.5912 units
  • Prior authorization
  • Quantity limit 12 per 30 days
AARP Medicare Rx Saver from UHC (PDP)$125.00/mo premium · $615.00 deductible5Specialty Tier25%—$67.1760$2,015.2830 units
  • Prior authorization
  • Quantity limit 7 per 7 days
Humana Premier Rx Plan (PDP)$137.10/mo premium · $0.00 deductible5Specialty Tier33%—$63.0176$1,890.5330 units
  • Prior authorization
  • Quantity limit 28 per 28 days
AARP Medicare Rx Preferred from UHC (PDP)$151.90/mo premium · $130.00 deductible5Specialty Tier31%—$67.1760$2,015.2830 units
  • Prior authorization
  • Quantity limit 7 per 7 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.

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