RINVOQ 45 mg Tablet, Extended Release

Also known as Upadacitinib. Coverage in Alaska (CMS PDP Region 34).

8 of 9 stand-alone Part D plans in Alaska cover this drug on tier 5.

8 of 8 plans apply a prior authorization, step therapy or quantity limit.

Every plan that covers it

Plan	Tier	30-day preferred	90-day mail	Unit cost	Est. 30-day fill	Restrictions
Wellcare Classic (PDP)$0.00/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$470.8100	$6,591.3414 units	Prior authorization Quantity limit 84 per 180 days
HealthSpring Assurance Rx (PDP)$0.00/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$463.0900	$6,483.2614 units	Prior authorization Quantity limit 168 per 365 days
Humana Basic Rx Plan (PDP)$0.00/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$447.4001	$6,263.6014 units	Prior authorization Quantity limit 168 per 365 days
Humana Value Rx Plan (PDP)$10.60/mo premium · $601.00 deductible	5Specialty Tier	26%	—	$447.4001	$6,263.6014 units	Prior authorization Quantity limit 168 per 365 days
Wellcare Value Script (PDP)$19.70/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$470.8100	$6,591.3414 units	Prior authorization Quantity limit 84 per 180 days
SilverScript Choice (PDP)$94.90/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$465.1260	$6,511.7614 units	Prior authorization Quantity limit 168 per 365 days
AARP Medicare Rx Preferred from UHC (PDP)$100.20/mo premium · $130.00 deductible	5Specialty Tier	31%	—	$508.3034	$1,524.913 units	Prior authorization Quantity limit 3 per 30 days
Humana Premier Rx Plan (PDP)$112.40/mo premium · $0.00 deductible	5Specialty Tier	33%	—	$447.4001	$6,263.6014 units	Prior authorization Quantity limit 168 per 365 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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