RINVOQ 45 mg Tablet, Extended Release

Also known as Upadacitinib. Coverage in Alabama and Tennessee (CMS PDP Region 12).

11 of 12 stand-alone Part D plans in Alabama and Tennessee cover this drug on tier 5.

11 of 11 plans apply a prior authorization, step therapy or quantity limit.

211 Medicare Advantage plans in AL, TN 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. AL: 89 plans · TN: 122 plans.

Every plan that covers it

Plan	Tier	30-day preferred	90-day mail	Unit cost	Est. 30-day fill	Restrictions
Humana Basic Rx Plan (PDP)$0.00/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$450.7069	$6,309.9014 units	Prior authorization Quantity limit 168 per 365 days
Wellcare Value Script (PDP)$3.60/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$441.1786	$6,176.5014 units	Prior authorization Quantity limit 84 per 180 days
Wellcare Classic (PDP)$3.70/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$441.1786	$6,176.5014 units	Prior authorization Quantity limit 84 per 180 days
Humana Value Rx Plan (PDP)$37.70/mo premium · $601.00 deductible	5Specialty Tier	26%	—	$450.7069	$6,309.9014 units	Prior authorization Quantity limit 168 per 365 days
BlueRx Essential (PDP)$76.20/mo premium · $615.00 deductible	5Specialty Tier	25%	25%	$451.6076	$6,322.5114 units	Prior authorization Quantity limit 84 per 180 days
HealthSpring Extra Rx (PDP)$77.50/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$444.1426	$6,218.0014 units	Prior authorization Quantity limit 168 per 365 days
HealthSpring Assurance Rx (PDP)$87.20/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$444.4434	$6,222.2114 units	Prior authorization Quantity limit 168 per 365 days
SilverScript Choice (PDP)$97.30/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$465.1260	$6,511.7614 units	Prior authorization Quantity limit 168 per 365 days
Humana Premier Rx Plan (PDP)$108.60/mo premium · $0.00 deductible	5Specialty Tier	33%	—	$450.7069	$6,309.9014 units	Prior authorization Quantity limit 168 per 365 days
AARP Medicare Rx Preferred from UHC (PDP)$119.30/mo premium · $130.00 deductible	5Specialty Tier	31%	—	$472.2937	$1,416.883 units	Prior authorization Quantity limit 3 per 30 days
BlueRx Enhanced Plus (PDP)$129.50/mo premium · $150.00 deductible	5Specialty Tier	31%	31%	$451.6076	$6,322.5114 units	Prior authorization Quantity limit 84 per 180 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 →