RINVOQ 45 mg Tablet, Extended Release

Also known as Upadacitinib. Coverage in Arkansas (CMS PDP Region 19).

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

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

77 Medicare Advantage plans in AR 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. AR: 77 plans.

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%	—	$427.4196	$5,983.8714 units	Prior authorization Quantity limit 84 per 180 days
Wellcare Value Script (PDP)$0.00/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$427.4196	$5,983.8714 units	Prior authorization Quantity limit 84 per 180 days
HealthSpring Assurance Rx (PDP)$0.00/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$433.9996	$6,075.9914 units	Prior authorization Quantity limit 168 per 365 days
Humana Basic Rx Plan (PDP)$0.00/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$450.4447	$6,306.2314 units	Prior authorization Quantity limit 168 per 365 days
Humana Value Rx Plan (PDP)$0.00/mo premium · $601.00 deductible	5Specialty Tier	26%	—	$450.4447	$6,306.2314 units	Prior authorization Quantity limit 168 per 365 days
BlueMedicare Value Rx (PDP)$52.50/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$458.8865	$6,424.4114 units	Prior authorization Quantity limit 168 per 365 days
HealthSpring Extra Rx (PDP)$54.50/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$434.0163	$6,076.2314 units	Prior authorization Quantity limit 168 per 365 days
SilverScript Choice (PDP)$73.50/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)$92.40/mo premium · $0.00 deductible	5Specialty Tier	33%	—	$450.4447	$6,306.2314 units	Prior authorization Quantity limit 168 per 365 days
AARP Medicare Rx Preferred from UHC (PDP)$114.90/mo premium · $130.00 deductible	5Specialty Tier	31%	—	$470.8819	$1,412.653 units	Prior authorization Quantity limit 3 per 30 days
BlueMedicare Premier Rx (PDP)$181.20/mo premium · $0.00 deductible	5Specialty Tier	33%	—	$458.8865	$6,424.4114 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.

See coverage in all 39 regions →