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SKYRIZI 150 mg/mL Injection

Also known as Risankizumab-Rzaa. Coverage in Alabama and Tennessee (CMS PDP Region 12).

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

12 of 12 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

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Humana Basic Rx Plan (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$22969.9698$16,308.680.71 units
  • Prior authorization
  • Quantity limit 2 per 84 days
Wellcare Value Script (PDP)$3.60/mo premium · $615.00 deductible5Specialty Tier25%—$22622.1619$11,084.860.49 units
  • Prior authorization
  • Quantity limit 6 per 365 days
Wellcare Classic (PDP)$3.70/mo premium · $615.00 deductible5Specialty Tier25%—$22622.1619$11,084.860.49 units
  • Prior authorization
  • Quantity limit 6 per 365 days
Humana Value Rx Plan (PDP)$37.70/mo premium · $601.00 deductible5Specialty Tier26%—$22969.9698$16,308.680.71 units
  • Prior authorization
  • Quantity limit 2 per 84 days
AARP Medicare Rx Saver from UHC (PDP)$63.20/mo premium · $615.00 deductible5Specialty Tier25%—$24108.6225$24,108.621 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
BlueRx Essential (PDP)$76.20/mo premium · $615.00 deductible5Specialty Tier25%25%$22524.7244$11,037.110.49 units
  • Prior authorization
  • Quantity limit 6 per 365 days
HealthSpring Extra Rx (PDP)$77.50/mo premium · $615.00 deductible5Specialty Tier25%—$22681.1534$45,362.312 units
  • Prior authorization
  • Quantity limit 2 per 28 days
HealthSpring Assurance Rx (PDP)$87.20/mo premium · $615.00 deductible5Specialty Tier25%—$22688.5035$45,377.012 units
  • Prior authorization
  • Quantity limit 2 per 28 days
SilverScript Choice (PDP)$97.30/mo premium · $615.00 deductible5Specialty Tier25%—$23457.0020$11,493.930.49 units
  • Prior authorization
  • Quantity limit 6 per 365 days
Humana Premier Rx Plan (PDP)$108.60/mo premium · $0.00 deductible5Specialty Tier33%—$22969.9698$16,308.680.71 units
  • Prior authorization
  • Quantity limit 2 per 84 days
AARP Medicare Rx Preferred from UHC (PDP)$119.30/mo premium · $130.00 deductible5Specialty Tier31%—$24108.6225$24,108.621 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
BlueRx Enhanced Plus (PDP)$129.50/mo premium · $150.00 deductible5Specialty Tier31%31%$22524.7244$11,037.110.49 units
  • Prior authorization
  • Quantity limit 6 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 →