MedicarePartD.guide

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SKYRIZI Kit

Also known as Risankizumab-Rzaa. Coverage in Michigan (CMS PDP Region 13).

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

12 of 12 plans apply a prior authorization, step therapy or quantity limit.

164 Medicare Advantage plans in MI 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. MI: 164 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Wellcare Classic (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$18224.1577$11,663.460.64 units
  • Prior authorization
  • Quantity limit 1.2 per 56 days
Wellcare Value Script (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$18224.1577$11,663.460.64 units
  • Prior authorization
  • Quantity limit 1.2 per 56 days
HealthSpring Assurance Rx (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$18504.1477$11,842.650.64 units
  • Prior authorization
  • Quantity limit 1.2 per 56 days
Humana Basic Rx Plan (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$19015.8449$13,120.930.69 units
  • Prior authorization
  • Quantity limit 8.4 per 365 days
Humana Value Rx Plan (PDP)$0.00/mo premium · $601.00 deductible5Specialty Tier26%—$19015.8449$13,120.930.69 units
  • Prior authorization
  • Quantity limit 8.4 per 365 days
AARP Medicare Rx Saver from UHC (PDP)$14.10/mo premium · $615.00 deductible5Specialty Tier25%—$20584.4730$13,174.060.64 units
  • Prior authorization
  • Quantity limit 1.2 per 56 days
HealthSpring Extra Rx (PDP)$50.40/mo premium · $615.00 deductible5Specialty Tier25%—$18509.5655$11,846.120.64 units
  • Prior authorization
  • Quantity limit 1.2 per 56 days
SilverScript Choice (PDP)$78.30/mo premium · $615.00 deductible5Specialty Tier25%—$19547.5017$12,510.400.64 units
  • Prior authorization
  • Quantity limit 1.2 per 56 days
AARP Medicare Rx Preferred from UHC (PDP)$78.30/mo premium · $130.00 deductible5Specialty Tier31%—$20584.4730$13,174.060.64 units
  • Prior authorization
  • Quantity limit 1.2 per 56 days
Prescription Blue Select (PDP)$78.40/mo premium · $615.00 deductible5Specialty Tier25%—$19473.6028$19,473.601 unit
  • Prior authorization
  • Quantity limit 2.4 per 56 days
Humana Premier Rx Plan (PDP)$98.10/mo premium · $0.00 deductible5Specialty Tier33%—$19015.8449$13,120.930.69 units
  • Prior authorization
  • Quantity limit 8.4 per 365 days
Prescription Blue Premium (PDP)$106.70/mo premium · $0.00 deductible5Specialty Tier33%—$19473.6028$19,473.601 unit
  • Prior authorization
  • Quantity limit 2.4 per 56 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 →