MedicarePartD.guide

A non-government resource built from CMS public data

SKYRIZI Kit

Also known as Risankizumab-Rzaa. Coverage in Missouri (CMS PDP Region 18).

10 of 10 stand-alone Part D plans in Missouri cover this drug on tier 5.

10 of 10 plans apply a prior authorization, step therapy or quantity limit.

141 Medicare Advantage plans in MO 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. MO: 141 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Wellcare Value Script (PDP)$9.60/mo premium · $615.00 deductible5Specialty Tier25%—$18052.9689$11,553.900.64 units
  • Prior authorization
  • Quantity limit 1.2 per 56 days
Wellcare Classic (PDP)$10.70/mo premium · $615.00 deductible5Specialty Tier25%—$18052.9689$11,553.900.64 units
  • Prior authorization
  • Quantity limit 1.2 per 56 days
Humana Basic Rx Plan (PDP)$16.50/mo premium · $615.00 deductible5Specialty Tier25%—$19297.7686$13,315.460.69 units
  • Prior authorization
  • Quantity limit 8.4 per 365 days
Humana Value Rx Plan (PDP)$33.70/mo premium · $601.00 deductible5Specialty Tier26%—$19297.7686$13,315.460.69 units
  • Prior authorization
  • Quantity limit 8.4 per 365 days
HealthSpring Extra Rx (PDP)$70.70/mo premium · $615.00 deductible5Specialty Tier25%—$18237.4037$11,671.940.64 units
  • Prior authorization
  • Quantity limit 1.2 per 56 days
AARP Medicare Rx Saver from UHC (PDP)$71.90/mo premium · $615.00 deductible5Specialty Tier25%—$20529.4176$13,138.830.64 units
  • Prior authorization
  • Quantity limit 1.2 per 56 days
HealthSpring Assurance Rx (PDP)$74.30/mo premium · $615.00 deductible5Specialty Tier25%—$18226.3632$11,664.870.64 units
  • Prior authorization
  • Quantity limit 1.2 per 56 days
SilverScript Choice (PDP)$94.90/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)$125.40/mo premium · $130.00 deductible5Specialty Tier31%—$20529.4176$13,138.830.64 units
  • Prior authorization
  • Quantity limit 1.2 per 56 days
Humana Premier Rx Plan (PDP)$126.40/mo premium · $0.00 deductible5Specialty Tier33%—$19297.7686$13,315.460.69 units
  • Prior authorization
  • Quantity limit 8.4 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 →