MedicarePartD.guide

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SKYRIZI 150 mg/mL Injection

Also known as Risankizumab-Rzaa. Coverage in Illinois (CMS PDP Region 17).

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

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

137 Medicare Advantage plans in IL 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. IL: 137 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%—$21761.9401$10,663.350.49 units
  • Prior authorization
  • Quantity limit 6 per 365 days
Wellcare Value Script (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$21761.9401$10,663.350.49 units
  • Prior authorization
  • Quantity limit 6 per 365 days
Humana Basic Rx Plan (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$22840.3657$16,216.660.71 units
  • Prior authorization
  • Quantity limit 2 per 84 days
Humana Value Rx Plan (PDP)$0.00/mo premium · $601.00 deductible5Specialty Tier26%—$22840.3657$16,216.660.71 units
  • Prior authorization
  • Quantity limit 2 per 84 days
AARP Medicare Rx Saver from UHC (PDP)$40.20/mo premium · $615.00 deductible5Specialty Tier25%—$24522.4933$24,522.491 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
HealthSpring Extra Rx (PDP)$66.60/mo premium · $615.00 deductible5Specialty Tier25%—$22018.2105$44,036.422 units
  • Prior authorization
  • Quantity limit 2 per 28 days
Blue Cross MedicareRx Basic (PDP)$89.70/mo premium · $615.00 deductible5Specialty Tier25%—$22906.4081$11,224.140.49 units
  • Prior authorization
  • Quantity limit 6 per 365 days
SilverScript Choice (PDP)$94.90/mo premium · $615.00 deductible5Specialty Tier25%—$23457.0020$11,493.930.49 units
  • Prior authorization
  • Quantity limit 6 per 365 days
AARP Medicare Rx Preferred from UHC (PDP)$103.90/mo premium · $130.00 deductible5Specialty Tier31%—$24522.4933$24,522.491 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
HealthSpring Assurance Rx (PDP)$104.20/mo premium · $615.00 deductible5Specialty Tier25%—$22011.2526$44,022.512 units
  • Prior authorization
  • Quantity limit 2 per 28 days
Humana Premier Rx Plan (PDP)$119.40/mo premium · $0.00 deductible5Specialty Tier33%—$22840.3657$16,216.660.71 units
  • Prior authorization
  • Quantity limit 2 per 84 days
Blue Cross MedicareRx Value (PDP)$119.70/mo premium · $615.00 deductible5Specialty Tier25%—$22815.4062$11,179.550.49 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 →