MedicarePartD.guide

A non-government resource built from CMS public data

RINVOQ 30 mg Tablet, Extended Release

Also known as Upadacitinib. Coverage in Nevada (CMS PDP Region 29).

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

9 of 9 plans apply a prior authorization, step therapy or quantity limit.

96 Medicare Advantage plans in NV 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. NV: 96 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%—$231.0292$693.093 units
  • Prior authorization
  • Quantity limit 3 per 30 days
Wellcare Classic (PDP)$2.70/mo premium · $615.00 deductible5Specialty Tier25%—$218.6319$655.903 units
  • Prior authorization
  • Quantity limit 3 per 30 days
Wellcare Value Script (PDP)$2.70/mo premium · $615.00 deductible5Specialty Tier25%—$218.6319$655.903 units
  • Prior authorization
  • Quantity limit 3 per 30 days
Humana Value Rx Plan (PDP)$43.70/mo premium · $601.00 deductible5Specialty Tier26%—$231.0292$693.093 units
  • Prior authorization
  • Quantity limit 3 per 30 days
HealthSpring Extra Rx (PDP)$52.60/mo premium · $615.00 deductible5Specialty Tier25%—$222.7233$668.173 units
  • Prior authorization
  • Quantity limit 3 per 30 days
HealthSpring Assurance Rx (PDP)$95.60/mo premium · $615.00 deductible5Specialty Tier25%—$222.8529$668.563 units
  • Prior authorization
  • Quantity limit 3 per 30 days
SilverScript Choice (PDP)$97.40/mo premium · $615.00 deductible5Specialty Tier25%—$232.5654$697.703 units
  • Prior authorization
  • Quantity limit 3 per 30 days
AARP Medicare Rx Preferred from UHC (PDP)$139.10/mo premium · $130.00 deductible5Specialty Tier31%—$245.9192$737.763 units
  • Prior authorization
  • Quantity limit 3 per 30 days
Humana Premier Rx Plan (PDP)$148.70/mo premium · $0.00 deductible5Specialty Tier33%—$231.0292$693.093 units
  • Prior authorization
  • Quantity limit 3 per 30 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 →