MedicarePartD.guide

A non-government resource built from CMS public data

COSENTYX 150 mg/mL Injection

Also known as Secukinumab. Coverage in New Mexico (CMS PDP Region 26).

10 of 11 stand-alone Part D plans in New Mexico cover this drug on tier 5.

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

57 Medicare Advantage plans in NM 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. NM: 57 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%—$3768.4107$3,768.411 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
Wellcare Value Script (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$3768.4107$3,768.411 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
HealthSpring Assurance Rx (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$3800.4678$3,800.471 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
Humana Basic Rx Plan (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$3899.7925$35,098.139 units
  • Prior authorization
  • Quantity limit 8 per 28 days
AARP Medicare Rx Saver from UHC (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$4080.5566$4,080.561 unit
  • Prior authorization
  • Quantity limit 1 per 30 days
Humana Value Rx Plan (PDP)$69.60/mo premium · $601.00 deductible5Specialty Tier26%—$3899.7925$35,098.139 units
  • Prior authorization
  • Quantity limit 8 per 28 days
Humana Premier Rx Plan (PDP)$75.60/mo premium · $0.00 deductible5Specialty Tier33%—$3899.7925$35,098.139 units
  • Prior authorization
  • Quantity limit 8 per 28 days
AARP Medicare Rx Preferred from UHC (PDP)$82.30/mo premium · $130.00 deductible5Specialty Tier31%—$4080.5566$4,080.561 unit
  • Prior authorization
  • Quantity limit 1 per 30 days
Blue Cross MedicareRx Value (PDP)$111.30/mo premium · $615.00 deductible5Specialty Tier25%—$3963.5389$35,671.859 units
  • Prior authorization
  • Quantity limit 8 per 28 days
Blue Cross MedicareRx Basic (PDP)$145.40/mo premium · $615.00 deductible5Specialty Tier25%—$3975.8389$35,782.559 units
  • Prior authorization
  • Quantity limit 8 per 28 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 →