MedicarePartD.guide

A non-government resource built from CMS public data

COSENTYX 150 mg/mL Injection

Also known as Secukinumab. Coverage in Ohio (CMS PDP Region 14).

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

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

127 Medicare Advantage plans in OH 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. OH: 127 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%—$3912.0172$35,208.159 units
  • Prior authorization
  • Quantity limit 8 per 28 days
Wellcare Value Script (PDP)$7.60/mo premium · $615.00 deductible5Specialty Tier25%—$3674.0646$3,674.061 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
Wellcare Classic (PDP)$7.70/mo premium · $615.00 deductible5Specialty Tier25%—$3674.0646$3,674.061 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
Humana Value Rx Plan (PDP)$23.70/mo premium · $601.00 deductible5Specialty Tier26%—$3912.0172$35,208.159 units
  • Prior authorization
  • Quantity limit 8 per 28 days
HealthSpring Extra Rx (PDP)$65.70/mo premium · $615.00 deductible5Specialty Tier25%—$3682.5138$3,682.511 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
AARP Medicare Rx Saver from UHC (PDP)$73.70/mo premium · $615.00 deductible5Specialty Tier25%—$4101.8472$4,101.851 unit
  • Prior authorization
  • Quantity limit 1 per 30 days
HealthSpring Assurance Rx (PDP)$109.50/mo premium · $615.00 deductible5Specialty Tier25%—$3682.1129$3,682.111 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
Humana Premier Rx Plan (PDP)$117.60/mo premium · $0.00 deductible5Specialty Tier33%—$3912.0172$35,208.159 units
  • Prior authorization
  • Quantity limit 8 per 28 days
AARP Medicare Rx Preferred from UHC (PDP)$123.40/mo premium · $130.00 deductible5Specialty Tier31%—$4101.8472$4,101.851 unit
  • Prior authorization
  • Quantity limit 1 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 →