MedicarePartD.guide

A non-government resource built from CMS public data

COSENTYX 150 mg/mL Injection

Also known as Secukinumab. Coverage in South Carolina (CMS PDP Region 09).

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

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

55 Medicare Advantage plans in SC 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. SC: 55 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Wellcare Value Script (PDP)$4.80/mo premium · $615.00 deductible5Specialty Tier25%—$3658.9949$3,658.991 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
Wellcare Classic (PDP)$9.70/mo premium · $615.00 deductible5Specialty Tier25%—$3658.9949$3,658.991 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
Humana Basic Rx Plan (PDP)$10.10/mo premium · $615.00 deductible5Specialty Tier25%—$3976.5479$35,788.939 units
  • Prior authorization
  • Quantity limit 8 per 28 days
Humana Value Rx Plan (PDP)$65.60/mo premium · $601.00 deductible5Specialty Tier26%—$3976.5479$35,788.939 units
  • Prior authorization
  • Quantity limit 8 per 28 days
HealthSpring Extra Rx (PDP)$71.20/mo premium · $615.00 deductible5Specialty Tier25%—$3677.7382$3,677.741 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
AARP Medicare Rx Saver from UHC (PDP)$122.10/mo premium · $615.00 deductible5Specialty Tier25%—$4094.8068$4,094.811 unit
  • Prior authorization
  • Quantity limit 1 per 30 days
AARP Medicare Rx Preferred from UHC (PDP)$139.20/mo premium · $130.00 deductible5Specialty Tier31%—$4094.8068$4,094.811 unit
  • Prior authorization
  • Quantity limit 1 per 30 days
BlueCross Rx Value (PDP)$139.70/mo premium · $615.00 deductible5Specialty Tier25%—$4048.9662$4,048.971 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
Humana Premier Rx Plan (PDP)$145.60/mo premium · $0.00 deductible5Specialty Tier33%—$3976.5479$35,788.939 units
  • Prior authorization
  • Quantity limit 8 per 28 days
HealthSpring Assurance Rx (PDP)$152.50/mo premium · $615.00 deductible5Specialty Tier25%—$3683.4472$3,683.451 unit
  • Prior authorization
  • Quantity limit 1 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 →