MedicarePartD.guide

A non-government resource built from CMS public data

COSENTYX 150 mg/mL Injection

Also known as Secukinumab. Coverage in Texas (CMS PDP Region 22).

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

11 of 11 plans apply a prior authorization, step therapy or quantity limit.

304 Medicare Advantage plans in TX 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. TX: 304 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%—$3770.4444$3,770.441 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
Wellcare Value Script (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$3770.4444$3,770.441 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
Humana Value Rx Plan (PDP)$22.90/mo premium · $601.00 deductible5Specialty Tier26%—$3977.8551$35,800.709 units
  • Prior authorization
  • Quantity limit 8 per 28 days
Humana Basic Rx Plan (PDP)$41.70/mo premium · $615.00 deductible5Specialty Tier25%—$3977.8551$35,800.709 units
  • Prior authorization
  • Quantity limit 8 per 28 days
HealthSpring Extra Rx (PDP)$70.00/mo premium · $615.00 deductible5Specialty Tier25%—$3645.4392$3,645.441 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
AARP Medicare Rx Saver from UHC (PDP)$89.20/mo premium · $615.00 deductible5Specialty Tier25%—$4086.9944$4,086.991 unit
  • Prior authorization
  • Quantity limit 1 per 30 days
Blue Cross MedicareRx Basic (PDP)$104.70/mo premium · $615.00 deductible5Specialty Tier25%—$3905.9318$35,153.399 units
  • Prior authorization
  • Quantity limit 8 per 28 days
HealthSpring Assurance Rx (PDP)$111.40/mo premium · $615.00 deductible5Specialty Tier25%—$3644.4478$3,644.451 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
AARP Medicare Rx Preferred from UHC (PDP)$114.80/mo premium · $130.00 deductible5Specialty Tier31%—$4086.9944$4,086.991 unit
  • Prior authorization
  • Quantity limit 1 per 30 days
Humana Premier Rx Plan (PDP)$118.20/mo premium · $0.00 deductible5Specialty Tier33%—$3977.8551$35,800.709 units
  • Prior authorization
  • Quantity limit 8 per 28 days
Blue Cross MedicareRx Value (PDP)$167.40/mo premium · $615.00 deductible5Specialty Tier25%—$3905.7845$35,152.069 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 →