MedicarePartD.guide

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COSENTYX 300 mg/2mL Injection

Also known as Secukinumab. Coverage in Michigan (CMS PDP Region 13).

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

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

146 Medicare Advantage plans in MI 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. MI: 146 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%—$3889.1001$3,889.101 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
Wellcare Value Script (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$3889.1001$3,889.101 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
HealthSpring Assurance Rx (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$3943.4557$3,943.461 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
Humana Basic Rx Plan (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$4083.6331$36,752.709 units
  • Prior authorization
  • Quantity limit 8 per 28 days
Humana Value Rx Plan (PDP)$0.00/mo premium · $601.00 deductible5Specialty Tier26%—$4083.6331$36,752.709 units
  • Prior authorization
  • Quantity limit 8 per 28 days
AARP Medicare Rx Saver from UHC (PDP)$14.10/mo premium · $615.00 deductible5Specialty Tier25%—$4372.4967$4,372.501 unit
  • Prior authorization
  • Quantity limit 1 per 30 days
HealthSpring Extra Rx (PDP)$50.40/mo premium · $615.00 deductible5Specialty Tier25%—$3944.9075$3,944.911 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
AARP Medicare Rx Preferred from UHC (PDP)$78.30/mo premium · $130.00 deductible5Specialty Tier31%—$4372.4967$4,372.501 unit
  • Prior authorization
  • Quantity limit 1 per 30 days
Prescription Blue Select (PDP)$78.40/mo premium · $615.00 deductible5Specialty Tier25%—$4084.2052$36,757.859 units
  • Prior authorization
  • Quantity limit 8 per 28 days
Humana Premier Rx Plan (PDP)$98.10/mo premium · $0.00 deductible5Specialty Tier33%—$4083.6331$36,752.709 units
  • Prior authorization
  • Quantity limit 8 per 28 days
Prescription Blue Premium (PDP)$106.70/mo premium · $0.00 deductible5Specialty Tier33%—$4084.2052$36,757.859 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 →