MedicarePartD.guide

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COSENTYX 300 mg/2mL Injection

Also known as Secukinumab. Coverage in New Jersey (CMS PDP Region 04).

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

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

46 Medicare Advantage plans in NJ 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. NJ: 46 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Humana Basic Rx Plan (PDP)$4.40/mo premium · $615.00 deductible5Specialty Tier25%—$4032.0812$36,288.739 units
  • Prior authorization
  • Quantity limit 8 per 28 days
Wellcare Value Script (PDP)$22.80/mo premium · $615.00 deductible5Specialty Tier25%—$3810.1723$3,810.171 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
Wellcare Classic (PDP)$28.20/mo premium · $615.00 deductible5Specialty Tier25%—$3810.1723$3,810.171 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
Humana Value Rx Plan (PDP)$35.60/mo premium · $601.00 deductible5Specialty Tier26%—$4032.0812$36,288.739 units
  • Prior authorization
  • Quantity limit 8 per 28 days
HealthSpring Extra Rx (PDP)$59.90/mo premium · $615.00 deductible5Specialty Tier25%—$3830.3675$3,830.371 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
Horizon Medicare Blue Rx Standard (PDP)$72.30/mo premium · $615.00 deductible5Specialty Tier25%—$3981.9821$35,837.849 units
  • Prior authorization
  • Quantity limit 8 per 28 days
AARP Medicare Rx Saver from UHC (PDP)$77.40/mo premium · $615.00 deductible5Specialty Tier25%—$4312.3983$4,312.401 unit
  • Prior authorization
  • Quantity limit 1 per 30 days
HealthSpring Assurance Rx (PDP)$109.30/mo premium · $615.00 deductible5Specialty Tier25%—$3829.3914$3,829.391 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
Humana Premier Rx Plan (PDP)$111.90/mo premium · $0.00 deductible5Specialty Tier33%—$4032.0812$36,288.739 units
  • Prior authorization
  • Quantity limit 8 per 28 days
AARP Medicare Rx Preferred from UHC (PDP)$118.90/mo premium · $130.00 deductible5Specialty Tier31%—$4312.3983$4,312.401 unit
  • Prior authorization
  • Quantity limit 1 per 30 days
Horizon Medicare Blue Rx Enhanced (PDP)$139.10/mo premium · $200.00 deductible5Specialty Tier30%—$3981.9821$35,837.849 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 →