MedicarePartD.guide

A non-government resource built from CMS public data

PREDNISOLONE SODIUM PHOSPHATE 20 mg/5mL Solution

Coverage in Alabama and Tennessee (CMS PDP Region 12).

4 of 12 stand-alone Part D plans in Alabama and Tennessee cover this drug on tier 2–4.

Lowest 30-day cost $7.00 at a preferred pharmacy. 1 of 4 plans apply a prior authorization, step therapy or quantity limit.

52 Medicare Advantage plans in AL, TN 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. AL: 28 plans · TN: 24 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
SilverScript Choice (PDP)$97.30/mo premium · $615.00 deductible2Generic$7.00$21.00$0.6148—
  • Prior authorization
Humana Basic Rx Plan (PDP)$0.00/mo premium · $615.00 deductible4Non-Preferred Drug34%—$3.4340—None
Humana Value Rx Plan (PDP)$37.70/mo premium · $601.00 deductible4Non-Preferred Drug33%—$3.4340—None
Humana Premier Rx Plan (PDP)$108.60/mo premium · $0.00 deductible4Non-Preferred Drug50%50%$3.4340—None

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 →