MedicarePartD.guide

A non-government resource built from CMS public data

FASENRA 30 mg/mL Injection, Solution

Also known as Benralizumab. Coverage in Delaware, DC and Maryland (CMS PDP Region 05).

7 of 10 stand-alone Part D plans in Delaware, DC and Maryland cover this drug on tier 5.

7 of 7 plans apply a prior authorization, step therapy or quantity limit.

84 Medicare Advantage plans in DE, DC, MD 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. DE: 28 plans · DC: 13 plans · MD: 43 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Wellcare Value Script (PDP)$5.60/mo premium · $615.00 deductible5Specialty Tier25%—$5506.6426$5,506.641 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
Wellcare Classic (PDP)$5.70/mo premium · $615.00 deductible5Specialty Tier25%—$5506.6426$5,506.641 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
HealthSpring Assurance Rx (PDP)$32.60/mo premium · $615.00 deductible5Specialty Tier25%—$5573.8535$5,573.851 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
AARP Medicare Rx Saver from UHC (PDP)$37.80/mo premium · $615.00 deductible5Specialty Tier25%—$6280.2284—
  • Prior authorization
HealthSpring Extra Rx (PDP)$66.60/mo premium · $615.00 deductible5Specialty Tier25%—$5578.1257$5,578.131 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
AARP Medicare Rx Preferred from UHC (PDP)$94.50/mo premium · $130.00 deductible5Specialty Tier31%—$6280.2284—
  • Prior authorization
SilverScript Choice (PDP)$97.40/mo premium · $615.00 deductible5Specialty Tier25%—$6070.6464$6,070.651 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 →