MedicarePartD.guide

A non-government resource built from CMS public data

FASENRA 30 mg/mL Injection, Solution

Also known as Benralizumab. Coverage in Illinois (CMS PDP Region 17).

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

8 of 8 plans apply a prior authorization, step therapy or quantity limit.

134 Medicare Advantage plans in IL 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. IL: 134 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%—$5492.7435$5,492.741 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
Wellcare Value Script (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$5492.7435$5,492.741 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
AARP Medicare Rx Saver from UHC (PDP)$40.20/mo premium · $615.00 deductible5Specialty Tier25%—$6124.1449—
  • Prior authorization
HealthSpring Extra Rx (PDP)$66.60/mo premium · $615.00 deductible5Specialty Tier25%—$5546.9794$5,546.981 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
SilverScript Choice (PDP)$94.90/mo premium · $615.00 deductible5Specialty Tier25%—$6070.6464$6,070.651 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
AARP Medicare Rx Preferred from UHC (PDP)$103.90/mo premium · $130.00 deductible5Specialty Tier31%—$6124.1449—
  • Prior authorization
HealthSpring Assurance Rx (PDP)$104.20/mo premium · $615.00 deductible5Specialty Tier25%—$5543.9518$5,543.951 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
Blue Cross MedicareRx Value (PDP)$119.70/mo premium · $615.00 deductible5Specialty Tier25%—$5655.8273$5,655.831 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 →