MedicarePartD.guide

A non-government resource built from CMS public data

FASENRA 30 mg/mL Injection, Solution

Also known as Benralizumab. Coverage in Virginia (CMS PDP Region 07).

6 of 9 stand-alone Part D plans in Virginia cover this drug on tier 5.

6 of 6 plans apply a prior authorization, step therapy or quantity limit.

124 Medicare Advantage plans in VA 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. VA: 124 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%—$5295.4318$5,295.431 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
Wellcare Value Script (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$5295.4318$5,295.431 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
AARP Medicare Rx Saver from UHC (PDP)$39.60/mo premium · $615.00 deductible5Specialty Tier25%—$5839.9153—
  • Prior authorization
SilverScript Choice (PDP)$78.20/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)$100.80/mo premium · $130.00 deductible5Specialty Tier31%—$5839.9153—
  • Prior authorization
HealthSpring Assurance Rx (PDP)$133.80/mo premium · $615.00 deductible5Specialty Tier25%—$5364.7647$5,364.761 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 →