MedicarePartD.guide

A non-government resource built from CMS public data

TRUQAP 200 mg Tablet, Film Coated

Also known as Capivasertib. Coverage in Michigan (CMS PDP Region 13).

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

12 of 12 plans apply a prior authorization, step therapy or quantity limit.

177 Medicare Advantage plans in MI 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. MI: 177 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%—$455.9700$31,461.9369 units
  • Prior authorization
  • Quantity limit 64 per 28 days
Wellcare Value Script (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$455.9700$31,461.9369 units
  • Prior authorization
  • Quantity limit 64 per 28 days
HealthSpring Assurance Rx (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$336.3981$23,211.4769 units
  • Prior authorization
  • Quantity limit 64 per 28 days
Humana Basic Rx Plan (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$358.4365$24,732.1269 units
  • Prior authorization
  • Quantity limit 64 per 28 days
Humana Value Rx Plan (PDP)$0.00/mo premium · $601.00 deductible5Specialty Tier26%—$358.4365$24,732.1269 units
  • Prior authorization
  • Quantity limit 64 per 28 days
AARP Medicare Rx Saver from UHC (PDP)$14.10/mo premium · $615.00 deductible5Specialty Tier25%—$378.0578$26,085.9969 units
  • Prior authorization
  • Quantity limit 64 per 28 days
HealthSpring Extra Rx (PDP)$50.40/mo premium · $615.00 deductible5Specialty Tier25%—$336.5350$23,220.9269 units
  • Prior authorization
  • Quantity limit 64 per 28 days
SilverScript Choice (PDP)$78.30/mo premium · $615.00 deductible5Specialty Tier25%—$387.5674$26,742.1569 units
  • Prior authorization
  • Quantity limit 64 per 28 days
AARP Medicare Rx Preferred from UHC (PDP)$78.30/mo premium · $130.00 deductible5Specialty Tier31%—$378.0578$26,085.9969 units
  • Prior authorization
  • Quantity limit 64 per 28 days
Prescription Blue Select (PDP)$78.40/mo premium · $615.00 deductible5Specialty Tier25%—$363.8913—
  • Prior authorization
Humana Premier Rx Plan (PDP)$98.10/mo premium · $0.00 deductible5Specialty Tier33%—$358.4365$24,732.1269 units
  • Prior authorization
  • Quantity limit 64 per 28 days
Prescription Blue Premium (PDP)$106.70/mo premium · $0.00 deductible5Specialty Tier33%—$363.8913—
  • Prior authorization

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 →