TERIPARATIDE 250 ug/mL Injection

Coverage in Indiana and Kentucky (CMS PDP Region 15).

7 of 10 stand-alone Part D plans in Indiana and Kentucky cover this drug on tier 5.

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

148 Medicare Advantage plans in IN, KY 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. IN: 87 plans · KY: 61 plans.

Every plan that covers it

Plan	Tier	30-day preferred	90-day mail	Unit cost	Est. 30-day fill	Restrictions
Wellcare Value Script (PDP)$8.60/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$552.6214	$1,657.863 units	Prior authorization Quantity limit 2.48 per 28 days
Wellcare Classic (PDP)$8.70/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$552.6214	$1,657.863 units	Prior authorization Quantity limit 2.48 per 28 days
SilverScript Choice (PDP)$29.70/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$807.2184	—	Prior authorization
HealthSpring Extra Rx (PDP)$78.20/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$791.1343	$2,373.403 units	Prior authorization Quantity limit 2.48 per 28 days
AARP Medicare Rx Saver from UHC (PDP)$90.30/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$774.6882	$2,324.063 units	Prior authorization Quantity limit 2.48 per 28 days
HealthSpring Assurance Rx (PDP)$117.80/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$877.7010	$2,633.103 units	Prior authorization Quantity limit 2.48 per 28 days
AARP Medicare Rx Preferred from UHC (PDP)$127.10/mo premium · $130.00 deductible	5Specialty Tier	31%	—	$774.6882	$2,324.063 units	Prior authorization Quantity limit 2.48 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 →