MedicarePartD.guide

A non-government resource built from CMS public data

TERIPARATIDE 250 ug/mL Injection

Coverage in Louisiana (CMS PDP Region 21).

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

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

70 Medicare Advantage plans in LA 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. LA: 70 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Wellcare Value Script (PDP)$5.70/mo premium · $615.00 deductible5Specialty Tier25%—$488.3109$1,464.933 units
  • Prior authorization
  • Quantity limit 2.48 per 28 days
Wellcare Classic (PDP)$6.70/mo premium · $615.00 deductible5Specialty Tier25%—$488.3109$1,464.933 units
  • Prior authorization
  • Quantity limit 2.48 per 28 days
AARP Medicare Rx Saver from UHC (PDP)$37.00/mo premium · $615.00 deductible5Specialty Tier25%—$738.9156$2,216.753 units
  • Prior authorization
  • Quantity limit 2.48 per 28 days
SilverScript Choice (PDP)$44.70/mo premium · $615.00 deductible5Specialty Tier25%—$995.8574—
  • Prior authorization
HealthSpring Assurance Rx (PDP)$48.40/mo premium · $615.00 deductible5Specialty Tier25%—$839.7923$2,519.383 units
  • Prior authorization
  • Quantity limit 2.48 per 28 days
HealthSpring Extra Rx (PDP)$60.60/mo premium · $615.00 deductible5Specialty Tier25%—$791.3434$2,374.033 units
  • Prior authorization
  • Quantity limit 2.48 per 28 days
AARP Medicare Rx Preferred from UHC (PDP)$139.50/mo premium · $130.00 deductible5Specialty Tier31%—$738.9156$2,216.753 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.

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