MedicarePartD.guide

A non-government resource built from CMS public data

TERIPARATIDE 250 ug/mL Injection

Coverage in Missouri (CMS PDP Region 18).

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

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

110 Medicare Advantage plans in MO 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. MO: 110 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Wellcare Value Script (PDP)$9.60/mo premium · $615.00 deductible5Specialty Tier25%—$486.8441$1,460.533 units
  • Prior authorization
  • Quantity limit 2.48 per 28 days
Wellcare Classic (PDP)$10.70/mo premium · $615.00 deductible5Specialty Tier25%—$486.8441$1,460.533 units
  • Prior authorization
  • Quantity limit 2.48 per 28 days
HealthSpring Extra Rx (PDP)$70.70/mo premium · $615.00 deductible5Specialty Tier25%—$790.7049$2,372.113 units
  • Prior authorization
  • Quantity limit 2.48 per 28 days
AARP Medicare Rx Saver from UHC (PDP)$71.90/mo premium · $615.00 deductible5Specialty Tier25%—$726.9165$2,180.753 units
  • Prior authorization
  • Quantity limit 2.48 per 28 days
HealthSpring Assurance Rx (PDP)$74.30/mo premium · $615.00 deductible5Specialty Tier25%—$871.4355$2,614.313 units
  • Prior authorization
  • Quantity limit 2.48 per 28 days
SilverScript Choice (PDP)$94.90/mo premium · $615.00 deductible5Specialty Tier25%—$1252.1774—
  • Prior authorization
AARP Medicare Rx Preferred from UHC (PDP)$125.40/mo premium · $130.00 deductible5Specialty Tier31%—$726.9165$2,180.753 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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