MedicarePartD.guide

A non-government resource built from CMS public data

TERIPARATIDE 250 ug/mL Injection

Coverage in Mississippi (CMS PDP Region 20).

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

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

64 Medicare Advantage plans in MS 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. MS: 64 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%—$731.7741$2,195.323 units
  • Prior authorization
  • Quantity limit 2.48 per 28 days
Wellcare Value Script (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$731.7741$2,195.323 units
  • Prior authorization
  • Quantity limit 2.48 per 28 days
HealthSpring Assurance Rx (PDP)$59.70/mo premium · $615.00 deductible5Specialty Tier25%—$830.2769$2,490.833 units
  • Prior authorization
  • Quantity limit 2.48 per 28 days
HealthSpring Extra Rx (PDP)$77.10/mo premium · $615.00 deductible5Specialty Tier25%—$790.4508$2,371.353 units
  • Prior authorization
  • Quantity limit 2.48 per 28 days
AARP Medicare Rx Saver from UHC (PDP)$84.70/mo premium · $615.00 deductible5Specialty Tier25%—$723.1115$2,169.333 units
  • Prior authorization
  • Quantity limit 2.48 per 28 days
SilverScript Choice (PDP)$98.30/mo premium · $615.00 deductible5Specialty Tier25%—$842.1757—
  • Prior authorization
AARP Medicare Rx Preferred from UHC (PDP)$140.60/mo premium · $130.00 deductible5Specialty Tier31%—$723.1115$2,169.333 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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