MedicarePartD.guide

A non-government resource built from CMS public data

TERIPARATIDE 250 ug/mL Injection

Coverage in Oklahoma (CMS PDP Region 23).

7 of 11 stand-alone Part D plans in Oklahoma cover this drug on tier 5.

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

50 Medicare Advantage plans in OK 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. OK: 50 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Wellcare Value Script (PDP)$5.60/mo premium · $615.00 deductible5Specialty Tier25%—$574.1997$1,722.603 units
  • Prior authorization
  • Quantity limit 2.48 per 28 days
Wellcare Classic (PDP)$5.70/mo premium · $615.00 deductible5Specialty Tier25%—$574.1997$1,722.603 units
  • Prior authorization
  • Quantity limit 2.48 per 28 days
HealthSpring Extra Rx (PDP)$65.40/mo premium · $615.00 deductible5Specialty Tier25%—$787.5625$2,362.693 units
  • Prior authorization
  • Quantity limit 2.48 per 28 days
AARP Medicare Rx Saver from UHC (PDP)$82.40/mo premium · $615.00 deductible5Specialty Tier25%—$763.3249$2,289.973 units
  • Prior authorization
  • Quantity limit 2.48 per 28 days
AARP Medicare Rx Preferred from UHC (PDP)$121.00/mo premium · $130.00 deductible5Specialty Tier31%—$763.3249$2,289.973 units
  • Prior authorization
  • Quantity limit 2.48 per 28 days
HealthSpring Assurance Rx (PDP)$126.50/mo premium · $615.00 deductible5Specialty Tier25%—$878.0890$2,634.273 units
  • Prior authorization
  • Quantity limit 2.48 per 28 days
Blue Cross MedicareRx Value (PDP)$167.30/mo premium · $615.00 deductible5Specialty Tier25%—$942.6251—
  • 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.

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