MedicarePartD.guide

A non-government resource built from CMS public data

SPIRIVA RESPIMAT 1.562 ug Spray, Metered

Also known as Tiotropium Bromide Inhalation Spray. Coverage in Mississippi (CMS PDP Region 20).

10 of 10 stand-alone Part D plans in Mississippi cover this drug on tier 3–4.

Lowest 30-day cost $45.00 at a preferred pharmacy. 10 of 10 plans apply a prior authorization, step therapy or quantity limit.

85 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: 85 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Humana Basic Rx Plan (PDP)$0.00/mo premium · $615.00 deductible3Preferred Brand25%20%$126.0590$504.244 units
  • Quantity limit 4 per 28 days
Humana Value Rx Plan (PDP)$37.60/mo premium · $601.00 deductible3Preferred Brand20%15%$126.0590$504.244 units
  • Quantity limit 4 per 28 days
AARP Medicare Rx Saver from UHC (PDP)$84.70/mo premium · $615.00 deductible3Preferred Brand17%17%$135.3256$541.304 units
  • Quantity limit 4 per 30 days
Humana Premier Rx Plan (PDP)$89.90/mo premium · $0.00 deductible3Preferred Brand$45.00$125.00$126.0590$504.244 units
  • Quantity limit 4 per 28 days
AARP Medicare Rx Preferred from UHC (PDP)$140.60/mo premium · $130.00 deductible3Preferred Brand16%16%$135.3256$541.304 units
  • Quantity limit 4 per 30 days
Wellcare Classic (PDP)$0.00/mo premium · $615.00 deductible4Non-Preferred Drug29%29%$122.2932$489.174 units
  • Quantity limit 4 per 30 days
Wellcare Value Script (PDP)$0.00/mo premium · $615.00 deductible4Non-Preferred Drug40%40%$122.2932$489.174 units
  • Quantity limit 4 per 30 days
HealthSpring Assurance Rx (PDP)$59.70/mo premium · $615.00 deductible4Non-Preferred Drug30%30%$124.2111$496.844 units
  • Step therapy
  • Quantity limit 4 per 30 days
HealthSpring Extra Rx (PDP)$77.10/mo premium · $615.00 deductible4Non-Preferred Drug30%30%$124.0333$496.134 units
  • Step therapy
  • Quantity limit 4 per 30 days
SilverScript Choice (PDP)$98.30/mo premium · $615.00 deductible4Non-Preferred Drug33%33%$129.8631$519.454 units
  • Quantity limit 4 per 30 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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