MedicarePartD.guide

A non-government resource built from CMS public data

TERIFLUNOMIDE 7 mg Tablet, Film Coated

Coverage in Alabama and Tennessee (CMS PDP Region 12).

8 of 12 stand-alone Part D plans in Alabama and Tennessee cover this drug on tier 4–5.

8 of 8 plans apply a prior authorization, step therapy or quantity limit.

148 Medicare Advantage plans in AL, TN 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. AL: 60 plans · TN: 88 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 deductible4Non-Preferred Drug34%—$3.2920$9.883 units
  • Prior authorization
  • Quantity limit 3 per 30 days
Humana Value Rx Plan (PDP)$37.70/mo premium · $601.00 deductible4Non-Preferred Drug33%—$3.2920$9.883 units
  • Prior authorization
  • Quantity limit 3 per 30 days
Humana Premier Rx Plan (PDP)$108.60/mo premium · $0.00 deductible4Non-Preferred Drug50%50%$3.2920$9.883 units
  • Prior authorization
  • Quantity limit 3 per 30 days
AARP Medicare Rx Preferred from UHC (PDP)$119.30/mo premium · $130.00 deductible4Non-Preferred Drug34%—$1.7008$5.103 units
  • Quantity limit 3 per 30 days
Wellcare Value Script (PDP)$3.60/mo premium · $615.00 deductible5Specialty Tier25%—$1.3863$4.163 units
  • Prior authorization
  • Quantity limit 3 per 30 days
Wellcare Classic (PDP)$3.70/mo premium · $615.00 deductible5Specialty Tier25%—$1.9125$5.743 units
  • Prior authorization
  • Quantity limit 3 per 30 days
HealthSpring Assurance Rx (PDP)$87.20/mo premium · $615.00 deductible5Specialty Tier25%—$128.1922$384.583 units
  • Prior authorization
  • Quantity limit 3 per 30 days
SilverScript Choice (PDP)$97.30/mo premium · $615.00 deductible5Specialty Tier25%—$21.2834$63.853 units
  • Prior authorization
  • Quantity limit 3 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.

See coverage in all 39 regions →