MedicarePartD.guide

A non-government resource built from CMS public data

RISEDRONATE SODIUM 5 mg Tablet, Film Coated

Coverage in Pennsylvania and West Virginia (CMS PDP Region 06).

4 of 12 stand-alone Part D plans in Pennsylvania and West Virginia cover this drug on tier 1–3.

Lowest 30-day cost $2.00 at a preferred pharmacy. 2 of 4 plans apply a prior authorization, step therapy or quantity limit.

Every plan that covers it

Prior authorization
Step therapy
Quantity limit
Tier
Extra Help (LIS)

Showing 4 of 4 plans

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Wellcare Value Script (PDP)$8.20/mo premium · $615.00 deductible2Generic$3.00$9.00$0.8582$2.573 units
  • Quantity limit 3 per 30 days
SilverScript Choice (PDP)$22.70/mo premium · $615.00 deductible · $0 with full Extra Help1Preferred Generic$2.00$6.00$0.7213$2.163 units
  • Quantity limit 3 per 30 days
Blue Rx PDP Complete (PDP)$164.80/mo premium · $200.00 deductible3Preferred Brand25%25%$2.4957—None
Blue Rx PDP Plus (PDP)$193.20/mo premium · $615.00 deductible3Preferred Brand25%25%$2.4957—None

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.

Medicare Advantage plans

Medicare Advantage plans carry their own formularies, separate from stand-alone Part D, and are sold county by county. Pick a county to see every Medicare Advantage drug plan there that covers this drug.

329 Medicare Advantage plans in PA, WV do cover it

A patient on an MA-PD plan may have coverage even where no PDP lists the drug. PA: 271 plans · WV: 58 plans.

See coverage in all 39 regions →