MedicarePartD.guide

A non-government resource built from CMS public data

ZOKINVY 50 mg Capsule

Also known as Lonafarnib. Coverage in Texas (CMS PDP Region 22).

4 of 12 stand-alone Part D plans in Texas cover this drug on tier 5.

4 of 4 plans apply a prior authorization, step therapy or quantity limit.

118 Medicare Advantage plans in TX 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. TX: 118 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
AARP Medicare Rx Saver from UHC (PDP)$89.20/mo premium · $615.00 deductible5Specialty Tier25%—$909.6913$10,916.3012 units
  • Prior authorization
  • Quantity limit 12 per 30 days
Blue Cross MedicareRx Basic (PDP)$104.70/mo premium · $615.00 deductible5Specialty Tier25%—$873.9406$10,487.2912 units
  • Prior authorization
  • Quantity limit 12 per 30 days
AARP Medicare Rx Preferred from UHC (PDP)$114.80/mo premium · $130.00 deductible5Specialty Tier31%—$909.6913$10,916.3012 units
  • Prior authorization
  • Quantity limit 12 per 30 days
Blue Cross MedicareRx Value (PDP)$167.40/mo premium · $615.00 deductible5Specialty Tier25%—$865.3665$10,384.4012 units
  • Prior authorization
  • Quantity limit 12 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 →