MedicarePartD.guide

A non-government resource built from CMS public data

FANAPT 10 mg Tablet

Also known as Iloperidone. Coverage in Hawaii (CMS PDP Region 33).

8 of 8 stand-alone Part D plans in Hawaii cover this drug on tier 4–5.

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

38 Medicare Advantage plans in HI 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. HI: 38 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
AARP Medicare Rx Saver from UHC (PDP)$0.00/mo premium · $615.00 deductible4Non-Preferred Drug38%—$63.0524$378.316 units
  • Step therapy
  • Quantity limit 6 per 30 days
Humana Basic Rx Plan (PDP)$0.40/mo premium · $615.00 deductible4Non-Preferred Drug28%—$61.5105$369.066 units
  • Prior authorization
  • Quantity limit 6 per 30 days
Humana Value Rx Plan (PDP)$51.60/mo premium · $601.00 deductible4Non-Preferred Drug30%—$61.5105$369.066 units
  • Prior authorization
  • Quantity limit 6 per 30 days
Humana Premier Rx Plan (PDP)$90.20/mo premium · $0.00 deductible4Non-Preferred Drug50%50%$61.5105$369.066 units
  • Prior authorization
  • Quantity limit 6 per 30 days
AARP Medicare Rx Preferred from UHC (PDP)$139.20/mo premium · $130.00 deductible4Non-Preferred Drug34%—$63.0524$378.316 units
  • Step therapy
  • Quantity limit 6 per 30 days
SilverScript Choice (PDP)$14.70/mo premium · $615.00 deductible5Specialty Tier25%—$61.9196$371.526 units
  • Prior authorization
  • Quantity limit 6 per 30 days
Wellcare Value Script (PDP)$21.60/mo premium · $615.00 deductible5Specialty Tier25%—$57.3200$343.926 units
  • Step therapy
  • Quantity limit 6 per 30 days
Wellcare Classic (PDP)$21.70/mo premium · $615.00 deductible5Specialty Tier25%—$57.3200$343.926 units
  • Step therapy
  • Quantity limit 6 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 →