MedicarePartD.guide

A non-government resource built from CMS public data

BONSITY 250 ug/mL Injection, Solution

Also known as Teriparatide. Coverage in South Carolina (CMS PDP Region 09).

6 of 11 stand-alone Part D plans in South Carolina cover this drug on tier 5.

6 of 6 plans apply a prior authorization, step therapy or quantity limit.

47 Medicare Advantage plans in SC 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. SC: 47 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Wellcare Value Script (PDP)$4.80/mo premium · $615.00 deductible5Specialty Tier25%—$1108.8718$3,326.623 units
  • Prior authorization
  • Quantity limit 2.48 per 28 days
Wellcare Classic (PDP)$9.70/mo premium · $615.00 deductible5Specialty Tier25%—$1108.8718$3,326.623 units
  • Prior authorization
  • Quantity limit 2.48 per 28 days
SilverScript Choice (PDP)$98.40/mo premium · $615.00 deductible5Specialty Tier25%—$1206.8255—
  • Prior authorization
AARP Medicare Rx Saver from UHC (PDP)$122.10/mo premium · $615.00 deductible5Specialty Tier25%—$1207.0268$2,414.052 units
  • Prior authorization
  • Quantity limit 2.24 per 28 days
AARP Medicare Rx Preferred from UHC (PDP)$139.20/mo premium · $130.00 deductible5Specialty Tier31%—$1207.0268$2,414.052 units
  • Prior authorization
  • Quantity limit 2.24 per 28 days
BlueCross Rx Value (PDP)$139.70/mo premium · $615.00 deductible5Specialty Tier25%—$1175.6890—
  • Prior authorization

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 →