MedicarePartD.guide

A non-government resource built from CMS public data

ZELBORAF 240 mg Tablet, Film Coated

Also known as Vemurafenib. Coverage in Florida (CMS PDP Region 11).

10 of 10 stand-alone Part D plans in Florida cover this drug on tier 5.

10 of 10 plans apply a prior authorization, step therapy or quantity limit.

583 Medicare Advantage plans in FL 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. FL: 583 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Wellcare Classic (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$49.0221$11,765.30240 units
  • Prior authorization
  • Quantity limit 224 per 28 days
Wellcare Value Script (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$49.0221$11,765.30240 units
  • Prior authorization
  • Quantity limit 224 per 28 days
Humana Value Rx Plan (PDP)$25.90/mo premium · $601.00 deductible5Specialty Tier26%—$52.3396$1,256.1524 units
  • Prior authorization
  • Quantity limit 24 per 30 days
Humana Basic Rx Plan (PDP)$92.70/mo premium · $615.00 deductible5Specialty Tier25%—$52.3396$1,256.1524 units
  • Prior authorization
  • Quantity limit 24 per 30 days
SilverScript Choice (PDP)$98.30/mo premium · $615.00 deductible5Specialty Tier25%—$53.3413$1,280.1924 units
  • Prior authorization
  • Quantity limit 24 per 30 days
BlueMedicare Premier Rx (PDP)$98.60/mo premium · $615.00 deductible5Specialty Tier25%—$55.3491$1,328.3824 units
  • Prior authorization
  • Quantity limit 24 per 30 days
AARP Medicare Rx Saver from UHC (PDP)$98.70/mo premium · $615.00 deductible5Specialty Tier25%—$54.3546—
  • Prior authorization
Humana Premier Rx Plan (PDP)$115.90/mo premium · $0.00 deductible5Specialty Tier33%—$52.3396$1,256.1524 units
  • Prior authorization
  • Quantity limit 24 per 30 days
AARP Medicare Rx Preferred from UHC (PDP)$119.10/mo premium · $130.00 deductible5Specialty Tier31%—$54.3546—
  • Prior authorization
BlueMedicare Complete Rx (PDP)$217.00/mo premium · $615.00 deductible5Specialty Tier25%—$55.3491$1,328.3824 units
  • Prior authorization
  • Quantity limit 24 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 →