STIVARGA 40 mg Tablet, Film Coated

Also known as Regorafenib. Coverage in Maine and New Hampshire (CMS PDP Region 01).

9 of 9 stand-alone Part D plans in Maine and New Hampshire cover this drug on tier 5.

9 of 9 plans apply a prior authorization, step therapy or quantity limit.

61 Medicare Advantage plans in ME, NH 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. ME: 45 plans · NH: 16 plans.

Every plan that covers it

Plan	Tier	30-day preferred	90-day mail	Unit cost	Est. 30-day fill	Restrictions
Wellcare Classic (PDP)$0.00/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$270.2349	$24,321.1490 units	Prior authorization Quantity limit 84 per 28 days
Wellcare Value Script (PDP)$0.00/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$270.2349	$24,321.1490 units	Prior authorization Quantity limit 84 per 28 days
HealthSpring Assurance Rx (PDP)$0.00/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$270.0778	$24,307.0090 units	Prior authorization Quantity limit 84 per 28 days
Humana Basic Rx Plan (PDP)$0.00/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$281.5142	$25,336.2890 units	Prior authorization Quantity limit 84 per 28 days
Humana Value Rx Plan (PDP)$54.40/mo premium · $601.00 deductible	5Specialty Tier	26%	—	$281.5142	$25,336.2890 units	Prior authorization Quantity limit 84 per 28 days
AARP Medicare Rx Saver from UHC (PDP)$82.40/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$298.4660	$35,815.92120 units	Prior authorization Quantity limit 84 per 21 days
SilverScript Choice (PDP)$94.90/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$300.2530	$27,022.7790 units	Prior authorization Quantity limit 84 per 28 days
AARP Medicare Rx Preferred from UHC (PDP)$104.30/mo premium · $130.00 deductible	5Specialty Tier	31%	—	$298.4660	$35,815.92120 units	Prior authorization Quantity limit 84 per 21 days
Humana Premier Rx Plan (PDP)$150.20/mo premium · $0.00 deductible	5Specialty Tier	33%	—	$281.5142	$25,336.2890 units	Prior authorization Quantity limit 84 per 28 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 →