MedicarePartD.guide

A non-government resource built from CMS public data

RISPERDAL CONSTA Kit

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

5 of 10 stand-alone Part D plans in Florida cover this drug on tier 4.

5 of 5 plans apply a prior authorization, step therapy or quantity limit.

144 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: 144 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Wellcare Classic (PDP)$0.00/mo premium · $615.00 deductible4Non-Preferred Drug28%28%$617.3191$1,234.642 units
  • Quantity limit 2 per 28 days
Wellcare Value Script (PDP)$0.00/mo premium · $615.00 deductible4Non-Preferred Drug40%40%$617.3191$1,234.642 units
  • Quantity limit 2 per 28 days
Humana Value Rx Plan (PDP)$25.90/mo premium · $601.00 deductible4Non-Preferred Drug33%—$635.3287$1,270.662 units
  • Quantity limit 2 per 28 days
Humana Basic Rx Plan (PDP)$92.70/mo premium · $615.00 deductible4Non-Preferred Drug36%—$635.3287$1,270.662 units
  • Quantity limit 2 per 28 days
Humana Premier Rx Plan (PDP)$115.90/mo premium · $0.00 deductible4Non-Preferred Drug50%50%$635.3287$1,270.662 units
  • Quantity limit 2 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 →