MedicarePartD.guide

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INVEGA TRINZA 410 mg/1.32mL Injection, Suspension, Extended Release

Also known as Paliperidone Palmitate. Coverage in Connecticut, Massachusetts, Rhode Island and Vermont (CMS PDP Region 02).

11 of 11 stand-alone Part D plans in Connecticut, Massachusetts, Rhode Island and Vermont cover this drug on tier 4–5.

9 of 11 plans apply a prior authorization, step therapy or quantity limit.

152 Medicare Advantage plans in CT, MA, RI, VT 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. CT: 42 plans · MA: 88 plans · RI: 20 plans · VT: 2 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Humana Basic Rx Plan (PDP)$8.40/mo premium · $615.00 deductible4Non-Preferred Drug32%—$3976.1235$1,749.490.44 units
  • Quantity limit 1.32 per 90 days
Blue MedicareRx Value Plus (PDP)$20.70/mo premium · $615.00 deductible4Non-Preferred Drug32%32%$3965.5889$1,744.860.44 units
  • Quantity limit 1.32 per 90 days
Humana Value Rx Plan (PDP)$73.60/mo premium · $601.00 deductible4Non-Preferred Drug31%—$3976.1235$1,749.490.44 units
  • Quantity limit 1.32 per 90 days
Humana Premier Rx Plan (PDP)$138.60/mo premium · $0.00 deductible4Non-Preferred Drug50%50%$3976.1235$1,749.490.44 units
  • Quantity limit 1.32 per 90 days
Wellcare Value Script (PDP)$16.40/mo premium · $615.00 deductible5Specialty Tier25%—$3828.2603$1,684.430.44 units
  • Quantity limit 1.32 per 90 days
Wellcare Classic (PDP)$21.70/mo premium · $615.00 deductible5Specialty Tier25%—$3828.2603$1,684.430.44 units
  • Quantity limit 1.32 per 90 days
SilverScript Choice (PDP)$32.70/mo premium · $615.00 deductible5Specialty Tier25%—$4086.6875$1,798.140.44 units
  • Quantity limit 1.32 per 90 days
AARP Medicare Rx Saver from UHC (PDP)$38.70/mo premium · $615.00 deductible5Specialty Tier25%—$4230.6900—None
HealthSpring Assurance Rx (PDP)$139.30/mo premium · $615.00 deductible5Specialty Tier25%—$3916.8501$1,723.410.44 units
  • Quantity limit 1.32 per 90 days
AARP Medicare Rx Preferred from UHC (PDP)$155.10/mo premium · $130.00 deductible5Specialty Tier31%—$4230.6900—None
Blue MedicareRx Premier (PDP)$238.60/mo premium · $0.00 deductible5Specialty Tier33%—$3965.5889$1,744.860.44 units
  • Quantity limit 1.32 per 90 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 →