MedicarePartD.guide

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

Also known as Paliperidone Palmitate. Coverage in Kansas (CMS PDP Region 24).

12 of 12 stand-alone Part D plans in Kansas cover this drug on tier 4–5.

10 of 12 plans apply a prior authorization, step therapy or quantity limit.

77 Medicare Advantage plans in KS 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. KS: 77 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Humana Basic Rx Plan (PDP)$15.50/mo premium · $615.00 deductible4Non-Preferred Drug35%—$3948.5333$1,737.350.44 units
  • Quantity limit 1.32 per 90 days
Humana Value Rx Plan (PDP)$55.60/mo premium · $601.00 deductible4Non-Preferred Drug32%—$3948.5333$1,737.350.44 units
  • Quantity limit 1.32 per 90 days
Humana Premier Rx Plan (PDP)$116.30/mo premium · $0.00 deductible4Non-Preferred Drug50%50%$3948.5333$1,737.350.44 units
  • Quantity limit 1.32 per 90 days
Blue MedicareRx Essentials (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$4266.5503$2,005.280.47 units
  • Quantity limit 1.32 per 84 days
Blue MedicareRx Value (PDP)$0.70/mo premium · $615.00 deductible5Specialty Tier25%—$4261.6369$2,002.970.47 units
  • Quantity limit 1.32 per 84 days
HealthSpring Assurance Rx (PDP)$6.70/mo premium · $615.00 deductible5Specialty Tier25%—$3981.1282$1,751.700.44 units
  • Quantity limit 1.32 per 90 days
Wellcare Value Script (PDP)$9.60/mo premium · $615.00 deductible5Specialty Tier25%—$3931.9082$1,730.040.44 units
  • Quantity limit 1.32 per 90 days
Wellcare Classic (PDP)$14.70/mo premium · $615.00 deductible5Specialty Tier25%—$3931.9082$1,730.040.44 units
  • Quantity limit 1.32 per 90 days
Blue MedicareRx Plus (PDP)$67.40/mo premium · $0.00 deductible5Specialty Tier33%—$4261.6369$2,002.970.47 units
  • Quantity limit 1.32 per 84 days
SilverScript Choice (PDP)$88.30/mo premium · $615.00 deductible5Specialty Tier25%—$4104.5398$1,806.000.44 units
  • Quantity limit 1.32 per 90 days
AARP Medicare Rx Saver from UHC (PDP)$105.40/mo premium · $615.00 deductible5Specialty Tier25%—$4340.6984—None
AARP Medicare Rx Preferred from UHC (PDP)$147.00/mo premium · $130.00 deductible5Specialty Tier31%—$4340.6984—None

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.

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