MedicarePartD.guide

A non-government resource built from CMS public data

INVEGA TRINZA 546 mg/1.75mL Injection, Suspension, Extended Release

Also known as Paliperidone Palmitate. Coverage in Alabama and Tennessee (CMS PDP Region 12).

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

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

206 Medicare Advantage plans in AL, TN 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. AL: 86 plans · TN: 120 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Humana Basic Rx Plan (PDP)$0.00/mo premium · $615.00 deductible4Non-Preferred Drug34%—$3956.8831$2,294.990.58 units
  • Quantity limit 1.75 per 90 days
Humana Value Rx Plan (PDP)$37.70/mo premium · $601.00 deductible4Non-Preferred Drug33%—$3956.8831$2,294.990.58 units
  • Quantity limit 1.75 per 90 days
Humana Premier Rx Plan (PDP)$108.60/mo premium · $0.00 deductible4Non-Preferred Drug50%50%$3956.8831$2,294.990.58 units
  • Quantity limit 1.75 per 90 days
Wellcare Value Script (PDP)$3.60/mo premium · $615.00 deductible5Specialty Tier25%—$3983.4148$2,310.380.58 units
  • Quantity limit 1.75 per 90 days
Wellcare Classic (PDP)$3.70/mo premium · $615.00 deductible5Specialty Tier25%—$3983.4148$2,310.380.58 units
  • Quantity limit 1.75 per 90 days
AARP Medicare Rx Saver from UHC (PDP)$63.20/mo premium · $615.00 deductible5Specialty Tier25%—$4311.6903—None
BlueRx Essential (PDP)$76.20/mo premium · $615.00 deductible5Specialty Tier25%25%$4100.3092$2,542.190.62 units
  • Quantity limit 1.75 per 84 days
HealthSpring Extra Rx (PDP)$77.50/mo premium · $615.00 deductible5Specialty Tier25%—$4028.1844$2,336.350.58 units
  • Quantity limit 1.75 per 90 days
HealthSpring Assurance Rx (PDP)$87.20/mo premium · $615.00 deductible5Specialty Tier25%—$4029.0858$2,336.870.58 units
  • Quantity limit 1.75 per 90 days
SilverScript Choice (PDP)$97.30/mo premium · $615.00 deductible5Specialty Tier25%—$4110.7742$2,384.250.58 units
  • Quantity limit 1.75 per 90 days
AARP Medicare Rx Preferred from UHC (PDP)$119.30/mo premium · $130.00 deductible5Specialty Tier31%—$4311.6903—None
BlueRx Enhanced Plus (PDP)$129.50/mo premium · $150.00 deductible5Specialty Tier31%31%$4100.3092$2,542.190.62 units
  • Quantity limit 1.75 per 84 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 →