MedicarePartD.guide

A non-government resource built from CMS public data

INVEGA TRINZA 819 mg/2.63mL Injection, Suspension, Extended Release

Also known as Paliperidone Palmitate. Coverage in Colorado (CMS PDP Region 27).

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

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

93 Medicare Advantage plans in CO 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. CO: 93 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 Drug31%—$3930.8727$3,459.170.88 units
  • Quantity limit 2.63 per 90 days
Humana Value Rx Plan (PDP)$48.50/mo premium · $601.00 deductible4Non-Preferred Drug34%—$3930.8727$3,459.170.88 units
  • Quantity limit 2.63 per 90 days
Humana Premier Rx Plan (PDP)$137.10/mo premium · $0.00 deductible4Non-Preferred Drug50%50%$3930.8727$3,459.170.88 units
  • Quantity limit 2.63 per 90 days
Wellcare Value Script (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$4099.1886$3,607.290.88 units
  • Quantity limit 2.63 per 90 days
Wellcare Classic (PDP)$2.20/mo premium · $615.00 deductible5Specialty Tier25%—$4099.1886$3,607.290.88 units
  • Quantity limit 2.63 per 90 days
HealthSpring Assurance Rx (PDP)$61.70/mo premium · $615.00 deductible5Specialty Tier25%—$4106.8988$3,614.070.88 units
  • Quantity limit 2.63 per 90 days
HealthSpring Extra Rx (PDP)$70.70/mo premium · $615.00 deductible5Specialty Tier25%—$4108.2868$3,615.290.88 units
  • Quantity limit 2.63 per 90 days
SilverScript Choice (PDP)$105.10/mo premium · $615.00 deductible5Specialty Tier25%—$4103.3802$3,610.970.88 units
  • Quantity limit 2.63 per 90 days
AARP Medicare Rx Saver from UHC (PDP)$125.00/mo premium · $615.00 deductible5Specialty Tier25%—$4351.3452—None
AARP Medicare Rx Preferred from UHC (PDP)$151.90/mo premium · $130.00 deductible5Specialty Tier31%—$4351.3452—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.

See coverage in all 39 regions →