CIMZIA 200 mg/mL Injection, Solution
Also known as Certolizumab Pegol. Coverage in Pennsylvania and West Virginia (CMS PDP Region 06).
Not on any stand-alone Part D formulary in Pennsylvania and West Virginia
None of the 12 stand-alone Part D (PDP) plans in CMS PDP Region 06 list this drug. On one of those plans the patient would pay the full retail price, or you would need a formulary exception. 45 Medicare Advantage plans do cover it.
Medicare Advantage plans
Medicare Advantage plans carry their own formularies, separate from stand-alone Part D, and are sold county by county. Pick a county to see every Medicare Advantage drug plan there that covers this drug.
45 Medicare Advantage plans in PA, WV do cover it
A patient on an MA-PD plan may have coverage even where no PDP lists the drug. PA: 32 plans · WV: 13 plans.