OTEZLA Kit

Also known as Apremilast. Coverage in Louisiana (CMS PDP Region 21).

6 of 10 stand-alone Part D plans in Louisiana cover this drug on tier 5.

6 of 6 plans apply a prior authorization, step therapy or quantity limit.

47 Medicare Advantage plans in LA 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. LA: 47 plans.

Every plan that covers it

Plan	Tier	30-day preferred	90-day mail	Unit cost	Est. 30-day fill	Restrictions
Wellcare Value Script (PDP)$5.70/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$98.8782	$889.909 units	Prior authorization Quantity limit 55 per 180 days
Wellcare Classic (PDP)$6.70/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$98.8782	$889.909 units	Prior authorization Quantity limit 55 per 180 days
AARP Medicare Rx Saver from UHC (PDP)$37.00/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$103.4495	$93.100.9 units	Prior authorization Quantity limit 11 per 365 days
HealthSpring Assurance Rx (PDP)$48.40/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$100.0845	$90.080.9 units	Prior authorization Quantity limit 11 per 365 days
HealthSpring Extra Rx (PDP)$60.60/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$100.1095	$90.100.9 units	Prior authorization Quantity limit 11 per 365 days
AARP Medicare Rx Preferred from UHC (PDP)$139.50/mo premium · $130.00 deductible	5Specialty Tier	31%	—	$103.4495	$93.100.9 units	Prior authorization Quantity limit 11 per 365 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 →