MedicarePartD.guide

A non-government resource built from CMS public data

AIMOVIG 70 mg/mL Injection

Also known as Erenumab-Aooe. Coverage in Delaware, DC and Maryland (CMS PDP Region 05).

7 of 10 stand-alone Part D plans in Delaware, DC and Maryland cover this drug on tier 3.

7 of 7 plans apply a prior authorization, step therapy or quantity limit.

71 Medicare Advantage plans in DE, DC, MD 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. DE: 28 plans · DC: 10 plans · MD: 33 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Wellcare Value Script (PDP)$5.60/mo premium · $615.00 deductible3Preferred Brand25%25%$713.2420$713.241 unit
  • Prior authorization
  • Quantity limit 1 per 30 days
Wellcare Classic (PDP)$5.70/mo premium · $615.00 deductible3Preferred Brand25%25%$713.2420$713.241 unit
  • Prior authorization
  • Quantity limit 1 per 30 days
HealthSpring Assurance Rx (PDP)$32.60/mo premium · $615.00 deductible3Preferred Brand22%22%$733.0933$733.091 unit
  • Prior authorization
  • Quantity limit 1 per 30 days
AARP Medicare Rx Saver from UHC (PDP)$37.80/mo premium · $615.00 deductible3Preferred Brand17%17%$793.9645$793.961 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
HealthSpring Extra Rx (PDP)$66.60/mo premium · $615.00 deductible3Preferred Brand17%17%$733.2661$733.271 unit
  • Prior authorization
  • Quantity limit 1 per 30 days
AARP Medicare Rx Preferred from UHC (PDP)$94.50/mo premium · $130.00 deductible3Preferred Brand17%17%$793.9645$793.961 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
SilverScript Choice (PDP)$97.40/mo premium · $615.00 deductible3Preferred Brand18%18%$789.2682$789.271 unit
  • Prior authorization
  • Quantity limit 1 per 30 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 →