MedicarePartD.guide

A non-government resource built from CMS public data

AIMOVIG 70 mg/mL Injection

Also known as Erenumab-Aooe. Coverage in South Carolina (CMS PDP Region 09).

8 of 11 stand-alone Part D plans in South Carolina cover this drug on tier 3.

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

61 Medicare Advantage plans in SC 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. SC: 61 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Wellcare Value Script (PDP)$4.80/mo premium · $615.00 deductible3Preferred Brand25%25%$722.1637$722.161 unit
  • Prior authorization
  • Quantity limit 1 per 30 days
Wellcare Classic (PDP)$9.70/mo premium · $615.00 deductible3Preferred Brand25%25%$722.1637$722.161 unit
  • Prior authorization
  • Quantity limit 1 per 30 days
HealthSpring Extra Rx (PDP)$71.20/mo premium · $615.00 deductible3Preferred Brand17%17%$742.0905$742.091 unit
  • Prior authorization
  • Quantity limit 1 per 30 days
SilverScript Choice (PDP)$98.40/mo premium · $615.00 deductible3Preferred Brand18%18%$789.6568$789.661 unit
  • Prior authorization
  • Quantity limit 1 per 30 days
AARP Medicare Rx Saver from UHC (PDP)$122.10/mo premium · $615.00 deductible3Preferred Brand18%18%$795.2338$795.231 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
AARP Medicare Rx Preferred from UHC (PDP)$139.20/mo premium · $130.00 deductible3Preferred Brand17%17%$795.2338$795.231 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
BlueCross Rx Value (PDP)$139.70/mo premium · $615.00 deductible3Preferred Brand17%17%$754.0018$1,508.002 units
  • Prior authorization
  • Quantity limit 2 per 28 days
HealthSpring Assurance Rx (PDP)$152.50/mo premium · $615.00 deductible3Preferred Brand21%21%$743.4867$743.491 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 →