MedicarePartD.guide

A non-government resource built from CMS public data

AIMOVIG 70 mg/mL Injection

Also known as Erenumab-Aooe. Coverage in Texas (CMS PDP Region 22).

8 of 12 stand-alone Part D plans in Texas cover this drug on tier 3.

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

325 Medicare Advantage plans in TX 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. TX: 325 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Wellcare Classic (PDP)$0.00/mo premium · $615.00 deductible3Preferred Brand25%25%$717.4760$717.481 unit
  • Prior authorization
  • Quantity limit 1 per 30 days
Wellcare Value Script (PDP)$0.00/mo premium · $615.00 deductible3Preferred Brand25%25%$717.4760$717.481 unit
  • Prior authorization
  • Quantity limit 1 per 30 days
HealthSpring Extra Rx (PDP)$70.00/mo premium · $615.00 deductible3Preferred Brand17%17%$733.7875$733.791 unit
  • Prior authorization
  • Quantity limit 1 per 30 days
AARP Medicare Rx Saver from UHC (PDP)$89.20/mo premium · $615.00 deductible3Preferred Brand18%18%$800.6325$800.631 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
SilverScript Choice (PDP)$94.80/mo premium · $615.00 deductible3Preferred Brand18%18%$789.2666$789.271 unit
  • Prior authorization
  • Quantity limit 1 per 30 days
HealthSpring Assurance Rx (PDP)$111.40/mo premium · $615.00 deductible3Preferred Brand21%21%$733.8734$733.871 unit
  • Prior authorization
  • Quantity limit 1 per 30 days
AARP Medicare Rx Preferred from UHC (PDP)$114.80/mo premium · $130.00 deductible3Preferred Brand18%18%$800.6325$800.631 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
Blue Cross MedicareRx Value (PDP)$167.40/mo premium · $615.00 deductible3Preferred Brand18%18%$763.9307$1,527.862 units
  • Prior authorization
  • Quantity limit 2 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 →