MedicarePartD.guide

A non-government resource built from CMS public data

AIMOVIG 70 mg/mL Injection

Also known as Erenumab-Aooe. Coverage in Wisconsin (CMS PDP Region 16).

7 of 10 stand-alone Part D plans in Wisconsin cover this drug on tier 3.

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

72 Medicare Advantage plans in WI 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. WI: 72 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%$720.8221$720.821 unit
  • Prior authorization
  • Quantity limit 1 per 30 days
Wellcare Value Script (PDP)$0.00/mo premium · $615.00 deductible3Preferred Brand25%25%$720.8221$720.821 unit
  • Prior authorization
  • Quantity limit 1 per 30 days
HealthSpring Assurance Rx (PDP)$0.00/mo premium · $615.00 deductible3Preferred Brand25%25%$732.5987$732.601 unit
  • Prior authorization
  • Quantity limit 1 per 30 days
AARP Medicare Rx Saver from UHC (PDP)$0.00/mo premium · $615.00 deductible3Preferred Brand17%17%$803.9738$803.971 unit
  • Prior authorization
  • Quantity limit 1 per 28 days
SilverScript Choice (PDP)$26.70/mo premium · $615.00 deductible3Preferred Brand19%19%$789.4017$789.401 unit
  • Prior authorization
  • Quantity limit 1 per 30 days
HealthSpring Extra Rx (PDP)$56.30/mo premium · $615.00 deductible3Preferred Brand17%17%$732.2104$732.211 unit
  • Prior authorization
  • Quantity limit 1 per 30 days
AARP Medicare Rx Preferred from UHC (PDP)$113.90/mo premium · $130.00 deductible3Preferred Brand15%15%$803.9738$803.971 unit
  • Prior authorization
  • Quantity limit 1 per 28 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 →