AREXVY Kit

Also known as Respiratory Syncytial Virus Vaccine Recombinant, Adjuvanted. Coverage in Alaska (CMS PDP Region 34).

9 of 9 stand-alone Part D plans in Alaska cover this drug on tier 1–4.

Lowest 30-day cost $0.00 at a preferred pharmacy. 4 of 9 plans apply a prior authorization, step therapy or quantity limit.

Every plan that covers it

Plan	Tier	30-day preferred	90-day mail	Unit cost	Est. 30-day fill	Restrictions
Humana Basic Rx Plan (PDP)$0.00/mo premium · $615.00 deductible	1Preferred Generic	$2.00	$0.00	$309.6309	—	None
Humana Value Rx Plan (PDP)$10.60/mo premium · $601.00 deductible	1Preferred Generic	$0.00	$0.00	$309.6309	—	None
Humana Premier Rx Plan (PDP)$112.40/mo premium · $0.00 deductible	1Preferred Generic	$0.00	$0.00	$309.6309	—	None
HealthSpring Assurance Rx (PDP)$0.00/mo premium · $615.00 deductible	3Preferred Brand	25%	25%	$299.4391	$23.960.08 units	Prior authorization Quantity limit 1 per 365 days
Wellcare Value Script (PDP)$19.70/mo premium · $615.00 deductible	3Preferred Brand	25%	25%	$296.5305	—	None
AARP Medicare Rx Saver from UHC (PDP)$53.20/mo premium · $615.00 deductible	3Preferred Brand	19%	19%	$326.9860	$9,809.5830 units	Prior authorization Quantity limit 1 per 1 days
SilverScript Choice (PDP)$94.90/mo premium · $615.00 deductible	3Preferred Brand	18%	18%	$302.1145	$9.060.03 units	Prior authorization Quantity limit 1 per 999 days
AARP Medicare Rx Preferred from UHC (PDP)$100.20/mo premium · $130.00 deductible	3Preferred Brand	18%	18%	$326.9860	$9,809.5830 units	Prior authorization Quantity limit 1 per 1 days
Wellcare Classic (PDP)$0.00/mo premium · $615.00 deductible	4Non-Preferred Drug	28%	28%	$296.5305	—	None

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 →