MedicarePartD.guide

A non-government resource built from CMS public data

PREZISTA 100 mg/mL Suspension

Also known as Darunavir. Coverage in Louisiana (CMS PDP Region 21).

10 of 10 stand-alone Part D plans in Louisiana cover this drug on tier 5.

10 of 10 plans apply a prior authorization, step therapy or quantity limit.

103 Medicare Advantage plans in LA 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. LA: 103 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Humana Basic Rx Plan (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$5.6348$202.8536 units
  • Quantity limit 36 per 30 days
Wellcare Value Script (PDP)$5.70/mo premium · $615.00 deductible5Specialty Tier25%—$5.2977$21.194 units
  • Quantity limit 4 per 30 days
Wellcare Classic (PDP)$6.70/mo premium · $615.00 deductible5Specialty Tier25%—$5.2977$21.194 units
  • Quantity limit 4 per 30 days
Humana Value Rx Plan (PDP)$19.30/mo premium · $601.00 deductible5Specialty Tier26%—$5.6348$202.8536 units
  • Quantity limit 36 per 30 days
AARP Medicare Rx Saver from UHC (PDP)$37.00/mo premium · $615.00 deductible5Specialty Tier25%—$6.0066$24.034 units
  • Quantity limit 4 per 30 days
SilverScript Choice (PDP)$44.70/mo premium · $615.00 deductible5Specialty Tier25%—$5.8986$23.594 units
  • Quantity limit 4 per 30 days
HealthSpring Assurance Rx (PDP)$48.40/mo premium · $615.00 deductible5Specialty Tier25%—$5.2977$21.194 units
  • Quantity limit 4 per 30 days
HealthSpring Extra Rx (PDP)$60.60/mo premium · $615.00 deductible5Specialty Tier25%—$5.2977$21.194 units
  • Quantity limit 4 per 30 days
Humana Premier Rx Plan (PDP)$113.70/mo premium · $0.00 deductible5Specialty Tier33%—$5.6348$202.8536 units
  • Quantity limit 36 per 30 days
AARP Medicare Rx Preferred from UHC (PDP)$139.50/mo premium · $130.00 deductible5Specialty Tier31%—$6.0066$24.034 units
  • Quantity limit 4 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 →