MedicarePartD.guide

A non-government resource built from CMS public data

FEBUXOSTAT 40 mg Tablet, Coated

Coverage in Delaware, DC and Maryland (CMS PDP Region 05).

5 of 10 stand-alone Part D plans in Delaware, DC and Maryland cover this drug on tier 3–4.

2 of 5 plans apply a prior authorization, step therapy or quantity limit.

82 Medicare Advantage plans in DE, DC, MD 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. DE: 26 plans · DC: 14 plans · MD: 42 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
HealthSpring Extra Rx (PDP)$66.60/mo premium · $615.00 deductible3Preferred Brand17%17%$0.8017—None
AARP Medicare Rx Preferred from UHC (PDP)$94.50/mo premium · $130.00 deductible3Preferred Brand17%17%$0.4759—
  • Step therapy
Wellcare Value Script (PDP)$5.60/mo premium · $615.00 deductible4Non-Preferred Drug40%40%$1.7436—None
HealthSpring Assurance Rx (PDP)$32.60/mo premium · $615.00 deductible4Non-Preferred Drug30%30%$0.3948—None
AARP Medicare Rx Saver from UHC (PDP)$37.80/mo premium · $615.00 deductible4Non-Preferred Drug36%—$0.4752—
  • Step therapy

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 →