MedicarePartD.guide

A non-government resource built from CMS public data

NILUTAMIDE 150 mg Tablet

Coverage in New York (CMS PDP Region 03).

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

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

192 Medicare Advantage plans in NY 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. NY: 192 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
HealthSpring Assurance Rx (PDP)$35.70/mo premium · $615.00 deductible5Specialty Tier25%—$178.5114—None
Wellcare Value Script (PDP)$42.40/mo premium · $615.00 deductible5Specialty Tier25%—$166.4345—None
Wellcare Classic (PDP)$45.70/mo premium · $615.00 deductible5Specialty Tier25%—$166.4345—None
HealthSpring Extra Rx (PDP)$91.60/mo premium · $615.00 deductible5Specialty Tier25%—$162.8523—None
AARP Medicare Rx Saver from UHC (PDP)$105.80/mo premium · $615.00 deductible5Specialty Tier25%—$141.5702—None
SilverScript Choice (PDP)$116.00/mo premium · $615.00 deductible5Specialty Tier25%—$102.2669—None
Humana Basic Rx Plan (PDP)$140.90/mo premium · $615.00 deductible5Specialty Tier25%—$144.4620$866.776 units
  • Quantity limit 6 per 30 days
Humana Value Rx Plan (PDP)$158.90/mo premium · $601.00 deductible5Specialty Tier26%—$144.4620$866.776 units
  • Quantity limit 6 per 30 days
AARP Medicare Rx Preferred from UHC (PDP)$163.70/mo premium · $130.00 deductible5Specialty Tier31%—$151.0838—None
Humana Premier Rx Plan (PDP)$173.60/mo premium · $0.00 deductible5Specialty Tier33%—$144.4620$866.776 units
  • Quantity limit 6 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 →