MedicarePartD.guide

A non-government resource built from CMS public data

ALUNBRIG Kit

Also known as Brigatinib. Coverage in California (CMS PDP Region 32).

12 of 12 stand-alone Part D plans in California cover this drug on tier 5.

12 of 12 plans apply a prior authorization, step therapy or quantity limit.

385 Medicare Advantage plans in CA 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. CA: 385 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
HealthSpring Assurance Rx (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$628.3200$314.160.5 units
  • Prior authorization
  • Quantity limit 3 per 180 days
Wellcare Value Script (PDP)$5.70/mo premium · $615.00 deductible5Specialty Tier25%—$852.5300$426.260.5 units
  • Prior authorization
  • Quantity limit 3 per 180 days
Wellcare Classic (PDP)$6.20/mo premium · $615.00 deductible5Specialty Tier25%—$852.5300$426.260.5 units
  • Prior authorization
  • Quantity limit 3 per 180 days
HealthSpring Extra Rx (PDP)$70.60/mo premium · $615.00 deductible5Specialty Tier25%—$628.3200$314.160.5 units
  • Prior authorization
  • Quantity limit 3 per 180 days
SilverScript Choice (PDP)$103.60/mo premium · $615.00 deductible5Specialty Tier25%—$724.6420—
  • Prior authorization
Humana Value Rx Plan (PDP)$104.60/mo premium · $601.00 deductible5Specialty Tier26%—$667.8073$2,003.423 units
  • Prior authorization
  • Quantity limit 3 per 30 days
AARP Medicare Rx Saver from UHC (PDP)$109.40/mo premium · $615.00 deductible5Specialty Tier25%—$705.4605$345.680.49 units
  • Prior authorization
  • Quantity limit 6 per 365 days
Humana Basic Rx Plan (PDP)$132.20/mo premium · $615.00 deductible5Specialty Tier25%—$667.8073$2,003.423 units
  • Prior authorization
  • Quantity limit 3 per 30 days
AARP Medicare Rx Preferred from UHC (PDP)$165.40/mo premium · $130.00 deductible5Specialty Tier31%—$705.4605$345.680.49 units
  • Prior authorization
  • Quantity limit 6 per 365 days
Humana Premier Rx Plan (PDP)$172.90/mo premium · $0.00 deductible5Specialty Tier33%—$667.8073$2,003.423 units
  • Prior authorization
  • Quantity limit 3 per 30 days
Blue Shield Rx Plus (PDP)$199.70/mo premium · $615.00 deductible5Specialty Tier25%—$680.3109$2,040.933 units
  • Prior authorization
  • Quantity limit 3 per 30 days
Blue Shield Rx Enhanced (PDP)$227.80/mo premium · $0.00 deductible5Specialty Tier33%—$680.3109$2,040.933 units
  • Prior authorization
  • Quantity limit 3 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 →