PLEGRIDY PEN 125 ug/.5mL Injection, Solution
Also known as Peginterferon Beta-1A. Coverage in North Carolina (CMS PDP Region 08).
1 of 12 stand-alone Part D plans in North Carolina cover this drug on tier 5.
1 of 1 plans apply a prior authorization, step therapy or quantity limit.
21 Medicare Advantage plans in NC 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. NC: 21 plans.
Every plan that covers it
| Plan | Tier | 30-day preferred | 90-day mail | Unit cost | Est. 30-day fill | Restrictions |
|---|---|---|---|---|---|---|
| Blue Medicare Rx Enhanced (PDP)$163.20/mo premium · $0.00 deductible | 5Specialty Tier | 33% | — | $8696.4866 | $8,696.491 unit |
|
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.