MedicarePartD.guide

A non-government resource built from CMS public data

ZURZUVAE 25 mg Capsule

Also known as Zuranolone. Coverage in Alabama and Tennessee (CMS PDP Region 12).

12 of 12 stand-alone Part D plans in Alabama and Tennessee cover this drug on tier 4–5.

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

211 Medicare Advantage plans in AL, TN 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. AL: 89 plans · TN: 122 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
HealthSpring Extra Rx (PDP)$77.50/mo premium · $615.00 deductible4Non-Preferred Drug31%31%$582.4554—
  • Prior authorization
HealthSpring Assurance Rx (PDP)$87.20/mo premium · $615.00 deductible4Non-Preferred Drug32%32%$582.5339—
  • Prior authorization
Humana Basic Rx Plan (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$595.9329$1,191.872 units
  • Prior authorization
  • Quantity limit 28 per 365 days
Wellcare Value Script (PDP)$3.60/mo premium · $615.00 deductible5Specialty Tier25%—$733.4700$1,466.942 units
  • Prior authorization
  • Quantity limit 28 per 365 days
Wellcare Classic (PDP)$3.70/mo premium · $615.00 deductible5Specialty Tier25%—$733.4700$1,466.942 units
  • Prior authorization
  • Quantity limit 28 per 365 days
Humana Value Rx Plan (PDP)$37.70/mo premium · $601.00 deductible5Specialty Tier26%—$595.9329$1,191.872 units
  • Prior authorization
  • Quantity limit 28 per 365 days
AARP Medicare Rx Saver from UHC (PDP)$63.20/mo premium · $615.00 deductible5Specialty Tier25%—$635.9063$38,154.3860 units
  • Prior authorization
  • Quantity limit 28 per 14 days
BlueRx Essential (PDP)$76.20/mo premium · $615.00 deductible5Specialty Tier25%25%$608.2779$1,216.562 units
  • Quantity limit 28 per 365 days
SilverScript Choice (PDP)$97.30/mo premium · $615.00 deductible5Specialty Tier25%—$616.1028$36,966.1760 units
  • Prior authorization
  • Quantity limit 28 per 14 days
Humana Premier Rx Plan (PDP)$108.60/mo premium · $0.00 deductible5Specialty Tier33%—$595.9329$1,191.872 units
  • Prior authorization
  • Quantity limit 28 per 365 days
AARP Medicare Rx Preferred from UHC (PDP)$119.30/mo premium · $130.00 deductible5Specialty Tier31%—$635.9063$38,154.3860 units
  • Prior authorization
  • Quantity limit 28 per 14 days
BlueRx Enhanced Plus (PDP)$129.50/mo premium · $150.00 deductible5Specialty Tier31%31%$608.2779$1,216.562 units
  • Quantity limit 28 per 365 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 →