MedicarePartD.guide

A non-government resource built from CMS public data

ZURZUVAE 25 mg Capsule

Also known as Zuranolone. Coverage in Iowa, Minnesota, Montana, Nebraska, North Dakota, South Dakota and Wyoming (CMS PDP Region 25).

11 of 11 stand-alone Part D plans in Iowa, Minnesota, Montana, Nebraska, North Dakota, South Dakota and Wyoming cover this drug on tier 4–5.

11 of 11 plans apply a prior authorization, step therapy or quantity limit.

241 Medicare Advantage plans in IA, MN, MT, NE, ND, SD, WY 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. IA: 54 plans · MN: 69 plans · MT: 25 plans · NE: 44 plans · ND: 22 plans · SD: 19 plans · WY: 8 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
HealthSpring Extra Rx (PDP)$66.50/mo premium · $615.00 deductible4Non-Preferred Drug31%31%$582.4554—
  • Prior authorization
HealthSpring Assurance Rx (PDP)$125.90/mo premium · $615.00 deductible4Non-Preferred Drug30%30%$582.5339—
  • Prior authorization
Humana Basic Rx Plan (PDP)$4.70/mo premium · $615.00 deductible5Specialty Tier25%—$613.3652$1,226.732 units
  • Prior authorization
  • Quantity limit 28 per 365 days
AARP Medicare Rx Saver from UHC (PDP)$5.30/mo premium · $615.00 deductible5Specialty Tier25%—$635.9063$38,154.3860 units
  • Prior authorization
  • Quantity limit 28 per 14 days
Wellcare Value Script (PDP)$9.60/mo premium · $615.00 deductible5Specialty Tier25%—$733.4700$1,466.942 units
  • Prior authorization
  • Quantity limit 28 per 365 days
Wellcare Classic (PDP)$12.70/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)$20.80/mo premium · $601.00 deductible5Specialty Tier26%—$613.3652$1,226.732 units
  • Prior authorization
  • Quantity limit 28 per 365 days
SilverScript Choice (PDP)$29.70/mo premium · $615.00 deductible5Specialty Tier25%—$642.3198$38,539.1960 units
  • Prior authorization
  • Quantity limit 28 per 14 days
MedicareBlue Rx Standard (PDP)$101.00/mo premium · $615.00 deductible5Specialty Tier25%—$608.6409$1,217.282 units
  • Quantity limit 28 per 365 days
Humana Premier Rx Plan (PDP)$103.70/mo premium · $0.00 deductible5Specialty Tier33%—$613.3652$1,226.732 units
  • Prior authorization
  • Quantity limit 28 per 365 days
AARP Medicare Rx Preferred from UHC (PDP)$140.20/mo premium · $130.00 deductible5Specialty Tier31%—$635.9063$38,154.3860 units
  • Prior authorization
  • Quantity limit 28 per 14 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 →