TYENNE 162 mg/.9mL Injection, Solution

Also known as Tocilizumab-Aazg. Coverage in Puerto Rico (CMS PDP Region 38).

3 of 3 stand-alone Part D plans in Puerto Rico cover this drug on tier 5.

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

40 Medicare Advantage plans in PR 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. PR: 40 plans.

Every plan that covers it

Plan	Tier	30-day preferred	90-day mail	Unit cost	Est. 30-day fill	Restrictions
HealthSpring Extra Rx (PDP)$50.00/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$808.5569	$3,234.234 units	Prior authorization Quantity limit 3.6 per 28 days
HealthSpring Assurance Rx (PDP)$65.70/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$808.6660	$3,234.664 units	Prior authorization Quantity limit 3.6 per 28 days
AARP Medicare Rx Preferred from UHC (PDP)$145.10/mo premium · $615.00 deductible	5Specialty Tier	25%	25%	$886.1230	$3,544.494 units	Prior authorization Quantity limit 3.6 per 28 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 →