MedicarePartD.guide

A non-government resource built from CMS public data

KINERET 100 mg/.67mL Injection, Solution

Also known as Anakinra. Coverage in Hawaii (CMS PDP Region 33).

5 of 8 stand-alone Part D plans in Hawaii cover this drug on tier 5.

5 of 5 plans apply a prior authorization, step therapy or quantity limit.

33 Medicare Advantage plans in HI 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. HI: 33 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
AARP Medicare Rx Saver from UHC (PDP)$0.00/mo premium · $615.00 deductible5Specialty Tier25%—$350.0612—
  • Prior authorization
SilverScript Choice (PDP)$14.70/mo premium · $615.00 deductible5Specialty Tier25%—$355.3862$7,107.7220 units
  • Prior authorization
  • Quantity limit 18.76 per 28 days
Wellcare Value Script (PDP)$21.60/mo premium · $615.00 deductible5Specialty Tier25%—$403.7700$8,075.4020 units
  • Prior authorization
  • Quantity limit 20.1 per 30 days
Wellcare Classic (PDP)$21.70/mo premium · $615.00 deductible5Specialty Tier25%—$403.7700$8,075.4020 units
  • Prior authorization
  • Quantity limit 20.1 per 30 days
AARP Medicare Rx Preferred from UHC (PDP)$139.20/mo premium · $130.00 deductible5Specialty Tier31%—$350.0612—
  • Prior authorization

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 →