MedicarePartD.guide

A non-government resource built from CMS public data

KINERET 100 mg/.67mL Injection, Solution

Also known as Anakinra. Coverage in Oklahoma (CMS PDP Region 23).

6 of 11 stand-alone Part D plans in Oklahoma cover this drug on tier 5.

6 of 6 plans apply a prior authorization, step therapy or quantity limit.

38 Medicare Advantage plans in OK 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. OK: 38 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Wellcare Value Script (PDP)$5.60/mo premium · $615.00 deductible5Specialty Tier25%—$403.7700$8,075.4020 units
  • Prior authorization
  • Quantity limit 20.1 per 30 days
Wellcare Classic (PDP)$5.70/mo premium · $615.00 deductible5Specialty Tier25%—$403.7700$8,075.4020 units
  • Prior authorization
  • Quantity limit 20.1 per 30 days
HealthSpring Extra Rx (PDP)$65.40/mo premium · $615.00 deductible5Specialty Tier25%—$297.5800$5,951.6020 units
  • Prior authorization
  • Quantity limit 20.1 per 30 days
AARP Medicare Rx Saver from UHC (PDP)$82.40/mo premium · $615.00 deductible5Specialty Tier25%—$337.1408—
  • Prior authorization
AARP Medicare Rx Preferred from UHC (PDP)$121.00/mo premium · $130.00 deductible5Specialty Tier31%—$337.1408—
  • Prior authorization
HealthSpring Assurance Rx (PDP)$126.50/mo premium · $615.00 deductible5Specialty Tier25%—$297.5800$5,951.6020 units
  • Prior authorization
  • Quantity limit 20.1 per 30 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 →