MedicarePartD.guide

A non-government resource built from CMS public data

FONDAPARINUX SODIUM 10 mg/.8mL Injection, Solution

Coverage in Texas (CMS PDP Region 22).

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

No plan applies a prior authorization, step therapy or quantity limit.

257 Medicare Advantage plans in TX 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. TX: 257 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
AARP Medicare Rx Saver from UHC (PDP)$89.20/mo premium · $615.00 deductible4Non-Preferred Drug38%—$38.4673—None
AARP Medicare Rx Preferred from UHC (PDP)$114.80/mo premium · $130.00 deductible4Non-Preferred Drug35%—$38.4673—None
HealthSpring Extra Rx (PDP)$70.00/mo premium · $615.00 deductible5Specialty Tier25%—$64.1144—None
SilverScript Choice (PDP)$94.80/mo premium · $615.00 deductible5Specialty Tier25%—$64.3200—None
HealthSpring Assurance Rx (PDP)$111.40/mo premium · $615.00 deductible5Specialty Tier25%—$64.1144—None

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 →