SIVEXTRO 200 mg/4mL Injection, Powder, Lyophilized, For Solution

Also known as Tedizolid Phosphate. Coverage in Nevada (CMS PDP Region 29).

3 of 10 stand-alone Part D plans in Nevada cover this drug on tier 5.

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

37 Medicare Advantage plans in NV 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. NV: 37 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)$52.60/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$374.2364	$2,245.426 units	Prior authorization Quantity limit 6 per 28 days
HealthSpring Assurance Rx (PDP)$95.60/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$374.2869	$2,245.726 units	Prior authorization Quantity limit 6 per 28 days
SilverScript Choice (PDP)$97.40/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$408.5075	—	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 →