MedicarePartD.guide

A non-government resource built from CMS public data

BRINSUPRI 10 mg Tablet

Also known as Brensocatib. Coverage in Pennsylvania and West Virginia (CMS PDP Region 06).

4 of 12 stand-alone Part D plans in Pennsylvania and West Virginia cover this drug on tier 5.

4 of 4 plans apply a prior authorization, step therapy or quantity limit.

143 Medicare Advantage plans in PA, WV 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. PA: 126 plans · WV: 17 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Wellcare Value Script (PDP)$8.20/mo premium · $615.00 deductible5Specialty Tier25%—$293.3400—
  • Prior authorization
Wellcare Classic (PDP)$14.70/mo premium · $615.00 deductible5Specialty Tier25%—$293.3400—
  • Prior authorization
Blue Rx PDP Complete (PDP)$164.80/mo premium · $200.00 deductible5Specialty Tier25%—$232.6423$6,979.2730 units
  • Prior authorization
  • Quantity limit 31 per 31 days
Blue Rx PDP Plus (PDP)$193.20/mo premium · $615.00 deductible5Specialty Tier25%25%$234.1180$7,023.5430 units
  • Prior authorization
  • Quantity limit 31 per 31 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 →