CUVRIOR 300 mg Tablet, Film Coated
Also known as Trientine Tetrahydrochloride. Coverage in Arizona (CMS PDP Region 28).
2 of 10 stand-alone Part D plans in Arizona cover this drug on tier 5.
2 of 2 plans apply a prior authorization, step therapy or quantity limit.
Every plan that covers it
Showing 2 of 2 plans
| Plan | Tier | 30-day preferred | 90-day mail | Unit cost | Est. 30-day fill | Restrictions |
|---|---|---|---|---|---|---|
| HealthSpring Assurance Rx (PDP)$0.00/mo premium · $615.00 deductible · $0 with full Extra Help | 5Specialty Tier | 25% | — | $208.7314 | $626.193 units |
|
| HealthSpring Extra Rx (PDP)$66.40/mo premium · $615.00 deductible | 5Specialty Tier | 25% | — | $208.7034 | $626.113 units |
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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.
Medicare Advantage plans
Medicare Advantage plans carry their own formularies, separate from stand-alone Part D, and are sold county by county. Pick a county to see every Medicare Advantage drug plan there that covers this drug.
6 Medicare Advantage plans in AZ do cover it
A patient on an MA-PD plan may have coverage even where no PDP lists the drug. AZ: 6 plans.