YESINTEK 45 mg/.5mL Injection, Solution

Also known as Ustekinumab. Coverage in Louisiana (CMS PDP Region 21).

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

Lowest 30-day cost $45.00 at a preferred pharmacy. 6 of 6 plans apply a prior authorization, step therapy or quantity limit.

88 Medicare Advantage plans in LA 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. LA: 88 plans.

Every plan that covers it

Plan	Tier	30-day preferred	90-day mail	Unit cost	Est. 30-day fill	Restrictions
Humana Basic Rx Plan (PDP)$0.00/mo premium · $615.00 deductible	3Preferred Brand	25%	20%	$3010.5424	$1,625.690.54 units	Prior authorization Quantity limit 1.5 per 84 days
Humana Value Rx Plan (PDP)$19.30/mo premium · $601.00 deductible	3Preferred Brand	20%	15%	$3010.5424	$1,625.690.54 units	Prior authorization Quantity limit 1.5 per 84 days
AARP Medicare Rx Saver from UHC (PDP)$37.00/mo premium · $615.00 deductible	3Preferred Brand	16%	16%	$3121.1829	$3,121.181 unit	Prior authorization Quantity limit 3 per 84 days
SilverScript Choice (PDP)$44.70/mo premium · $615.00 deductible	3Preferred Brand	19%	19%	$3120.6627	$1,685.160.54 units	Prior authorization Quantity limit 0.5 per 28 days
Humana Premier Rx Plan (PDP)$113.70/mo premium · $0.00 deductible	3Preferred Brand	$45.00	$125.00	$3010.5424	$1,625.690.54 units	Prior authorization Quantity limit 1.5 per 84 days
AARP Medicare Rx Preferred from UHC (PDP)$139.50/mo premium · $130.00 deductible	3Preferred Brand	15%	15%	$3121.1829	$3,121.181 unit	Prior authorization Quantity limit 3 per 84 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 →