MedicarePartD.guide

A non-government resource built from CMS public data

YESINTEK 45 mg/.5mL Injection, Solution

Also known as Ustekinumab. Coverage in Mississippi (CMS PDP Region 20).

6 of 10 stand-alone Part D plans in Mississippi 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.

59 Medicare Advantage plans in MS 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. MS: 59 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Humana Basic Rx Plan (PDP)$0.00/mo premium · $615.00 deductible3Preferred Brand25%20%$3010.5424$1,625.690.54 units
  • Prior authorization
  • Quantity limit 1.5 per 84 days
Humana Value Rx Plan (PDP)$37.60/mo premium · $601.00 deductible3Preferred Brand20%15%$3010.5424$1,625.690.54 units
  • Prior authorization
  • Quantity limit 1.5 per 84 days
AARP Medicare Rx Saver from UHC (PDP)$84.70/mo premium · $615.00 deductible3Preferred Brand17%17%$3121.1829$3,121.181 unit
  • Prior authorization
  • Quantity limit 3 per 84 days
Humana Premier Rx Plan (PDP)$89.90/mo premium · $0.00 deductible3Preferred Brand$45.00$125.00$3010.5424$1,625.690.54 units
  • Prior authorization
  • Quantity limit 1.5 per 84 days
SilverScript Choice (PDP)$98.30/mo premium · $615.00 deductible3Preferred Brand18%18%$3120.6627$1,685.160.54 units
  • Prior authorization
  • Quantity limit 0.5 per 28 days
AARP Medicare Rx Preferred from UHC (PDP)$140.60/mo premium · $130.00 deductible3Preferred Brand16%16%$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 →