Medicare Advantage Drug Cost for Insulin Aspart Protamine And Insulin Aspart



There are 4 Medicare Advantage Plans with additional prescription drug coverage for Insulin Aspart Protamine And Insulin Aspart available to residents in Illinois. The average retail unit cost (e.g. per pill) for a 30-day supply at in-area retail pharmacies is $19.41 ($582.15). Insulin Aspart Protamine And Insulin Aspart is typically listed as a Tier 1 drug on the formulary and does not require prior authorization.

Below is the average retail cost and your co-pay for Insulin Aspart Protamine And Insulin Aspart in Illinois. You can also see if each plan requires prior authorization, step therapy or has drug quantity limits. Please check the formulary for different brand and generic drug names. Every Medicare Advantage Plan will vary in coverage, co-pays, costs and premiums. This chart can help you sort through different plan details to find a Medicare Advantage Plan in Cook with the best coverage and the cheapest prices for your medications in Illinois.



Proprietary Name:Insulin Aspart Protamine And Insulin Aspart
Generic Name:Insulin Aspart
Drug Package:5 Syringe, Plastic In 1 Carton
Drug Strength:100[iU]/mL
Substance:Insulin Aspart
Dosage Form:Injection, Suspension
Route:Subcutaneous
Labeler:Novo Nordisk Pharma, Inc.
Pen Name:Human Prescription Drug
NDC#73070020315
RX#847191
Days Supply:30
Coverage Phase:Initial Coverage
Plan Year:2023
County:Cook





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Medicare Advantage Coverage for Insulin Aspart Protamine And Insulin Aspart in Illinois


Click the Plan Name for More Details
Click the header to sort
Plan
Name ⇅
Tier
Level
Your
Cost
Preferred
Cost
Non
Preferred
Cost
Mail
Limit
Amt/
Days
Prior
Auth
Y/N
Step
Therapy
Y/N
Avg
Unit
Cost
(x30)
Humana Gold Choice H8145-008

3NA$47$47/NN$19.97
($599.00)
HumanaChoice R5361-002

3NA$47$47/NN$19.92
($597.65)


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SNP Prescription Drug Cost for Insulin Aspart Protamine And Insulin Aspart

Click the Plan Name for More Details about that Plan
Click the header to sort
Plan
Name ⇅
Tier
Level
Cost
Preferred
Cost
Non
Preferred
Cost
Amt
Mail
Limit
Days/
Amt
Prior
Auth
Y/N
Step
Therapy
Y/N
Avg
Unit
Cost
(x30)
Provider Partners Illinois Advantage Plan

1NA25%NA/NN$18.87
($565.97)
Provider Partners Illinois Community Plan

1NA25%NA/NN$18.87
($565.97)


Do any Medicare Advantage Plans Cover Insulin Aspart Protamine And Insulin Aspart? Yes, 4 Medicare Advantage Plans cover this drug in Illinois.

How much does Insulin Aspart Protamine And Insulin Aspart Cost? $19.41, the average retail cost in Illinois is $19.41 per unit or $582.15 for a 30-day supply at in-area pharmacies.

What Tier is Insulin Aspart Protamine And Insulin Aspart? Tier 1, most Advantage Plans list Insulin Aspart Protamine And Insulin Aspart on Tier 1 on their formulary. Usually, the higher the tier, the more you have to pay for the medication.

Do I need Prior Authorization for Insulin Aspart Protamine And Insulin Aspart? No, the majority of Medicare Prescription Plans do not require prior authorization from your doctor for Insulin Aspart Protamine And Insulin Aspart.



Additional Notes by Medicare Help:

Most plans have 4 levels of coverage. The exception is the $0 Deductible Plans.
1.Pre-Deductable: Before you reach the plans deductible. Some plans offer select Pre-deductible drug Coverage
2.Initial Coverage: (ICL) After you reach the plans deductible but before the Initial Coverage limit.
3.Coverage Gap: (AKA Donut Hole) After you reach the plans ICL but before the Catastrophic of $7550 in 2022.
4.Catastrophic: Anything over $7550 you will receive a significant increase in coverage.

Formulary Definitions:

Tier Level: Medicare drug plans place drugs into different "tiers" on their formularies. Drugs in each tier have a different cost. A drug in a lower tier will generally cost you less.
Cost Preferred: Your Cost for the Drug at the Providers In Network Preferred Pharmacy. As a Percent of the total drug cost or a flat rate.
Cost Non Preferred: Your Cost for the Prescription Drug at a Non-Preferred Pharmacy. As a Percent of the total drug cost or a flat rate.
Cost Mail: Your Cost for Prescription Drugs through a Mail Order Pharmacy. As a Percent of the total drug cost or a flat rate.
Quantity Limit Amount/Days: Certain drugs have a Quantity Limit. That means the plan will only cover the drug up to a designated quantity or amount. If your prescribing doctor feels it is necessary to exceed the set limit, he or she must get prior approval before the higher quantity will be covered.
Prior Authorization: Certain Drugs require you or your doctor to get prior authorization in order to be covered. Usually just an additional form. If you dont get approval, the plan may not cover the drug.
Step Therapy: Means you must first try one drug to treat your medical condition before the plan will cover another drug for the same condition. If you have already tried other drugs or your doctor thinks they are not right for you, you and your doctor can ask the plan to cover this drug.
Avg Unit Cost: Average unit cost (e.g. per pill) for specified days supply at in-area retail pharmacies. A pharmacy is considered in-area when it is geographically located in the service area.




What if a drug I need is not listed?

Please check the formulary for different brand and generic names. If you still cannot locate your drugs, your plan may not offer coverage. Talk to your doctor first about changing your prescription to a drug on your plans formulary. If this is not an option, you can request an exception to have the plan review its coverage decision based on your individual circumstances.

Last updated on
Source:CMS Formulary Data Q4 2022
Source:NDC Directory by FDA.gov

**We make every attempt to keep our information accurate. But please check with the plan providers to verify all information.

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