Medicare Advantage Drug Cost for Jantoven



There are 47 Medicare Advantage Plans with additional prescription drug coverage for Jantoven available to residents in Indiana. The average retail unit cost (e.g. per pill) for a 30-day supply at in-area retail pharmacies is $0.22 ($6.54). Jantoven 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 Jantoven in Indiana. 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 Marion with the best coverage and the cheapest prices for your medications in Indiana.



Proprietary Name:Jantoven
Generic Name:Warfarin Sodium
Drug Package:100 Tablet In 1 Bottle
Drug Strength:10mg/1
Substance:Warfarin Sodium
Dosage Form:Tablet
Route:Oral
Labeler:Upsher-smith Laboratories, Llc
Pen Name:Human Prescription Drug
NDC#00832121900
RX#855300
Days Supply:30
Coverage Phase:Initial Coverage
Plan Year:2023
County:Marion





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Medicare Advantage Coverage for Jantoven in Indiana


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)
AARP Medicare Advantage

1NA$0NA/NN$0.31
($9.18)
AARP Medicare Advantage Choice Plan 1

1NA$0NA/NN$0.31
($9.18)
AARP Medicare Advantage Choice Plan 2

1NA$0NA/NN$0.31
($9.18)
Aetna Medicare Premier

1$0$15$0/NN$0.01
($0.35)
Aetna Medicare Prime

1$0$15$0/NN$0.01
($0.35)
Aetna Medicare Value

1$0$15$0/NN$0.01
($0.32)
Anthem MediBlue Access

1$5$10NA/NN$0.19
($5.60)
Anthem MediBlue Access Basic

1$6$11NA/NN$0.19
($5.61)
Anthem MediBlue Access Plus

1$4$9NA/NN$0.19
($5.61)
Anthem MediBlue Access Preferred

1$4$9NA/NN$0.19
($5.60)
Anthem MediBlue Extra

1$10$10NA/NN$0.19
($5.60)
Humana Gold Choice H8145-032

1NA$0$0/NN$0.14
($4.25)
Humana Gold Plus H5619-049

1NA$0$0/NN$0.15
($4.62)
Humana Value Plus H5216-193

1NA$0$0/NN$0.18
($5.47)
HumanaChoice H5216-053

1NA$7$7/NN$0.15
($4.62)
HumanaChoice H5216-114

1NA$0$0/NN$0.14
($4.07)
HumanaChoice H5216-192

1NA$0$0/NN$0.15
($4.47)
HumanaChoice R0865-003

1NA$0$0/NN$0.15
($4.45)
IU Health Plans Medicare Choice

2$15$15NA/NN$0.25
($7.46)
IU Health Plans Medicare Flex Network

2$12$12NA/NN$0.25
($7.46)
IU Health Plans Medicare Select Plus

2$12$12NA/NN$0.25
($7.46)
MDwise Medicare Inspire

1NA$0NA/NN$0.24
($7.23)
MDwise Medicare Inspire Flex

1NA$0NA/NN$0.24
($7.23)
MDwise Medicare Inspire Plus

1NA$0NA/NN$0.24
($7.23)
MyTruAdvantage Choice

1$2$7NA/NN$0.39
($11.73)
MyTruAdvantage Select

1$0$5NA/NN$0.39
($11.73)
Wellcare Assist

1$0$19$0/NN$0.25
($7.41)
Wellcare Giveback

1$0$5$0/NN$0.18
($5.39)
Wellcare No Premium

1$0$5$0/NN$0.18
($5.39)
Wellcare No Premium Open

1$0$5$0/NN$0.18
($5.39)
Zing Choice IN

1NA$0NA/NN$0.28
($8.36)
Zing Open Access IN

1NA$0NA/NN$0.28
($8.36)
Zing Signature Care IN

1NA$0NA/NN$0.29
($8.56)


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SNP Prescription Drug Cost for Jantoven

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)
Aetna Medicare Assure Premier

1NA$0NA/NN$0.01
($0.32)
Anthem MediBlue Dual Advantage

1$15$15NA/NN$0.19
($5.60)
CareSource Dual Advantage

1NA$0NA/NN$0.21
($6.30)
CommuniCare Advantage CSNP

1NA$6NA/NN$0.24
($7.25)
CommuniCare Advantage ISNP

1NA25%NA/NN$0.20
($6.14)
Humana Gold Plus - Diabetes and Heart

1NA$7$7/NN$0.15
($4.48)
Humana Gold Plus SNP-DE H5619-054

1NA$0NA/NN$0.15
($4.48)
MDwise Medicare Inspire Duals

1NA$0NA/NN$0.24
($7.23)
UnitedHealthcare Dual Complete

1NA$0NA/NN$0.32
($9.51)
UnitedHealthcare Nursing Home Plan

1NA25%NA/NN$0.32
($9.70)
Wellcare Dual Access

1NA$0NA/NN$0.25
($7.41)
Zing Dual Complete Plus IN

1NA$0NA/NN$0.28
($8.36)
Zing Dual Platinum Plus IN

1NA$0NA/NN$0.29
($8.56)
Zing Essential Wellness Diabetes and Heart IN

1NA$0NA/NN$0.28
($8.36)


Do any Medicare Advantage Plans Cover Jantoven? Yes, 47 Medicare Advantage Plans cover this drug in Indiana.

How much does Jantoven Cost? $0.22, the average retail cost in Indiana is $0.22 per unit or $6.54 for a 30-day supply at in-area pharmacies.

What Tier is Jantoven? Tier 1, most Advantage Plans list Jantoven 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 Jantoven? No, the majority of Medicare Prescription Plans do not require prior authorization from your doctor for Jantoven.



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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