Medicare Advantage Drug Cost for Juluca



There are 47 Medicare Advantage Plans with additional prescription drug coverage for Juluca 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 $108.30 ($3,249.13). Juluca is typically listed as a Tier 5 drug on the formulary and does not require prior authorization.

Below is the average retail cost and your co-pay for Juluca 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:Juluca
Generic Name:Dolutegravir Sodium And Rilpivirine Hydrochloride
Drug Package:30 Tablet, Film Coated In 1 Bottle
Drug Strength:50; 25mg/1; mg/1
Substance:Dolutegravir Sodium; Rilpivirine Hydrochloride
Dosage Form:Tablet, Film Coated
Route:Oral
Labeler:Viiv Healthcare Company
Pen Name:Human Prescription Drug
NDC#49702024213
RX#1989506
Days Supply:30
Coverage Phase:Initial Coverage
Plan Year:2023
County:Marion





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Medicare Advantage Coverage for Juluca 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

5NA33%33%/NN$109.90
($3,296.99)
AARP Medicare Advantage Choice Plan 1

5NA33%33%/NN$109.90
($3,296.99)
AARP Medicare Advantage Choice Plan 2

5NA33%33%/NN$109.90
($3,296.99)
Aetna Medicare Premier

533%33%33%/NN$112.66
($3,379.77)
Aetna Medicare Prime

533%33%33%/NN$112.66
($3,379.77)
Aetna Medicare Value

533%33%33%/NN$112.66
($3,379.77)
Anthem MediBlue Access

533%33%NA/NN$113.03
($3,390.98)
Anthem MediBlue Access Basic

533%33%NA/NN$113.03
($3,390.75)
Anthem MediBlue Access Plus

532%32%NA/NN$113.03
($3,390.98)
Anthem MediBlue Access Preferred

533%33%NA/NN$113.03
($3,390.98)
Anthem MediBlue Extra

525%25%NA/NN$113.03
($3,390.98)
Humana Gold Choice H8145-032

5NA33%33%/NN$112.61
($3,378.31)
Humana Gold Plus H5619-049

5NA33%33%/NN$112.35
($3,370.63)
Humana Value Plus H5216-193

5NA29%29%/NN$112.70
($3,381.05)
HumanaChoice H5216-053

5NA33%33%/NN$112.37
($3,371.21)
HumanaChoice H5216-114

5NA33%33%/NN$112.33
($3,369.84)
HumanaChoice H5216-192

5NA29%29%/NN$113.00
($3,389.92)
HumanaChoice R0865-003

5NA30%30%/NN$112.73
($3,381.80)
IU Health Plans Medicare Choice

533%33%NA/NN$101.46
($3,043.82)
IU Health Plans Medicare Flex Network

533%33%NA/NN$101.46
($3,043.84)
IU Health Plans Medicare Select Plus

533%33%NA/NN$101.46
($3,043.86)
MDwise Medicare Inspire

5NA33%NA/NN$101.27
($3,038.04)
MDwise Medicare Inspire Flex

5NA33%NA/NN$101.27
($3,038.04)
MDwise Medicare Inspire Plus

5NA33%NA/NN$101.27
($3,038.04)
MyTruAdvantage Choice

531%31%NA/NN$101.08
($3,032.40)
MyTruAdvantage Select

533%33%NA/NN$102.13
($3,063.83)
Wellcare Assist

525%25%25%/NN$110.17
($3,305.16)
Wellcare Giveback

529%29%29%/NN$110.47
($3,314.12)
Wellcare No Premium

533%33%33%/NN$110.47
($3,314.20)
Wellcare No Premium Open

533%33%33%/NN$110.47
($3,314.20)
Zing Choice IN

5NA33%NA/NN$108.66
($3,259.89)
Zing Open Access IN

5NA33%NA/NN$108.66
($3,259.89)
Zing Signature Care IN

5NA33%NA/NN$108.69
($3,260.60)


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SNP Prescription Drug Cost for Juluca

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

5NA$0NA/NN$112.66
($3,379.77)
Anthem MediBlue Dual Advantage

525%25%NA/NN$113.03
($3,390.98)
CareSource Dual Advantage

5NA25%NA/NN$101.51
($3,045.17)
CommuniCare Advantage CSNP

5NA25%NA/NN$105.63
($3,168.90)
CommuniCare Advantage ISNP

1NA25%NA/NN$105.41
($3,162.30)
Humana Gold Plus - Diabetes and Heart

5NA25%25%/NN$112.98
($3,389.42)
Humana Gold Plus SNP-DE H5619-054

5NA$0NA/NN$112.98
($3,389.42)
MDwise Medicare Inspire Duals

1NA$0NA/NN$101.27
($3,038.04)
UnitedHealthcare Dual Complete

5NA$0NA/NN$110.51
($3,315.29)
UnitedHealthcare Nursing Home Plan

5NA25%NA/NN$110.46
($3,313.76)
Wellcare Dual Access

1NA$0NA/NN$110.17
($3,305.16)
Zing Dual Complete Plus IN

5NA25%NA/NN$108.66
($3,259.89)
Zing Dual Platinum Plus IN

5NA25%NA/NN$108.69
($3,260.60)
Zing Essential Wellness Diabetes and Heart IN

5NA33%NA/NN$108.66
($3,259.89)


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

How much does Juluca Cost? $108.30, the average retail cost in Indiana is $108.30 per unit or $3,249.13 for a 30-day supply at in-area pharmacies.

What Tier is Juluca? Tier 5, most Advantage Plans list Juluca on Tier 5 on their formulary. Usually, the higher the tier, the more you have to pay for the medication.

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



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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