Medicare Advantage Drug Cost for Scemblix



There are 49 Medicare Advantage Plans with additional prescription drug coverage for Scemblix available to residents in South Carolina. The average retail unit cost (e.g. per pill) for a 30-day supply at in-area retail pharmacies is $314.88 ($9,446.28). Scemblix 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 Scemblix in South Carolina. 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 Greenville with the best coverage and the cheapest prices for your medications in South Carolina.



Proprietary Name:Scemblix
Generic Name:Asciminib
Drug Package:60 Tablet, Film Coated In 1 Bottle
Drug Strength:40mg/1
Substance:Asciminib Hydrochloride
Dosage Form:Tablet, Film Coated
Route:Oral
Labeler:Novartis Pharmaceuticals Corporation
Pen Name:Human Prescription Drug
NDC#00078109820
RX#2584330
Days Supply:30
Coverage Phase:Initial Coverage
Plan Year:2023
County:Greenville





Select Another State:


Select Another County:

Medicare Advantage Coverage for Scemblix in South Carolina


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 Choice Plan 1

5NA33%33%/YN$319.43
($9,582.93)
AARP Medicare Advantage Choice Plan 2

5NA28%28%/YN$319.43
($9,582.93)
AARP Medicare Advantage Choice Rebate

5NA31%31%/YN$318.35
($9,550.37)
AARP Medicare Advantage Plan 1

5NA33%33%/YN$319.43
($9,582.93)
AARP Medicare Advantage Plan 2

5NA33%33%/YN$319.43
($9,582.93)
Aetna Medicare Premier Plan

530%30%30%/YN$324.16
($9,724.85)
Aetna Medicare Premier Plus Plan

533%33%33%/YN$324.16
($9,724.85)
Aetna Medicare Prime Plan

533%33%33%/YN$324.16
($9,724.85)
Aetna Medicare Value Plus Plan

531%31%31%/YN$324.16
($9,724.85)
BlueCross Secure

533%33%NA/YN$295.56
($8,866.88)
BlueCross Total

533%33%NA/YN$295.56
($8,866.88)
BlueCross Total Value

532%32%NA/YN$295.56
($8,866.88)
Cigna Preferred Medicare

533%33%33%/YN$316.03
($9,480.81)
Cigna Preferred Plus Medicare

533%33%33%/YN$316.03
($9,480.81)
Cigna True Choice Medicare

533%33%33%/YN$316.03
($9,480.81)
Clear Spring Health Gold Plus

529%29%29%/YN$313.34
($9,400.16)
Clear Spring Health Select Plan

533%33%33%/YN$313.34
($9,400.16)
Humana Gold Choice H8145-069

5NA27%27%/YN$311.34
($9,340.13)
Humana Gold Plus H5178-001

5NA26%26%/YN$311.34
($9,340.13)
HumanaChoice H5216-154

5NA26%26%/YN$311.34
($9,340.13)
HumanaChoice H5216-279

5NA33%33%/YN$311.34
($9,340.13)
HumanaChoice H5216-280

5NA25%25%/YN$311.34
($9,340.13)
HumanaChoice R3392-002

5NA27%27%/YN$311.34
($9,340.13)
Molina Medicare Choice Care

5NA31%NA/YN$316.57
($9,497.10)
UnitedHealthcare Medicare Advantage Choice

5NA28%28%/YN$319.43
($9,582.93)
Wellcare Assist

525%25%25%/YN$323.09
($9,692.68)
Wellcare Giveback Open

531%31%31%/YN$321.72
($9,651.46)
Wellcare No Premium

533%33%33%/YN$321.72
($9,651.46)
Wellcare No Premium Open

531%31%31%/YN$321.72
($9,651.46)
Wellcare No Premium Value

533%33%33%/YN$321.72
($9,651.46)


Return to Drug List



SNP Prescription Drug Cost for Scemblix

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)
Clear Spring Health Deluxe Plan

5NA$0NA/YN$297.18
($8,915.33)
Clear Spring Health Silver Plan

528%28%28%/YN$313.34
($9,400.16)
First Choice VIP Care

2NA25%NA/YN$294.70
($8,841.11)
Humana Gold Plus - Diabetes and Heart

5NA30%30%/YN$311.34
($9,340.13)
Humana Gold Plus SNP-DE H5619-082

5NA$0NA/YN$311.34
($9,340.13)
Humana Together in Health

5NA25%25%/YN$311.34
($9,340.13)
HumanaChoice - Diabetes and Heart (PPO C-SNP)

5NA30%30%/YN$311.34
($9,340.13)
HumanaChoice SNP-DE H5216-277

5NA$0NA/YN$311.34
($9,340.13)
Molina Medicare Complete Care

5NA25%NA/YN$316.57
($9,497.10)
NHC Advantage

1NA25%NA/YN$334.09
($10,022.79)
UnitedHealthcare Dual Complete Choice

5NA$0NA/YN$319.43
($9,582.93)
UnitedHealthcare Medicare Gold

5NA33%33%/YN$319.43
($9,582.93)
UnitedHealthcare Medicare Silver

5NA25%NA/YN$319.43
($9,582.93)
UnitedHealthcare Nursing Home Plan

5NA25%NA/YN$319.43
($9,582.93)
Wellcare Dual Access

1NA$0NA/YN$323.09
($9,692.68)
Wellcare Dual Liberty

1NA$0NA/YN$323.09
($9,692.68)


Do any Medicare Advantage Plans Cover Scemblix? Yes, 49 Medicare Advantage Plans cover this drug in South Carolina.

How much does Scemblix Cost? $314.88, the average retail cost in South Carolina is $314.88 per unit or $9,446.28 for a 30-day supply at in-area pharmacies.

What Tier is Scemblix? Tier 5, most Advantage Plans list Scemblix 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 Scemblix? Yes, the majority of Medicare Prescription Plans do require prior authorization from your doctor for Scemblix.



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.

      Site Search:

*Licensed Agent Disclaimer: We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options.

Call For A licensed Sales Agent

Or Enroll Online Here

Enroll