Medicare Advantage Drug Cost for Inqovi
There are 56 Medicare Advantage Plans with additional prescription drug coverage for Inqovi 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 $1,606.73 ($48,201.76). Inqovi 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 Inqovi 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: | Inqovi |
|---|---|
| Generic Name: | Cedazuridine And Decitabine |
| Drug Package: | 1 Blister Pack In 1 Carton > 5 Tablet, Film Coated In 1 Blister Pack |
| Drug Strength: | 100; 35mg/1; mg/1 |
| Substance: | Cedazuridine; Decitabine |
| Dosage Form: | Tablet, Film Coated |
| Route: | Oral |
| Labeler: | Taiho Pharmaceutical Co., Ltd. |
| Pen Name: | Human Prescription Drug |
| NDC# | 64842072709 |
| RX# | 2384465 |
| Days Supply: | 30 |
| Coverage Phase: | Initial Coverage |
| Plan Year: | 2023 |
| County: | Cook |
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Medicare Advantage Coverage for Inqovi 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 |
Limit Amt/ Days |
Prior Auth Y/N |
Step Therapy Y/N |
Avg Unit Cost (x30) |
|---|---|---|---|---|---|---|---|---|
| AARP Medicare Advantage Access |
5 | NA | 33% | 33% | / | Y | N | $1,632.95 ($48,988.52) |
| AARP Medicare Advantage Choice |
5 | NA | 33% | 33% | / | Y | N | $1,632.95 ($48,988.52) |
| AARP Medicare Advantage Plan 2 |
5 | NA | 33% | 33% | / | Y | N | $1,632.95 ($48,988.52) |
| AARP Medicare Advantage Walgreens |
5 | 30% | 30% | 30% | / | Y | N | $1,632.95 ($48,988.52) |
| Aetna Medicare Premier Plus |
5 | 33% | 33% | 33% | / | Y | N | $1,720.10 ($51,603.08) |
| Aetna Medicare Prime |
5 | 33% | 33% | 33% | / | Y | N | $1,720.10 ($51,603.08) |
| Aetna Medicare Value |
5 | 33% | 33% | 33% | / | Y | N | $1,720.10 ($51,603.08) |
| Ascension Complete Illinois Reward |
5 | 25% | 25% | 25% | / | Y | N | $1,763.59 ($52,907.60) |
| Ascension Complete Illinois Secure |
5 | 33% | 33% | 33% | / | Y | N | $1,763.59 ($52,907.60) |
| Blue Cross Medicare Advantage Basic |
5 | 33% | 33% | 33% | / | Y | N | $1,492.74 ($44,782.28) |
| Blue Cross Medicare Advantage Basic Plus |
5 | 33% | 33% | 33% | / | Y | N | $1,492.74 ($44,782.28) |
| Blue Cross Medicare Advantage Choice Plus |
5 | 33% | 33% | 33% | / | Y | N | $1,492.74 ($44,782.28) |
| Blue Cross Medicare Advantage Choice Premier |
5 | 33% | 33% | 33% | / | Y | N | $1,492.74 ($44,782.28) |
| Blue Cross Medicare Advantage Classic |
5 | 29% | 29% | 29% | / | Y | N | $1,492.74 ($44,782.28) |
| Blue Cross Medicare Advantage Flex |
5 | 25% | 25% | 25% | / | Y | N | $1,529.57 ($45,887.18) |
| Blue Cross Medicare Advantage Premier Plus |
5 | 33% | 33% | 33% | / | Y | N | $1,492.74 ($44,782.28) |
| Blue Medicare Advocate Health |
5 | 33% | 33% | 33% | / | Y | N | $1,492.74 ($44,782.28) |
| Cigna Preferred Medicare |
5 | 33% | 33% | 33% | / | Y | N | $1,588.90 ($47,667.08) |
| Cigna Premier Medicare |
5 | 33% | 33% | 33% | / | Y | N | $1,588.90 ($47,667.08) |
| Cigna True Choice Medicare |
5 | 33% | 33% | 33% | / | Y | N | $1,588.90 ($47,667.08) |
| Clear Spring Health Community Advantage Plan |
5 | 33% | 33% | 33% | / | Y | N | $1,577.92 ($47,337.60) |
| Clear Spring Health Essential |
5 | 33% | 33% | 33% | / | Y | N | $1,577.92 ($47,337.60) |
| Devoted CORE Illinois |
5 | NA | 33% | NA | / | Y | N | $1,449.47 ($43,484.19) |
| Devoted GIVEBACK Illinois |
5 | NA | 33% | NA | / | Y | N | $1,449.47 ($43,484.19) |
| Humana Gold Choice H8145-008 |
5 | NA | 27% | 27% | / | Y | N | $1,636.01 ($49,080.26) |
| Humana Gold Plus H1468-013 |
5 | NA | 33% | 33% | / | Y | N | $1,636.01 ($49,080.26) |
| HumanaChoice H5216-013 |
5 | NA | 33% | 33% | / | Y | N | $1,636.01 ($49,080.26) |
| HumanaChoice H5216-251 |
5 | NA | 33% | 33% | / | Y | N | $1,636.01 ($49,080.26) |
| HumanaChoice H5216-283 |
5 | NA | 33% | 33% | / | Y | N | $1,636.01 ($49,080.26) |
| HumanaChoice R5361-002 |
5 | NA | 25% | 25% | / | Y | N | $1,636.01 ($49,080.26) |
| Wellcare Assist |
5 | 25% | 25% | 25% | / | Y | N | $1,724.87 ($51,746.19) |
| Wellcare Assist Compass |
5 | 25% | 25% | 25% | / | Y | N | $1,724.87 ($51,746.19) |
| Wellcare Giveback Open |
5 | 33% | 33% | 33% | / | Y | N | $1,763.59 ($52,907.60) |
| Wellcare No Premium |
5 | 33% | 33% | 33% | / | Y | N | $1,763.59 ($52,907.60) |
| Wellcare No Premium Essential |
5 | 33% | 33% | 33% | / | Y | N | $1,763.59 ($52,907.60) |
| Wellcare No Premium Exclusive |
5 | 33% | 33% | 33% | / | Y | N | $1,763.59 ($52,907.60) |
| Wellcare No Premium Open |
5 | 33% | 33% | 33% | / | Y | N | $1,763.59 ($52,907.60) |
| Zing Choice IL |
5 | NA | 33% | NA | / | Y | N | $1,590.20 ($47,706.00) |
| Zing Open Access IL |
5 | NA | 33% | NA | / | Y | N | $1,590.20 ($47,706.00) |
| Zing Signature Care IL |
5 | NA | 33% | NA | / | Y | N | $1,590.20 ($47,706.00) |
Return to Drug List
SNP Prescription Drug Cost for Inqovi
Click the header to sort
| Plan Name ⇅ |
Tier Level |
Cost Preferred |
Cost Non Preferred |
Cost Amt |
Limit Days/ Amt |
Prior Auth Y/N |
Step Therapy Y/N |
Avg Unit Cost (x30) |
|---|---|---|---|---|---|---|---|---|
| Humana Community HMO Diabetes and Heart |
5 | NA | 33% | 33% | / | Y | N | $1,636.01 ($49,080.26) |
| Humana Senior Living Plan |
5 | NA | 29% | 29% | / | Y | N | $1,636.01 ($49,080.26) |
| Humana Together in Health |
5 | NA | 29% | 29% | / | Y | N | $1,636.01 ($49,080.26) |
| Longevity Health Plan |
1 | NA | 25% | NA | / | Y | N | $1,461.89 ($43,856.68) |
| Provider Partners Illinois Advantage Plan |
1 | NA | 25% | NA | / | Y | N | $1,541.53 ($46,245.77) |
| Provider Partners Illinois Community Plan |
1 | NA | 25% | NA | / | Y | N | $1,541.53 ($46,245.77) |
| UnitedHealthcare Assisted Living Plan |
5 | NA | 33% | 33% | / | Y | N | $1,632.95 ($48,988.52) |
| UnitedHealthcare Chronic Complete Assure (PPO C-SNP) |
5 | NA | 25% | NA | / | Y | N | $1,632.95 ($48,988.52) |
| UnitedHealthcare Nursing Home Plan 1 |
5 | NA | 25% | NA | / | Y | N | $1,632.95 ($48,988.52) |
| UnitedHealthcare Nursing Home Plan 2 |
5 | NA | 25% | NA | / | Y | N | $1,632.95 ($48,988.52) |
| Zing Essential Wellness Diabetes and Heart IL |
5 | NA | 33% | NA | / | Y | N | $1,590.20 ($47,706.00) |
Do any Medicare Advantage Plans Cover Inqovi? Yes, 56 Medicare Advantage Plans cover this drug in Illinois.
How much does Inqovi Cost? $1,606.73, the average retail cost in Illinois is $1,606.73 per unit or $48,201.76 for a 30-day supply at in-area pharmacies.
What Tier is Inqovi? Tier 5, most Advantage Plans list Inqovi 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 Inqovi? Yes, the majority of Medicare Prescription Plans do require prior authorization from your doctor for Inqovi.
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.