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alpelisib Medicare Coverage in Pennsylvania

100%
of plans in Pennsylvania
cover alpelisib
120 of 120 plans
30
Plans shown below

Medicare Plans Covering alpelisib in Pennsylvania

Sorted by lowest 30-day copay at a preferred pharmacy. Prices shown are estimates from CMS formulary data.

Plan Name Monthly Premium Tier 30-day Copay Stars Restrictions
UPMC for Life Complete Care (HMO D-SNP) Lowest Copay $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Geisinger Gold Preferred Complete Rx (PPO) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Geisinger Gold Classic 360 Rx (HMO) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Geisinger Gold Secure Rx (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Geisinger Gold Classic Essential Rx (HMO) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Keystone First VIP Choice (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
UPMC for Life Complete Care (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
AmeriHealth Caritas VIP Care (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
UPMC for Life Complete Care (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) $13.10/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) $17.60/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Geisinger Gold Value Rx (HMO) $23.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Geisinger Gold Classic Complete Rx (HMO) $48.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Geisinger Gold Classic Complete Rx (HMO) $48.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Security Blue HMO-POS Standard (HMO-POS) $51.80/mo Tier 5 - Specialty $0.00 N/A None Details →
Security Blue HMO-POS Standard (HMO-POS) $51.80/mo Tier 5 - Specialty $0.00 N/A None Details →
Geisinger Gold Preferred Advantage Rx (PPO) $91.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Security Blue HMO-POS Deluxe (HMO-POS) $95.90/mo Tier 5 - Specialty $0.00 N/A None Details →
Security Blue HMO-POS Deluxe (HMO-POS) $95.90/mo Tier 5 - Specialty $0.00 N/A None Details →
Geisinger Gold Classic Advantage Rx (HMO) $99.30/mo Tier 5 - Specialty $0.00 N/A None Details →
Geisinger Gold Classic Advantage Rx (HMO) $99.30/mo Tier 5 - Specialty $0.00 N/A None Details →
Geisinger Gold Classic Advantage Rx (HMO) $99.30/mo Tier 5 - Specialty $0.00 N/A None Details →
Geisinger Gold Preferred Advantage Rx (PPO) $112.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Community Blue Medicare PPO Signature (PPO) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
Complete Blue HMO Distinct (HMO) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
UPMC for Life HMO Premier Rx (HMO) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
Security Blue HMO-POS ValueRx (HMO-POS) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
Community Blue Medicare HMO Distinct (HMO) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →

Compare All Pennsylvania Plans for alpelisib

Enter your exact ZIP code to see plans available in your specific county, ranked by total annual cost.

Frequently Asked Questions

100% of Medicare Part D plans in Pennsylvania cover alpelisib. There are 30 plans available. Coverage and costs vary by specific plan.

Costs vary by plan. Compare plans to find the lowest cost option for you.

Based on current CMS data, UPMC for Life Complete Care (HMO D-SNP) offers one of the lowest copays for alpelisib in Pennsylvania. Enter your ZIP code to see all plans and compare total annual costs including premiums.

View national coverage data for alpelisib

alpelisib Coverage in Other States

Click any state to see the plans and costs available there.

California 100% — Colorado 100% — Delaware 100% — District of Columbia 100% — Florida 100% — Georgia 100% — Hawaii 100% — Idaho 100% — Louisiana 100% — Maryland 100% — Massachusetts 100% — Michigan 100% — Minnesota 100% — Mississippi 100% — Montana 100% — Nevada 100% — New York 100% — North Carolina 100% — Ohio 100% — Oregon 100% — Puerto Rico 100% — South Carolina 100% — Utah 100% — Virginia 100% — Washington 100% — West Virginia 100% — Wisconsin 100% —

Coverage data from CMS formulary files for plan year 2026. How we calculate costs • National coverage for alpelisib

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