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iptacopan Medicare Coverage in Pennsylvania

100%
of plans in Pennsylvania
cover iptacopan
108 of 108 plans
30
Plans shown below

Medicare Plans Covering iptacopan 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 →
UPMC for Life Complete Care (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 →
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $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 →
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 →
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 →
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 →
Community Blue Medicare PPO Signature (PPO) $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 →
UPMC for Life PPO Premier Rx (PPO) $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 →
Community Blue Medicare HMO Distinct (HMO) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
Community Blue Medicare HMO Signature (HMO) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
Complete Blue PPO Signature (PPO) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
Community Blue Medicare HMO Signature (HMO) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
UPMC for Life PPO Essential Care Rx (PPO) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
Complete Blue PPO Distinct (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 →
Community Blue Medicare PPO Signature (PPO) $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 →
UPMC for Life HMO Premier Rx (HMO) $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 →
Community Blue Medicare HMO Signature (HMO) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
Complete Blue PPO Merit (PPO) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →

Compare All Pennsylvania Plans for iptacopan

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 iptacopan. 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 iptacopan in Pennsylvania. Enter your ZIP code to see all plans and compare total annual costs including premiums.

View national coverage data for iptacopan

iptacopan 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% — Montana 100% — New York 100% — North Carolina 100% — Ohio 100% — Oregon 100% — South Carolina 100% — Virginia 100% — Washington 100% — West Virginia 100% —

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

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