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Pirfenidone Medicare Coverage in New York

100%
of plans in New York
cover Pirfenidone
159 of 159 plans
30
Plans shown below

Medicare Plans Covering Pirfenidone in New York

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 Action
Healthfirst CompleteCare (HMO D-SNP) Lowest Copay $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
VNS Health Total (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
EmblemHealth VIP Dual Enhanced (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
UHC Dual Complete NY-S001 (PPO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
UHC Complete Care NY-30 (HMO-POS C-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Humana Direct Choice Giveback (PPO) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Elderplan Select (HMO-POS I-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
UHC Dual Complete NY-Y001 (HMO-POS D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Medicare Blue Dual (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Healthfirst Connection Plan (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
EmblemHealth VIP Dual Enhanced (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
MVP Medicare Complete Wellness with Part D (PPO) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
UHC Dual Complete NY-S001 (PPO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
UHC Complete Care NY-31 (HMO-POS C-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Humana Direct Choice GIveback (PPO) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
UHC Dual Complete NY-S002 (HMO-POS D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Hamaspik Medicare Choice (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Humana Gold Plus Giveback H3533-027 (HMO) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Senior Whole Health of New York NHC (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
MVP Medicare Complete Wellness with Part D (PPO) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
UHC Complete Care NY-33 (HMO-POS C-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Healthfirst Signature (HMO) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
UHC Dual Complete NY-S002 (HMO-POS D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
MetroPlus Advantage Plan (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Humana Gold Plus H3533-033 (HMO) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
HumanaChoice SNP-DE H5970-020 (PPO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
MVP DualAccess (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Senior Whole Health Medicare Complete Care (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →

Compare All New York Plans for Pirfenidone

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 New York cover Pirfenidone. 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, Healthfirst CompleteCare (HMO D-SNP) offers one of the lowest copays for Pirfenidone in New York. Enter your ZIP code to see all plans and compare total annual costs including premiums.

Pirfenidone Coverage in Other States

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

Coverage data from CMS formulary files for plan year 2026. How we calculate costsNational coverage for Pirfenidone

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