Medicare Part D coverage · 0.28 · RxCUI 2636039
0.28 ML risperidone 357 MG/ML Prefilled Syringe [Uzedy]
Per the CMS 2026 Part D formulary file, 0.28 ML risperidone 357 MG/ML Prefilled Syringe [Uzedy] is covered by 463 Medicare Part D plans (9.2% of enrollable products), averaging Tier 4, with prior authorization required on 21.3% of covering formularies.
- 9.2%
- Plan coverage
- 463
- Plans covering
- T4
- Avg tier
- 21.3%
- Prior auth required
What the CMS Formulary Data Shows for 0.28 ML risperidone 357 MG/ML Prefilled Syringe [Uzedy]
Per the CMS 2026 Part D formulary file, 0.28 ML risperidone 357 MG/ML Prefilled Syringe [Uzedy] (RxNorm concept RXCUI 2636039, generic name 0.28) appears on 89 distinct formulary files spanning 463 Medicare Part D plan offerings - 9.2% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 5, with a cross-plan average of Tier 4.
Real-world access to 0.28 ML risperidone 357 MG/ML Prefilled Syringe [Uzedy] depends on utilization management as much as tier placement: 21.3% of covering formularies require prior authorization. 4.5% require step therapy. 85.4% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 1,164 Part D beneficiaries filled 0.28 ML risperidone 357 MG/ML Prefilled Syringe [Uzedy] in 2023, with total plan-and-beneficiary spending of $9,765,799 and an average per-beneficiary annual cost of $8,389.86. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry 0.28 ML risperidone 357 MG/ML Prefilled Syringe [Uzedy] today.
Coverage Details
- Formularies covering
- 89
- Plans covering
- 463
- Coverage rate
- 9.2%
- Tier range
- Tier 1 – Tier 5
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 21.3% of formularies
- Step therapy required
- 4.5% of formularies
- Quantity limits
- 85.4% of formularies
2023 Medicare Spending
- Beneficiaries
- 1,164
- Total spending
- $9,765,799
- Avg per beneficiary
- $8,389.86
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering 0.28 ML risperidone 357 MG/ML Prefilled Syringe [Uzedy]
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Hamaspik Medicare Choice (HMO D-SNP) | Hamaspik, Inc. | T1 | No | $0 | NY |
| SeniorCare Complete (HMO D-SNP) | South Country Health Alliance | T1 | Yes | $0 | MN |
| AbilityCare (HMO D-SNP) | South Country Health Alliance | T1 | Yes | $0 | MN |
| Alameda Alliance Wellness (HMO D-SNP) | Alameda Alliance FOR Health | T1 | Yes | $0 | CA |
| Elevate Medicare Choice (HMO D-SNP) | Denver Health Medical Plan, Inc. | T1 | No | $0 | CO |
| AllCare Advantage Redwood Rx (HMO D-SNP) | Allcare Health Plan, Inc. | T1 | No | $0 | OR |
| PrimeWest Senior Health Complete (HMO D-SNP) | Primewest Rural MN Health Care Access Initiative | T1 | No | $0 | MN |
| Prime Health Complete (HMO D-SNP) | Primewest Rural MN Health Care Access Initiative | T1 | No | $0 | MN |
| Alterwood Advantage Dual Secure (HMO D-SNP) | Alterwood Advantage, Inc. | T1 | No | $0 | MD |
| Nascentia Dual Advantage (HMO D-SNP) | Visiting Nurse Association OF Central NEW York | T1 | No | $0 | NY |
| Abilis Health Community (HMO I-SNP) | Signature Advantage, LLC | T1 | No | $0 | KY, TN |
| Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) | Arkansas Superior Select, Inc. | T1 | No | $0 | AR |
| Community Care's Partnership Program (HMO D-SNP) | Community Care Health Plan, Inc. | T1 | No | $0 | WI |
| Mass General Brigham SCO (HMO D-SNP) | Mass General Brigham Health Plan, Inc | T1 | No | $0 | MA |
| Mass General Brigham One Care (HMO D-SNP) | Mass General Brigham Health Plan, Inc | T1 | No | $0 | MA |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | Gold Kidney OF Florida Inc | T1 | No | $4.80 | FL |
| Texas Independence Health Plan, Inc. (HMO I-SNP) | Texas Independence Health Plan, Inc. | T1 | No | $4.80 | TX |
| Texas Independence Community Plan (HMO I-SNP) | Texas Independence Health Plan, Inc. | T1 | No | $4.80 | TX |
| Tribute Select (HMO-POS I-SNP) | Arkansas Superior Select, Inc. | T1 | No | $8.90 | AR |
| ATRIO Special Needs Plan (HMO D-SNP) | Atrio Health Plans | T1 | No | $10.50 | OR |
Show the next 30 plans
| ATRIO Special Needs Plan (HMO D-SNP) | Atrio Health Plans | T1 | No | $10.50 | OR |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | Gold Kidney OF Arizona | T1 | No | $17.00 | AZ |
| Alterwood Advantage Dual Value (HMO D-SNP) | Alterwood Advantage, Inc. | T1 | No | $31.20 | MD |
| Valor Health Plan (HMO I-SNP) | TSG Guard, Inc. | T1 | No | $31.40 | OH |
| WV Senior Advantage (HMO I-SNP) | West Virginia Senior Advantage, Inc. | T1 | No | $32.70 | WV |
| Hamaspik Medicare Select (HMO D-SNP) | Hamaspik, Inc. | T1 | No | $34.50 | NY |
| Abilis Health (HMO I-SNP) | Signature Advantage, LLC | T1 | No | $35.90 | KY, TN |
| CommuniCare Advantage ISNP (HMO I-SNP) | OH CHS SNP Inc. | T1 | No | $38.40 | IN, MD, OH |
| Nascentia Skilled Nursing Facility (HMO I-SNP) | Visiting Nurse Association OF Central NEW York | T1 | No | $58.80 | NY |
| CareAdvantage (HMO D-SNP) | SAN Mateo Health Commission | T2 | Yes | $0 | CA |
| CalOptima Health OneCare Complete (HMO D-SNP) | Orange County Health Authority | T2 | No | $0 | CA |
| Freedom VIP Care (HMO C-SNP) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Freedom VIP Savings (HMO C-SNP) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Freedom VIP Savings (HMO C-SNP) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Freedom VIP Rewards (HMO C-SNP) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Freedom VIP Rewards (HMO C-SNP) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Optimum Diamond Rewards (HMO C-SNP) | Optimum Healthcare, Inc. | T4 | No | $0 | FL |
| Optimum Diamond Savings (HMO C-SNP) | Optimum Healthcare, Inc. | T4 | No | $0 | FL |
| Optimum Diamond Rewards (HMO C-SNP) | Optimum Healthcare, Inc. | T4 | No | $0 | FL |
| Optimum Diamond (HMO C-SNP) | Optimum Healthcare, Inc. | T4 | No | $0 | FL |
| Freedom Medi-Medi Partial (HMO D-SNP) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Freedom Medi-Medi Full (HMO D-SNP) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Optimum Emerald Partial (HMO D-SNP) | Optimum Healthcare, Inc. | T4 | No | $0 | FL |
| Optimum Emerald Full (HMO D-SNP) | Optimum Healthcare, Inc. | T4 | No | $0 | FL |
| Freedom Medicare Plan Rx (HMO) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Freedom Medicare Plan Rx (HMO) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Freedom VIP Savings COPD (HMO C-SNP) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Freedom VIP Savings COPD (HMO C-SNP) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T4 | No | $0 | FL |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is 0.28 ML risperidone 357 MG/ML Prefilled Syringe [Uzedy] covered by Medicare Part D?
Yes, 0.28 ML risperidone 357 MG/ML Prefilled Syringe [Uzedy] is covered by 463 Medicare Part D plans (9.2% of all Part D formularies).
What tier is 0.28 ML risperidone 357 MG/ML Prefilled Syringe [Uzedy] on Medicare Part D plans?
0.28 ML risperidone 357 MG/ML Prefilled Syringe [Uzedy] averages Tier 4 across Part D plans, ranging from Tier 1 to Tier 5.
Does 0.28 ML risperidone 357 MG/ML Prefilled Syringe [Uzedy] require prior authorization?
21.3% of Part D formularies require prior authorization for 0.28 ML risperidone 357 MG/ML Prefilled Syringe [Uzedy]. Step therapy: 4.5%. Quantity limits: 85.4%.
How much does Medicare spend on 0.28 ML risperidone 357 MG/ML Prefilled Syringe [Uzedy]?
In 2023, total Medicare Part D spending on 0.28 ML risperidone 357 MG/ML Prefilled Syringe [Uzedy] was $9,765,799, covering 1,164 beneficiaries. The average spend per beneficiary was $8,389.86.
Read our methodology - how this data is sourced, computed, and verified.
Nationwide similar Part D drugs
Data-derived peers across the CMS Part D formulary extract: nearest average tier placement and nearest prior-authorization rate. Not therapeutic alternatives or same-generic strengths.
Closest average formulary tier
- valganciclovir 50 MG/ML Oral Solution T4
- 0.14 ML risperidone 357 MG/ML Prefilled Syringe [Uzedy] T4
- 0.21 ML risperidone 357 MG/ML Prefilled Syringe [Uzedy] T4
- 0.35 ML risperidone 357 MG/ML Prefilled Syringe [Uzedy] T4
- 0.42 ML risperidone 357 MG/ML Prefilled Syringe [Uzedy] T4
- 0.56 ML risperidone 357 MG/ML Prefilled Syringe [Uzedy] T4
Similar prior-authorization rate
- 0.7 ML risperidone 357 MG/ML Prefilled Syringe [Uzedy] 21.3% PA
- Once-Daily clindamycin 0.01 MG/MG Topical Gel 21.4% PA
- betamethasone dipropionate 0.000643 MG/MG / calcipotriene 0.00005 MG/MG Topical Ointment 21.4% PA
- 24 HR topiramate 50 MG Extended Release Oral Capsule 21.1% PA
- 24 HR topiramate 200 MG Extended Release Oral Capsule 21.1% PA
- asenapine 10 MG Sublingual Tablet 21.6% PA