0.5 ML ustekinumab-ttwe 90 MG/ML Prefilled Syringe
ustekinumab-ttwe
RxCUI: 2705568
What the CMS Formulary Data Shows for 0.5 ML ustekinumab-ttwe 90 MG/ML Prefilled Syringe
Per the CMS 2026 Part D formulary file, 0.5 ML ustekinumab-ttwe 90 MG/ML Prefilled Syringe (RxNorm concept RXCUI 2705568, generic name ustekinumab-ttwe) appears on 8 distinct formulary files spanning 341 Medicare Part D plan offerings - 6.7% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 3 to Tier 5, with a cross-plan average of Tier 3.3.
Real-world access to 0.5 ML ustekinumab-ttwe 90 MG/ML Prefilled Syringe depends on utilization management as much as tier placement: 87.5% of covering formularies require prior authorization. 0% require step therapy. 87.5% apply quantity limits.
Medicare Part D spending dashboard figures are not published for this drug. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry 0.5 ML ustekinumab-ttwe 90 MG/ML Prefilled Syringe today.
Coverage Details
- Formularies covering
- 8
- Plans covering
- 341
- Coverage rate
- 6.7%
- Tier range
- Tier 3 – Tier 5
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 87.5% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 87.5% of formularies
Tier Distribution Across Plans
Standalone Drug Plans (PDP) Covering 0.5 ML ustekinumab-ttwe 90 MG/ML Prefilled Syringe
2 standalone prescription drug plans include this drug.
| Plan | Insurer | Tier | PA | ST | Premium | States |
|---|---|---|---|---|---|---|
| Wellcare Simple (HMO-POS) | WELLCARE OF CONNECTICUT, INC. | T3 | Yes | No | $0 | CT |
| Wellcare Giveback (HMO-POS) | WELLCARE OF CONNECTICUT, INC. | T3 | Yes | No | $0 | CT |
Medicare Advantage Plans (MA-PD) Covering 0.5 ML ustekinumab-ttwe 90 MG/ML Prefilled Syringe
98 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Wellcare Simple (HMO-POS) | COORDINATED CARE OF WASHINGTON, INC. | T3 | Yes | $0 | WA |
| Wellcare Simple Open (PPO) | WELLCARE OF MISSISSIPPI, INC. | T3 | Yes | $0 | MS |
| Wellcare Simple Open (PPO) | WELLCARE OF GEORGIA, INC. | T3 | Yes | $0 | GA |
| Wellcare Simple (HMO) | WELLCARE OF TEXAS, INC. | T3 | Yes | $0 | TX |
| Wellcare Simple (HMO) | WELLCARE OF TEXAS, INC. | T3 | Yes | $0 | TX |
| Wellcare Simple (HMO) | WELLCARE OF TEXAS, INC. | T3 | Yes | $0 | TX |
| Wellcare Simple (HMO) | WELLCARE OF TEXAS, INC. | T3 | Yes | $0 | TX |
| Wellcare Simple Open (PPO) | WELLCARE HEALTH INSURANCE COMPANY OF AMERICA | T3 | Yes | $0 | AR |
| Wellcare Simple (HMO) | HEALTH NET OF ARIZONA, INC. | T3 | Yes | $0 | AZ |
| Wellcare Simple (HMO) | HEALTH NET OF ARIZONA, INC. | T3 | Yes | $0 | AZ |
| Wellcare Simple Value (HMO) | HEALTH NET OF ARIZONA, INC. | T3 | Yes | $0 | AZ |
| Wellcare Simple (HMO-POS) | HEALTH NET OF ARIZONA, INC. | T3 | Yes | $0 | NV |
| Wellcare Simple (HMO-POS) | HEALTH NET OF ARIZONA, INC. | T3 | Yes | $0 | NV |
| Wellcare Low Premium (HMO) | HEALTH NET OF CALIFORNIA, INC. | T3 | Yes | $0 | CA |
| Wellcare Simple Focus (HMO) | HEALTH NET OF CALIFORNIA, INC. | T3 | Yes | $0 | CA |
| Wellcare Simple Focus (HMO) | HEALTH NET OF CALIFORNIA, INC. | T3 | Yes | $0 | CA |
| Wellcare Low Premium (HMO) | HEALTH NET OF CALIFORNIA, INC. | T3 | Yes | $0 | CA |
| Wellcare Low Premium (HMO) | HEALTH NET OF CALIFORNIA, INC. | T3 | Yes | $0 | CA |
| Wellcare Simple (HMO-POS) | BUCKEYE COMMUNITY HEALTH PLAN, INC. | T3 | Yes | $0 | OH |
| Wellcare Low Premium (HMO-POS) | WELLCARE HEALTH PLANS OF NEW JERSEY, INC. | T3 | Yes | $0 | NJ |
| Wellcare Giveback (HMO-POS) | WELLCARE HEALTH PLANS OF NEW JERSEY, INC. | T3 | Yes | $0 | NJ |
| Wellcare Simple (HMO-POS) | WELLCARE HEALTH PLANS OF NEW JERSEY, INC. | T3 | Yes | $0 | NJ |
| Wellcare Simple (HMO) | Sunshine State Health Plan, Inc. | T3 | Yes | $0 | FL |
| Wellcare Simple (HMO) | Sunshine State Health Plan, Inc. | T3 | Yes | $0 | FL |
| Wellcare Simple (HMO) | Sunshine State Health Plan, Inc. | T3 | Yes | $0 | FL |
| Wellcare Simple (HMO) | Sunshine State Health Plan, Inc. | T3 | Yes | $0 | FL |
| Wellcare Simple (HMO) | Sunshine State Health Plan, Inc. | T3 | Yes | $0 | FL |
| Wellcare Simple (HMO) | Sunshine State Health Plan, Inc. | T3 | Yes | $0 | FL |
| Wellcare Simple (HMO) | Sunshine State Health Plan, Inc. | T3 | Yes | $0 | FL |
| Wellcare Simple (HMO-POS) | WELLCARE OF GEORGIA, INC. | T3 | Yes | $0 | GA |
| Wellcare Simple (HMO-POS) | WELLCARE OF GEORGIA, INC. | T3 | Yes | $0 | GA |
| Wellcare Simple (HMO-POS) | WELLCARE OF GEORGIA, INC. | T3 | Yes | $0 | GA |
| Wellcare Simple (HMO-POS) | WELLCARE OF GEORGIA, INC. | T3 | Yes | $0 | GA |
| Wellcare Giveback (HMO-POS) | NEBRASKA TOTAL CARE, INC. | T3 | Yes | $0 | NE |
| Wellcare Simple (HMO-POS) | NEBRASKA TOTAL CARE, INC. | T3 | Yes | $0 | NE |
| Wellcare Simple Open (PPO) | NEBRASKA TOTAL CARE, INC. | T3 | Yes | $0 | NE |
| Wellcare Low Premium (HMO-POS) | HARMONY HEALTH PLAN, INC. | T3 | Yes | $0 | MS |
| Wellcare Simple Preferred (HMO-POS) | HARMONY HEALTH PLAN, INC. | T3 | Yes | $0 | AR |
| Wellcare Simple (HMO-POS) | HARMONY HEALTH PLAN, INC. | T3 | Yes | $0 | MS |
| Wellcare Simple (HMO-POS) | HARMONY HEALTH PLAN, INC. | T3 | Yes | $0 | MS |
| Wellcare Simple (HMO-POS) | HARMONY HEALTH PLAN, INC. | T3 | Yes | $0 | TN |
| Wellcare Simple Value (HMO-POS) | HARMONY HEALTH PLAN, INC. | T3 | Yes | $0 | IL |
| Wellcare Simple (HMO-POS) | HOME STATE HEALTH PLAN, INC. | T3 | Yes | $0 | MO |
| Wellcare Simple (HMO-POS) | WELLCARE OF IOWA, INC. | T3 | Yes | $0 | IA |
| Wellcare Simple Open (PPO) | WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC. | T3 | Yes | $0 | CT |
| Wellcare Giveback Open (PPO) | WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC. | T3 | Yes | $0 | CT |
| Wellcare Simple Open (PPO) | WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC. | T3 | Yes | $0 | NC |
| Wellcare Simple Open (PPO) | MERIDIAN HEALTH PLAN OF MICHIGAN, INC. | T3 | Yes | $0 | MI |
| Wellcare Simple (HMO-POS) | WELLCARE HEALTH INSURANCE OF ARIZONA, INC. | T3 | Yes | $0 | LA |
| Wellcare Simple (HMO-POS) | WELLCARE HEALTH INSURANCE OF ARIZONA, INC. | T3 | Yes | $0 | LA |
Frequently Asked Questions
Is 0.5 ML ustekinumab-ttwe 90 MG/ML Prefilled Syringe covered by Medicare Part D?
Yes, 0.5 ML ustekinumab-ttwe 90 MG/ML Prefilled Syringe is covered by 341 Medicare Part D plans (6.7% of all Part D formularies).
What tier is 0.5 ML ustekinumab-ttwe 90 MG/ML Prefilled Syringe on Medicare Part D plans?
0.5 ML ustekinumab-ttwe 90 MG/ML Prefilled Syringe averages Tier 3.3 across Part D plans, ranging from Tier 3 to Tier 5.
Does 0.5 ML ustekinumab-ttwe 90 MG/ML Prefilled Syringe require prior authorization?
87.5% of Part D formularies require prior authorization for 0.5 ML ustekinumab-ttwe 90 MG/ML Prefilled Syringe. Step therapy: 0%. Quantity limits: 87.5%.
Read our methodology - how this data is sourced, computed, and verified.