Medicare Part D coverage · 0.8 · RxCUI 2055672
0.8 ML risperidone 150 MG/ML Prefilled Syringe [Perseris]
Per the CMS 2026 Part D formulary file, 0.8 ML risperidone 150 MG/ML Prefilled Syringe [Perseris] is covered by 1,305 Medicare Part D plans (25.8% of enrollable products), averaging Tier 4.3, with prior authorization required on 13.3% of covering formularies.
- 25.8%
- Plan coverage
- 1,305
- Plans covering
- T4.3
- Avg tier
- 13.3%
- Prior auth required
What the CMS Formulary Data Shows for 0.8 ML risperidone 150 MG/ML Prefilled Syringe [Perseris]
Per the CMS 2026 Part D formulary file, 0.8 ML risperidone 150 MG/ML Prefilled Syringe [Perseris] (RxNorm concept RXCUI 2055672, generic name 0.8) appears on 173 distinct formulary files spanning 1,305 Medicare Part D plan offerings - 25.8% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 6, with a cross-plan average of Tier 4.3.
Real-world access to 0.8 ML risperidone 150 MG/ML Prefilled Syringe [Perseris] depends on utilization management as much as tier placement: 13.3% of covering formularies require prior authorization. 0% require step therapy. 83.2% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 2,832 Part D beneficiaries filled 0.8 ML risperidone 150 MG/ML Prefilled Syringe [Perseris] in 2023, with total plan-and-beneficiary spending of $42,762,977 and an average per-beneficiary annual cost of $15,099.92. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry 0.8 ML risperidone 150 MG/ML Prefilled Syringe [Perseris] today.
Coverage Details
- Formularies covering
- 173
- Plans covering
- 1,305
- Coverage rate
- 25.8%
- Tier range
- Tier 1 – Tier 6
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 13.3% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 83.2% of formularies
2023 Medicare Spending
- Beneficiaries
- 2,832
- Total spending
- $42,762,977
- Avg per beneficiary
- $15,099.92
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering 0.8 ML risperidone 150 MG/ML Prefilled Syringe [Perseris]
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Gold Coast Health Plan Total Care Advantage (HMO D-SNP) | Ventura County Medi-Cal Managed Care Commission | T1 | No | $0 | CA |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | Health Care Service Corporation | T1 | No | $0 | NM |
| Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) | Health Care Service Corporation | T1 | No | $0 | NM |
| SecureBlue (HMO D-SNP) | HMO Minnesota | T1 | No | $0 | MN |
| NaviCare (HMO D-SNP) | Fallon Community Health Plan | T1 | No | $0 | MA |
| 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 |
| Provider Partners Pennsylvania Community Plan (HMO I-SNP) | Provider Partners Health Plan OF Pennsylvania, Inc | T1 | No | $0 | PA |
| Provider Partners North Carolina Community Plan (HMO I-SNP) | Provider Partners Health Plan OF North Carolina | T1 | No | $0 | NC |
| Provider Partners Indiana Community Plan (HMO I-SNP) | Provider Partners Health Plan OF Indiana | T1 | No | $0 | IN |
| Provider Partners Missouri Community Plan (HMO I-SNP) | Provider Partners Health Plan OF Missouri, Inc. | T1 | No | $0 | MO |
| Abilis Health Community (HMO I-SNP) | Signature Advantage, LLC | T1 | No | $0 | KY, TN |
Show the next 30 plans
| 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 |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | No | $0 | PA |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | No | $0 | PA |
| Highmark Health Options Duals (HMO D-SNP) | Highmark Health Options West Virginia Inc. | T1 | No | $0 | WV |
| Highmark Health Options Duals (HMO D-SNP) | Highmark Bcbsd, Inc. | T1 | No | $0 | DE |
| Tufts Health One Care (HMO D-SNP) | Tufts Health Public Plans, Inc. | T1 | No | $0 | MA |
| Tufts Health One Care CW (HMO D-SNP) | Tufts Health Public Plans, Inc. | T1 | No | $0 | MA |
| Tufts Health Plan Senior Care Options (HMO D-SNP) | Tufts Associated Health Maintenance Organization | T1 | No | $0 | MA |
| Tufts Health Plan Senior Care Options CW (HMO D-SNP) | Tufts Associated Health Maintenance Organization | T1 | No | $0 | MA |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | Hcsc Insurance Services Company | T1 | No | $4.80 | TX |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | Gold Kidney OF Florida Inc | T1 | No | $4.80 | FL |
| Provider Partners Texas Advantage Plan (HMO I-SNP) | Provider Partners Health Plan OF Texas, Inc. | T1 | No | $4.80 | TX |
| 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 |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | GHS Insurance Company | T1 | No | $5.00 | OK |
| 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 |
| ATRIO Special Needs Plan (HMO D-SNP) | Atrio Health Plans | T1 | No | $10.50 | OR |
| Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | No | $13.10 | PA |
| Provider Partners Illinois Advantage Plan (HMO I-SNP) | Provider Partners Health Plan OF Illinois | T1 | No | $15.20 | IL |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | Gold Kidney OF Arizona | T1 | No | $17.00 | AZ |
| Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | No | $17.60 | PA |
| Alterwood Advantage Dual Value (HMO D-SNP) | Alterwood Advantage, Inc. | T1 | No | $31.20 | MD |
| Highmark Health Options Duals Select (HMO D-SNP) | Highmark Bcbsd, Inc. | T1 | No | $31.20 | DE |
| Valor Health Plan (HMO I-SNP) | TSG Guard, Inc. | T1 | No | $31.40 | OH |
| Provider Partners Pennsylvania Advantage Plan (HMO I-SNP) | Provider Partners Health Plan OF Pennsylvania, Inc | T1 | No | $32.70 | PA |
| Provider Partners Pennsylvania Essential Plan (HMO I-SNP) | Provider Partners Health Plan OF Pennsylvania, Inc | T1 | No | $32.70 | PA |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is 0.8 ML risperidone 150 MG/ML Prefilled Syringe [Perseris] covered by Medicare Part D?
Yes, 0.8 ML risperidone 150 MG/ML Prefilled Syringe [Perseris] is covered by 1,305 Medicare Part D plans (25.8% of all Part D formularies).
What tier is 0.8 ML risperidone 150 MG/ML Prefilled Syringe [Perseris] on Medicare Part D plans?
0.8 ML risperidone 150 MG/ML Prefilled Syringe [Perseris] averages Tier 4.3 across Part D plans, ranging from Tier 1 to Tier 6.
Does 0.8 ML risperidone 150 MG/ML Prefilled Syringe [Perseris] require prior authorization?
13.3% of Part D formularies require prior authorization for 0.8 ML risperidone 150 MG/ML Prefilled Syringe [Perseris]. Step therapy: 0%. Quantity limits: 83.2%.
How much does Medicare spend on 0.8 ML risperidone 150 MG/ML Prefilled Syringe [Perseris]?
In 2023, total Medicare Part D spending on 0.8 ML risperidone 150 MG/ML Prefilled Syringe [Perseris] was $42,762,977, covering 2,832 beneficiaries. The average spend per beneficiary was $15,099.92.
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
- nitisinone 2 MG Oral Capsule T4.3
- Pediatric 1.5 ML leuprolide acetate 7.5 MG/ML Prefilled Syringe [Lupron] T4.3
- nafarelin 0.2 MG/ACTUAT Metered Dose Nasal Spray [Synarel] T4.3
- 10 ML immunoglobulin G, human 100 MG/ML Injection [Gammaked] T4.3
- C1 esterase inhibitor (human) 500 UNT Injection [Berinert] T4.3
- 0.6 ML risperidone 150 MG/ML Prefilled Syringe [Perseris] T4.3
Similar prior-authorization rate
- 2.25 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Erzofri] 13.3% PA
- quetiapine 25 MG Oral Tablet 13.4% PA
- quetiapine 100 MG Oral Tablet 13.4% PA
- haloperidol 0.5 MG Oral Tablet 13.4% PA
- haloperidol 5 MG Oral Tablet 13.4% PA
- haloperidol 10 MG Oral Tablet 13.4% PA