Medicare Part D coverage · 1 · RxCUI 2705401
1 ML ustekinumab-aekn 90 MG/ML Prefilled Syringe [Selarsdi]
Per the CMS 2026 Part D formulary file, 1 ML ustekinumab-aekn 90 MG/ML Prefilled Syringe [Selarsdi] is covered by 978 Medicare Part D plans (19.4% of enrollable products), averaging Tier 3.9, with prior authorization required on 96.6% of covering formularies.
- 19.4%
- Plan coverage
- 978
- Plans covering
- T3.9
- Avg tier
- 96.6%
- Prior auth required
What the CMS Formulary Data Shows for 1 ML ustekinumab-aekn 90 MG/ML Prefilled Syringe [Selarsdi]
Per the CMS 2026 Part D formulary file, 1 ML ustekinumab-aekn 90 MG/ML Prefilled Syringe [Selarsdi] (RxNorm concept RXCUI 2705401, generic name 1) appears on 119 distinct formulary files spanning 978 Medicare Part D plan offerings - 19.4% 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 3.9.
Real-world access to 1 ML ustekinumab-aekn 90 MG/ML Prefilled Syringe [Selarsdi] depends on utilization management as much as tier placement: 96.6% of covering formularies require prior authorization. 0% require step therapy. 53.8% 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 1 ML ustekinumab-aekn 90 MG/ML Prefilled Syringe [Selarsdi] today.
Coverage Details
- Formularies covering
- 119
- Plans covering
- 978
- Coverage rate
- 19.4%
- Tier range
- Tier 1 – Tier 5
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 96.6% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 53.8% of formularies
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering 1 ML ustekinumab-aekn 90 MG/ML Prefilled Syringe [Selarsdi]
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Sentara Community Complete Select (HMO D-SNP) | Sentara Health Plans | T1 | Yes | $0 | VA |
| Sentara Community Complete (HMO D-SNP) | Sentara Health Plans | T1 | Yes | $0 | VA |
| ElderServe MAP (HMO D-SNP) | Elderserve Health, Inc. | T1 | Yes | $0 | NY |
| Cooperative Advantage (HMO D-SNP) | Group Health Cooperative OF EAU Claire | T1 | Yes | $0 | WI |
| Longevity Health Plan (PPO I-SNP) | Longevity Health Plan OF NEW Jersey Insurance Comp | T1 | Yes | $0 | NJ |
| Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP) | Upper Peninsula Health Plan, LLC | T1 | Yes | $0 | MI |
| CareSource Dual Advantage (HMO D-SNP) | Caresource Georgia Co. | T1 | Yes | $0 | GA |
| HAP CareSource MI Coordinated Health (HMO D-SNP) | HAP Caresource | T1 | Yes | $0 | MI |
| 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 | Yes | $0 | CO |
| AllCare Advantage Redwood Rx (HMO D-SNP) | Allcare Health Plan, Inc. | T1 | Yes | $0 | OR |
| PrimeWest Senior Health Complete (HMO D-SNP) | Primewest Rural MN Health Care Access Initiative | T1 | Yes | $0 | MN |
| Prime Health Complete (HMO D-SNP) | Primewest Rural MN Health Care Access Initiative | T1 | Yes | $0 | MN |
| Alterwood Advantage Dual Secure (HMO D-SNP) | Alterwood Advantage, Inc. | T1 | Yes | $0 | MD |
| Nascentia Dual Advantage (HMO D-SNP) | Visiting Nurse Association OF Central NEW York | T1 | Yes | $0 | NY |
| Abilis Health Community (HMO I-SNP) | Signature Advantage, LLC | T1 | Yes | $0 | KY, TN |
| Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) | Arkansas Superior Select, Inc. | T1 | Yes | $0 | AR |
| CalOptima Health OneCare Complete (HMO D-SNP) | Orange County Health Authority | T1 | Yes | $0 | CA |
Show the next 30 plans
| Longevity Health Plan (HMO I-SNP) | Longevity Health Plan OF Florida, Inc. | T1 | Yes | $4.80 | FL |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | Gold Kidney OF Florida Inc | T1 | Yes | $4.80 | FL |
| Texas Independence Health Plan, Inc. (HMO I-SNP) | Texas Independence Health Plan, Inc. | T1 | Yes | $4.80 | TX |
| Texas Independence Community Plan (HMO I-SNP) | Texas Independence Health Plan, Inc. | T1 | Yes | $4.80 | TX |
| Longevity Health Plan (HMO I-SNP) | Longevity Health Plan OF Michigan, Inc. | T1 | Yes | $8.80 | MI |
| Tribute Select (HMO-POS I-SNP) | Arkansas Superior Select, Inc. | T1 | Yes | $8.90 | AR |
| ATRIO Special Needs Plan (HMO D-SNP) | Atrio Health Plans | T1 | Yes | $10.50 | OR |
| ATRIO Special Needs Plan (HMO D-SNP) | Atrio Health Plans | T1 | Yes | $10.50 | OR |
| Longevity Health Plan (HMO I-SNP) | Longevity Health Plan OF Illinois, Inc. | T1 | Yes | $15.20 | IL |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | Gold Kidney OF Arizona | T1 | Yes | $17.00 | AZ |
| WellSense Added Value (HMO) | Boston Medical Center Health Plan, Inc. | T1 | Yes | $21.70 | NH |
| Alterwood Advantage Dual Value (HMO D-SNP) | Alterwood Advantage, Inc. | T1 | Yes | $31.20 | MD |
| Valor Health Plan (HMO I-SNP) | TSG Guard, Inc. | T1 | Yes | $31.40 | OH |
| WV Senior Advantage (HMO I-SNP) | West Virginia Senior Advantage, Inc. | T1 | Yes | $32.70 | WV |
| Longevity Health Plan (HMO I-SNP) | Longevity Health Plan OF Colorado, Inc. | T1 | Yes | $35.20 | CO |
| Abilis Health (HMO I-SNP) | Signature Advantage, LLC | T1 | Yes | $35.90 | KY, TN |
| Longevity Health Plan (HMO I-SNP) | Longevity Health Plan OF North Carolina, Inc. | T1 | Yes | $36.20 | NC |
| CommuniCare Advantage ISNP (HMO I-SNP) | OH CHS SNP Inc. | T1 | Yes | $38.40 | IN, MD, OH |
| Longevity Health Plan (PPO I-SNP) | Longevity Health Plan OF NEW Jersey Insurance Comp | T1 | Yes | $40.00 | NJ |
| ElderServe Star (HMO I-SNP) | Elderserve Health, Inc. | T1 | Yes | $58.80 | NY |
| Longevity Health Plan (HMO I-SNP) | Longevity Health Plan OF NEW York, Inc. | T1 | Yes | $58.80 | NY |
| Nascentia Skilled Nursing Facility (HMO I-SNP) | Visiting Nurse Association OF Central NEW York | T1 | Yes | $58.80 | NY |
| Medicare BlueEssential (PPO) | Excellus Health Plan, Inc. | T3 | Yes | $0 | NY |
| Medicare BlueActive (PPO) | Excellus Health Plan, Inc. | T3 | Yes | $0 | NY |
| Medicare BlueVital (PPO) | Excellus Health Plan, Inc. | T3 | Yes | $0 | NY |
| Univera SeniorChoice Basic (HMO) | Excellus Health Plan, Inc. | T3 | Yes | $0 | NY |
| Univera SeniorChoice Extra (HMO) | Excellus Health Plan, Inc. | T3 | Yes | $0 | NY |
| Medicare Blue Choice Core (HMO) | Excellus Health Plan, Inc. | T3 | Yes | $0 | NY |
| Univera Medicare Dual (HMO D-SNP) | Excellus Health Plan Community Care LLC | T3 | Yes | $0 | NY |
| Medicare Blue Dual (HMO D-SNP) | Excellus Health Plan Community Care LLC | T3 | Yes | $0 | NY |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is 1 ML ustekinumab-aekn 90 MG/ML Prefilled Syringe [Selarsdi] covered by Medicare Part D?
Yes, 1 ML ustekinumab-aekn 90 MG/ML Prefilled Syringe [Selarsdi] is covered by 978 Medicare Part D plans (19.4% of all Part D formularies).
What tier is 1 ML ustekinumab-aekn 90 MG/ML Prefilled Syringe [Selarsdi] on Medicare Part D plans?
1 ML ustekinumab-aekn 90 MG/ML Prefilled Syringe [Selarsdi] averages Tier 3.9 across Part D plans, ranging from Tier 1 to Tier 5.
Does 1 ML ustekinumab-aekn 90 MG/ML Prefilled Syringe [Selarsdi] require prior authorization?
96.6% of Part D formularies require prior authorization for 1 ML ustekinumab-aekn 90 MG/ML Prefilled Syringe [Selarsdi]. Step therapy: 0%. Quantity limits: 53.8%.
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
Similar prior-authorization rate
- 0.5 ML ustekinumab-aekn 90 MG/ML Prefilled Syringe [Selarsdi] 96.6% PA
- 10 ML acyclovir 50 MG/ML Injection 96.6% PA
- tretinoin 0.5 MG/ML Topical Lotion [Altreno] 96.6% PA
- 0.3 ML darbepoetin alfa 0.5 MG/ML Prefilled Syringe [Aranesp] 96.6% PA
- 0.4 ML darbepoetin alfa 0.5 MG/ML Prefilled Syringe [Aranesp] 96.6% PA
- 0.6 ML darbepoetin alfa 0.5 MG/ML Prefilled Syringe [Aranesp] 96.6% PA