Medicare Part D coverage · 1.5 · RxCUI 1872261

1.5 ML brodalumab 140 MG/ML Prefilled Syringe [Siliq]

Per the CMS 2026 Part D formulary file, 1.5 ML brodalumab 140 MG/ML Prefilled Syringe [Siliq] is covered by 183 Medicare Part D plans (3.6% of enrollable products), averaging Tier 4.4, with prior authorization required on 94.1% of covering formularies.

3.6%
Plan coverage
183
Plans covering
T4.4
Avg tier
94.1%
Prior auth required

Verify with CMS →

Important: Drug coverage and costs vary by plan and location. Verify coverage directly with your Medicare plan before filling a prescription. This is informational data only and should not replace advice from your healthcare provider or pharmacist.

What the CMS Formulary Data Shows for 1.5 ML brodalumab 140 MG/ML Prefilled Syringe [Siliq]

Per the CMS 2026 Part D formulary file, 1.5 ML brodalumab 140 MG/ML Prefilled Syringe [Siliq] (RxNorm concept RXCUI 1872261, generic name 1.5) appears on 17 distinct formulary files spanning 183 Medicare Part D plan offerings - 3.6% 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 4.4.

Real-world access to 1.5 ML brodalumab 140 MG/ML Prefilled Syringe [Siliq] depends on utilization management as much as tier placement: 94.1% of covering formularies require prior authorization. 0% require step therapy. 82.4% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 218 Part D beneficiaries filled 1.5 ML brodalumab 140 MG/ML Prefilled Syringe [Siliq] in 2023, with total plan-and-beneficiary spending of $10,003,559 and an average per-beneficiary annual cost of $45,887.88. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry 1.5 ML brodalumab 140 MG/ML Prefilled Syringe [Siliq] today.

Coverage Details

Formularies covering
17
Plans covering
183
Coverage rate
3.6%
Tier range
Tier 1 – Tier 5
Average tier
Tier 4, Non-Preferred

Restrictions

Prior authorization required
94.1% of formularies
Step therapy required
0% of formularies
Quantity limits
82.4% of formularies

2023 Medicare Spending

Beneficiaries
218
Total spending
$10,003,559
Avg per beneficiary
$45,887.88

Tier Distribution Across Plans

3 plans
Tier 1, Preferred Generic
1 plans
Tier 2, Generic
96 plans
Tier 5, Specialty

Medicare Advantage Plans (MA-PD) Covering 1.5 ML brodalumab 140 MG/ML Prefilled Syringe [Siliq]

100 Medicare Advantage plans with Part D drug coverage include this drug.

Plan Insurer Tier PA Premium States
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
CalOptima Health OneCare Complete (HMO D-SNP) Orange County Health Authority T2 Yes $0 CA
Community Blue Medicare HMO Signature (HMO) Highmark Western and Northeastern New York Inc. T5 Yes $0 NY
Community Blue Medicare HMO Merit (HMO) Highmark Western and Northeastern New York Inc. T5 Yes $0 NY
Community Blue Medicare PPO Signature (PPO) Highmark Senior Health Company T5 Yes $0 PA
Complete Blue PPO Signature (PPO) Highmark Senior Health Company T5 Yes $0 PA
Community Blue Medicare Plus PPO Signature (PPO) Highmark Senior Health Company T5 Yes $0 PA
Complete Blue PPO Signature (PPO) Highmark Senior Health Company T5 Yes $0 PA
Complete Blue PPO Merit (PPO) Highmark Senior Health Company T5 Yes $0 PA
Complete Blue PPO Signature (PPO) Highmark Senior Health Company T5 Yes $0 PA
Complete Blue PPO Distinct (PPO) Highmark Senior Health Company T5 Yes $0 PA
Community Blue Medicare Plus PPO Signature (PPO) Highmark Senior Health Company T5 Yes $0 PA
Complete Blue Plus PPO Merit (PPO) Highmark Senior Health Company T5 Yes $0 PA
Community Blue Medicare PPO Signature (PPO) Highmark Senior Health Company T5 Yes $0 PA
Complete Blue PPO Merit (PPO) Highmark Senior Health Company T5 Yes $0 PA
Community Blue Medicare HMO Signature (HMO) Highmark Choice Company T5 Yes $0 PA
Security Blue HMO-POS ValueRx (HMO-POS) Highmark Choice Company T5 Yes $0 PA
Community Blue Medicare HMO Signature (HMO) Highmark Choice Company T5 Yes $0 PA
Show the next 30 plans
Together Blue Medicare HMO Signature (HMO) Highmark Choice Company T5 Yes $0 PA
Community Blue Medicare HMO Distinct (HMO) Highmark Choice Company T5 Yes $0 PA
Complete Blue HMO Distinct (HMO) Highmark Choice Company T5 Yes $0 PA
Complete Blue PPO Distinct (PPO) Highmark Senior Solutions Company T5 Yes $0 WV
Complete Blue PPO Signature (PPO) Highmark Senior Solutions Company T5 Yes $0 WV
Complete Blue PPO Signature (PPO) Highmark Senior Solutions Company T5 Yes $0 WV
Complete Blue PPO Merit (PPO) Highmark Senior Solutions Company T5 Yes $0 WV
Complete Blue PPO Signature (PPO) Highmark Bcbsd Inc. T5 Yes $0 DE
Troy Medicare (HMO) Troy Health, Inc. T5 Yes $0 NC
Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) Troy Health, Inc. T5 Yes $0 NC
Contra Costa Health Care Plus (HMO D-SNP) Contra Costa County Medical Service DBA Contra Costa Health T5 Yes $0 CA
Keystone First VIP Choice (HMO D-SNP) Vista Health Plan, Inc. T5 Yes $0 PA
AmeriHealth Caritas VIP Care (HMO D-SNP) Vista Health Plan, Inc. T5 Yes $0 PA
First Choice VIP Care (HMO D-SNP) Select Health OF South Carolina, Inc. T5 Yes $0 SC
AmeriHealth Caritas VIP Care (HMO D-SNP) AmeriHealth Caritas VIP Next, Inc. T5 Yes $0 DE
AmeriHealth Caritas VIP Care Choice (HMO D-SNP) AmeriHealth Caritas VIP Next, Inc. T5 Yes $0 DE
AmeriHealth Caritas VIP Care (HMO D-SNP) Amerihealth Caritas Florida, Inc. T5 Yes $0 FL
AmeriHealth Caritas VIP Care (HMO D-SNP) Amerihealth Caritas Louisiana, Inc. T5 Yes $0 LA
AmeriHealth Caritas VIP Care (HMO D-SNP) Amerihealth Caritas North Carolina, Inc. T5 Yes $0 NC
AmeriHealth Caritas VIP Care (HMO D-SNP) Amerihealth Michigan, Inc. T5 Yes $0 MI
Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage Enhanced Solano (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage Inland Empire (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Sr Adv Enhanced Marin San Mateo (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage Ventura (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage Enhanced Kern (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage Basic Kern (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage San Diego (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage Enhanced Stanis (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA

Showing top 50 of 100 plans.

Frequently Asked Questions

Is 1.5 ML brodalumab 140 MG/ML Prefilled Syringe [Siliq] covered by Medicare Part D?

Yes, 1.5 ML brodalumab 140 MG/ML Prefilled Syringe [Siliq] is covered by 183 Medicare Part D plans (3.6% of all Part D formularies).

What tier is 1.5 ML brodalumab 140 MG/ML Prefilled Syringe [Siliq] on Medicare Part D plans?

1.5 ML brodalumab 140 MG/ML Prefilled Syringe [Siliq] averages Tier 4.4 across Part D plans, ranging from Tier 1 to Tier 5.

Does 1.5 ML brodalumab 140 MG/ML Prefilled Syringe [Siliq] require prior authorization?

94.1% of Part D formularies require prior authorization for 1.5 ML brodalumab 140 MG/ML Prefilled Syringe [Siliq]. Step therapy: 0%. Quantity limits: 82.4%.

How much does Medicare spend on 1.5 ML brodalumab 140 MG/ML Prefilled Syringe [Siliq]?

In 2023, total Medicare Part D spending on 1.5 ML brodalumab 140 MG/ML Prefilled Syringe [Siliq] was $10,003,559, covering 218 beneficiaries. The average spend per beneficiary was $45,887.88.

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.

Data sourced from the Centers for Medicare & Medicaid Services (CMS). See our methodology for details. Retrieved and formatted by PlainMedicare