28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo]
RxCUI: 1435117
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.
21.9%
Plan Coverage
1,109
Plans Covering
T4.7
Avg Tier
94.1%
Prior Auth Required
What the CMS Formulary Data Shows for 28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo]
Per the CMS 2026 Part D formulary file, 28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo] (RxNorm concept RXCUI 1435117) appears on 34 distinct formulary files spanning 1,109 Medicare Part D plan offerings - 21.9% 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 4.7.
Real-world access to 28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo] depends on utilization management as much as tier placement: 94.1% of covering formularies require prior authorization. 0% require step therapy. 38.2% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 15,602 Part D beneficiaries filled 28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo] in 2023, with total plan-and-beneficiary spending of $425,012,975 and an average per-beneficiary annual cost of $27,240.93. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry 28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo] today.
Coverage Details
- Formularies covering
- 34
- Plans covering
- 1,109
- Coverage rate
- 21.9%
- Tier range
- Tier 1 – Tier 5
- Average tier
- Tier 5, Specialty
Restrictions
- Prior authorization required
- 94.1% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 38.2% of formularies
2023 Medicare Spending
- Beneficiaries
- 15,602
- Total spending
- $425,012,975
- Avg per beneficiary
- $27,240.93
Tier Distribution Across Plans
24 plans
Tier 1, Preferred Generic
76 plans
Tier 5, Specialty
Standalone Drug Plans (PDP) Covering 28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo]
26 standalone prescription drug plans include this drug.
| Plan | Insurer | Tier | PA | ST | Premium | States |
|---|---|---|---|---|---|---|
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T5 | Yes | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T5 | Yes | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T5 | Yes | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T5 | Yes | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T5 | Yes | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T5 | Yes | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T5 | Yes | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T5 | Yes | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T5 | Yes | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T5 | Yes | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T5 | Yes | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T5 | Yes | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T5 | Yes | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T5 | Yes | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T5 | Yes | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T5 | Yes | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T5 | Yes | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T5 | Yes | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T5 | Yes | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T5 | Yes | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T5 | Yes | No | $0 | - |
| Humana Value Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T5 | Yes | No | $0 | - |
| Humana Value Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T5 | Yes | No | $0 | - |
| Humana Value Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T5 | Yes | No | $0 | - |
| Humana Value Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T5 | Yes | No | $0 | - |
| Humana Value Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T5 | Yes | No | $0 | - |
Medicare Advantage Plans (MA-PD) Covering 28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo]
74 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 | Yes | $0 | NY |
| Provider Partners Pennsylvania Community Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC | T1 | Yes | $0 | PA |
| Provider Partners North Carolina Community Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA | T1 | Yes | $0 | NC |
| Provider Partners Indiana Community Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN OF INDIANA | T1 | Yes | $0 | IN |
| Provider Partners Maryland Community Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN, INC. | T1 | Yes | $0 | MD |
| Provider Partners Missouri Community Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC. | T1 | Yes | $0 | MO |
| Platino Blindao (HMO D-SNP) | TRIPLE S ADVANTAGE, INC. | T1 | Yes | $0 | PR |
| Platino Enlace (HMO D-SNP) | TRIPLE S ADVANTAGE, INC. | T1 | Yes | $0 | PR |
| PLATINO ADVANCE (HMO D-SNP) | TRIPLE S ADVANTAGE, INC. | T1 | Yes | $0 | PR |
| PLATINO PLUS (HMO D-SNP) | TRIPLE S ADVANTAGE, INC. | T1 | Yes | $0 | PR |
| Provider Partners Texas Advantage Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC. | T1 | Yes | $4.80 | TX |
| Provider Partners Illinois Advantage Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS | T1 | Yes | $15.20 | IL |
| Provider Partners Maryland Advantage Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN, INC. | T1 | Yes | $31.20 | MD |
| Provider Partners Maryland Essential Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN, INC. | T1 | Yes | $31.20 | MD |
| Provider Partners Pennsylvania Advantage Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC | T1 | Yes | $32.70 | PA |
| Provider Partners Pennsylvania Essential Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC | T1 | Yes | $32.70 | PA |
| Hamaspik Medicare Select (HMO D-SNP) | HAMASPIK, INC. | T1 | Yes | $34.50 | NY |
| Provider Partners North Carolina Advantage Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA | T1 | Yes | $36.20 | NC |
| Provider Partners North Carolina Essential Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA | T1 | Yes | $36.20 | NC |
| Provider Partners Indiana Advantage Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN OF INDIANA | T1 | Yes | $38.40 | IN |
| Provider Partners Indiana Essential Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN OF INDIANA | T1 | Yes | $38.40 | IN |
| Provider Partners Kentucky Advantage Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN OF KENTUCKY | T1 | Yes | $38.40 | KY |
| Provider Partners Missouri Advantage Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC. | T1 | Yes | $43.00 | MO |
| Provider Partners Missouri Essential Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC. | T1 | Yes | $43.00 | MO |
| Personal Choice 65 Achieve Rx (PPO) | QCC INSURANCE COMPANY | T5 | Yes | $0 | PA |
| Keystone 65 Focus Rx (HMO-POS) | KEYSTONE HEALTH PLAN EAST, INC. | T5 | Yes | $0 | PA |
| Keystone 65 Focus Rx (HMO-POS) | KEYSTONE HEALTH PLAN EAST, INC. | T5 | Yes | $0 | PA |
| Keystone 65 Basic Rx (HMO) | KEYSTONE HEALTH PLAN EAST, INC. | T5 | Yes | $0 | PA |
| AmeriHealth Medicare Core (PPO) | AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY | T5 | Yes | $0 | NJ |
| AmeriHealth Medicare Ultimate (PPO) | AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY | T5 | Yes | $0 | NJ |
| eternalHealth Forever (HMO) | ETERNALHEALTH, INC. | T5 | Yes | $0 | MA |
| eternalHealth Freedom (PPO) | ETERNALHEALTH, INC. | T5 | Yes | $0 | MA |
| eternalHealth Give Back (PPO) | ETERNALHEALTH, INC. | T5 | Yes | $0 | MA |
| eternalHealth Horizon (HMO) | ETERNALHEALTH OF ARIZONA INC | T5 | Yes | $0 | AZ |
| eternalHealth Grand Give Back (HMO) | ETERNALHEALTH OF ARIZONA INC | T5 | Yes | $0 | AZ |
| eternalHealth + Fry's Medicare Advantage (HMO) | ETERNALHEALTH OF ARIZONA INC | T5 | Yes | $0 | AZ |
| Senior Care Plus Essential plan (HMO) | HOMETOWN HEALTH PLAN, INC. | T5 | Yes | $0 | NV |
| Senior Care Plus Complete Plan (HMO) | HOMETOWN HEALTH PLAN, INC. | T5 | Yes | $0 | NV |
| Renown Preferred Plan by Senior Care Plus (HMO) | HOMETOWN HEALTH PLAN, INC. | T5 | Yes | $0 | NV |
| Senior Care Plus Extensive Duals Plan (HMO D-SNP) | HOMETOWN HEALTH PLAN, INC. | T5 | Yes | $0 | NV |
| Senior Care Plus Enriched Duals Plan (HMO D-SNP) | HOMETOWN HEALTH PLAN, INC. | T5 | Yes | $0 | NV |
| MyAdvocate Medicare Advantage SILVER (HMO-POS) | BESHP, INC. | T5 | Yes | $0 | NE |
| Great Plain Medicare Advantage Gold (HMO I-SNP) | SANFORD HEALTH PLAN | T5 | Yes | $0 | IA, SD |
| Align ChoicePlus (PPO) | SANFORD HEALTH PLAN OF MINNESOTA | T5 | Yes | $0 | MN |
| Great Plains Medicare Advantage Gold (HMO I-SNP) | GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC. | T5 | Yes | $0 | NE |
| Align ChoicePlus (PPO) | SANFORD HEALTH PLAN | T5 | Yes | $0 | IA, SD |
| Align ChoicePlus (PPO) | SANFORD HEALTH PLAN | T5 | Yes | $0 | ND |
| Great Plains Medicare Advantage Gold (HMO I-SNP) | SANFORD HEALTH PLAN | T5 | Yes | $0 | ND |
| Align Dual Partnership (HMO D-SNP) | SANFORD HEALTH PLAN | T5 | Yes | $0 | ND |
| Ally Rx (HMO D-SNP) | SECURITY HEALTH PLAN OF WISCONSIN, INC. | T5 | Yes | $0 | WI |
Frequently Asked Questions
Is 28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo] covered by Medicare Part D?
Yes, 28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo] is covered by 1,109 Medicare Part D plans (21.9% of all Part D formularies).
What tier is 28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo] on Medicare Part D plans?
28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo] averages Tier 4.7 across Part D plans, ranging from Tier 1 to Tier 5.
Does 28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo] require prior authorization?
94.1% of Part D formularies require prior authorization for 28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo]. Step therapy: 0%. Quantity limits: 38.2%.
How much does Medicare spend on 28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo]?
In 2023, total Medicare Part D spending on 28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo] was $425,012,975, covering 15,602 beneficiaries. The average spend per beneficiary was $27,240.93.
Read our methodology - how this data is sourced, computed, and verified.
Data sourced from the Centers for Medicare & Medicaid Services (CMS). See our methodology for details. Retrieved and formatted by PlainMedicare Editorial