FillMapWellcare Absolute Total Care Dual Align (HMO D-SNP)

Does Wellcare Absolute Total Care Dual Align (HMO D-SNP) cover iloperidone?

Wellcare Absolute Total Care Dual Align (HMO D-SNP)
H5272-001-0 · MA_LOCAL · Medicare Part D
iloperidone
Your Extra Help level

Everyone on this plan has Medicare and Medicaid, which qualifies you for Extra Help automatically — so the figures below already use the statutory copays, not this plan’s published cost sharing. Nothing here is saved.

Full Extra Help: no deductible, and at most $5.10 generic or $12.65 brand-name per fill.

Optional. Some plans charge less at a preferred pharmacy. Enter your ZIP to see which pharmacies near you take this plan — pick yours and the price above is re-worked for it. Until you do, we show what a standard pharmacy costs. Nothing here is saved.

iloperidoneunder Wellcare Absolute Total Care Dual Align (HMO D-SNP)
Covered — requires step therapy
You may need to try a cheaper medication first — your doctor’s office handles it.
What you'd pay
$100per 30-day fill

Part D caps what you pay out of pocket at $2,100 for 2026. Before that, you pay the full price until you have paid $480 this year.

This plan charges the same at every pharmacy in its network — where you fill it will not change this figure.

Amount limit applies — how much depends on the strength you are prescribed — the cap for each one is listed below. You can still fill it; more than that needs your plan's approval, which your doctor's office requests.
Tier
Tier 4
Approval first
Not needed
Try another first
Required
Amount limit
Varies by strength
Talk to your pharmacist or doctor before acting on anything here. They can see your full history and this page cannot. Never start, stop, or switch a medication based on it. Coverage rules change and plans make exceptions — your pharmacy can check your exact benefit in seconds.As of Sep 16, 2026 · CMS Part D monthly PUF. Reference information, not medical advice and not a price.

Covered forms and strengths (10)

  • {2 (iloperidone 1 MG Oral Tablet [Fanapt]) / 2 (iloperidone 2 MG Oral Tablet [Fanapt]) / 2 (iloperidone 4 MG Oral Tablet [Fanapt]) / 2 (iloperidone 6 MG Oral Tablet [Fanapt]) } Pack [Fanapt Titration Pack]Tier 4Try another first8 packs per 180 days
  • {4 (iloperidone 1 MG Oral Tablet [Fanapt]) / 2 (iloperidone 2 MG Oral Tablet [Fanapt]) / 2 (iloperidone 6 MG Oral Tablet [Fanapt]) } Pack [Fanapt Titration Pack C]Tier 4Try another first8 per 180 days
  • {6 (iloperidone 1 MG Oral Tablet [Fanapt]) / 2 (iloperidone 2 MG Oral Tablet [Fanapt]) / 2 (iloperidone 6 MG Oral Tablet [Fanapt]) / 2 (iloperidone 8 MG Oral Tablet [Fanapt]) } Pack [Fanapt Titration Pack B]Tier 4Try another first12 per 180 days
  • iloperidone 1 MG Oral Tablet [Fanapt]Tier 5Try another first60 tablets per 30 days
  • iloperidone 10 MG Oral Tablet [Fanapt]Tier 5Try another first60 tablets per 30 days
  • iloperidone 12 MG Oral Tablet [Fanapt]Tier 5Try another first60 tablets per 30 days
  • iloperidone 2 MG Oral Tablet [Fanapt]Tier 5Try another first60 tablets per 30 days
  • iloperidone 4 MG Oral Tablet [Fanapt]Tier 5Try another first60 tablets per 30 days
  • iloperidone 6 MG Oral Tablet [Fanapt]Tier 5Try another first60 tablets per 30 days
  • iloperidone 8 MG Oral Tablet [Fanapt]Tier 5Try another first60 tablets per 30 days

← All coverage for iloperidone