Does Aetna Medicare Value Plus (HMO) cover denosumab?
Aetna Medicare Value Plus (HMO)
H3146-012-0 · MA_LOCAL · Medicare Part D
denosumab
Do you get help with your Medicare drug costs?None of these
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.
denosumabunder Aetna Medicare Value Plus (HMO)
Covered — some forms require prior authorization
2 of 4 covered forms have a condition attached. Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
25%of the price your plan negotiates
Medicare hasn’t published this plan’s negotiated price for this drug yet — that file is updated every three months, and newly launched drugs appear in it late. Your pharmacy can quote the exact amount today. 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 $615 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 — this plan covers 1 mL per 180 days. You can still fill it — more than that needs your plan's approval, which your doctor's office requests.
- Tier
- Tier 4
- Approval first
- Required
- Try another first
- No
- Amount limit
- 1 mL per 180 days
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 (4)
- 1 ML denosumab-dssb 60 MG/ML Prefilled Syringe [Ospomyv]Tier 41 per 180 days
- 1 ML denosumab-nxxp 60 MG/ML Prefilled Syringe [Bildyos]Tier 41 mL per 180 days
- 1.7 ML denosumab-bbdz 70 MG/ML Injection [Wyost]Tier 5Approval first
- 1.7 ML denosumab-nxxp 70 MG/ML Injection [Bilprevda]Tier 5Approval first