Does Advantage Care (HMO) cover peginterferon beta-1a?
Advantage Care (HMO)
H3274-005-0 · MA_LOCAL · Medicare Part D
peginterferon beta-1a
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.
peginterferon beta-1aunder Advantage Care (HMO)
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
33%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. From the first fill — no deductible on this drug.
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 syringe per 28 days. You can still fill it — more than that needs your plan's approval, which your doctor's office requests.
- Tier
- Tier 5
- Approval first
- Not needed
- Try another first
- No
- Amount limit
- 1 syringe per 28 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 (2)
- 0.5 ML peginterferon beta-1a 0.25 MG/ML Auto-Injector [Plegridy]Tier 51 pen per 28 days
- 0.5 ML peginterferon beta-1a 0.25 MG/ML Prefilled Syringe [Plegridy]Tier 51 syringe per 28 days