Does Premier Care (HMO I-SNP) cover siponimod?
Premier Care (HMO I-SNP)
H3274-002-0 · MA_LOCAL · Medicare Part D
siponimod
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.
siponimodunder Premier Care (HMO I-SNP)
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
$45per 30-day fill
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 — 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 3
- Approval first
- Not needed
- Try another first
- No
- 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 (5)
- {12 (siponimod 0.25 MG Oral Tablet [Mayzent]) } Pack [Mayzent 2 MG Starter Pack]Tier 512 tablets per 28 days
- {7 (siponimod 0.25 MG Oral Tablet [Mayzent]) } Pack [Mayzent 1 MG Starter Pack]Tier 37 tablets per 28 days
- siponimod 0.25 MG Oral Tablet [Mayzent]Tier 5112 tablets per 28 days
- siponimod 1 MG Oral Tablet [Mayzent]Tier 530 tablets per 30 days
- siponimod 2 MG Oral Tablet [Mayzent]Tier 530 tablets per 30 days