FillMapAstiva Health C-SNP WOW - NorCal (HMO C-SNP)

Does Astiva Health C-SNP WOW - NorCal (HMO C-SNP) cover paliperidone?

Astiva Health C-SNP WOW - NorCal (HMO C-SNP)
H1993-013-0 · MA_LOCAL · Medicare Part D
paliperidone
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.

paliperidoneunder Astiva Health C-SNP WOW - NorCal (HMO C-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. 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 — 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 (21)

  • 0.25 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Erzofri]Tier 50.25 syringes per 21 days
  • 0.25 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Invega]Tier 30.25 mL per 21 days
  • 0.5 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Erzofri]Tier 50.5 syringes per 21 days
  • 0.5 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Invega]Tier 50.5 mL per 21 days
  • 0.75 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Erzofri]Tier 50.75 syringes per 21 days
  • 0.75 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Invega]Tier 50.75 mL per 21 days
  • 0.88 ML paliperidone palmitate 310 MG/ML Prefilled Syringe [Invega]Tier 50.88 mL per 70 days
  • 1 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Erzofri]Tier 51 syringe per 21 days
  • 1 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Invega]Tier 51 mL per 21 days
  • 1.32 ML paliperidone palmitate 311 MG/ML Prefilled Syringe [Invega]Tier 51.32 mL per 70 days
  • 1.5 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Erzofri]Tier 51.5 syringes per 21 days
  • 1.5 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Invega]Tier 51.5 mL per 21 days
  • 1.75 ML paliperidone palmitate 312 MG/ML Prefilled Syringe [Invega]Tier 51.75 mL per 70 days
  • 2.25 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Erzofri]Tier 52.25 syringes per 21 days
  • 2.63 ML paliperidone palmitate 311 MG/ML Prefilled Syringe [Invega]Tier 52.63 mL per 70 days
  • 24 HR paliperidone 1.5 MG Extended Release Oral TabletTier 430 tablets per 30 days
  • 24 HR paliperidone 3 MG Extended Release Oral TabletTier 430 tablets per 30 days
  • 24 HR paliperidone 6 MG Extended Release Oral TabletTier 460 tablets per 30 days
  • 24 HR paliperidone 9 MG Extended Release Oral TabletTier 430 tablets per 30 days
  • 3.5 ML paliperidone palmitate 312 MG/ML Prefilled Syringe [Invega]Tier 53.5 mL per 166 days
  • 5 ML paliperidone palmitate 312 MG/ML Prefilled Syringe [Invega]Tier 55 mL per 166 days

← All coverage for paliperidone