Does Kaiser Permanente Sr Advantage LA, Orange Value (HMO) cover everolimus?
Kaiser Permanente Sr Advantage LA, Orange Value (HMO)
H0524-078-0 · MA_LOCAL · Medicare Part D
everolimus
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.
everolimusunder Kaiser Permanente Sr Advantage LA, Orange Value (HMO)
Covered — some forms require prior authorization
4 of 15 covered forms have a condition attached. Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
$0per 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.
- Tier
- Tier 2
- Approval first
- Required
- Try another first
- No
- Amount limit
- None
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 (15)
- everolimus 0.25 MG Oral TabletTier 4Approval first
- everolimus 0.5 MG Oral TabletTier 4Approval first
- everolimus 0.75 MG Oral TabletTier 4Approval first
- everolimus 1 MG Oral TabletTier 5Approval first
- everolimus 10 MG Oral TabletTier 2
- everolimus 10 MG Oral Tablet [Torpenz]Tier 5
- everolimus 2 MG Tablet for Oral SuspensionTier 5
- everolimus 2.5 MG Oral TabletTier 2
- everolimus 2.5 MG Oral Tablet [Torpenz]Tier 5
- everolimus 3 MG Tablet for Oral SuspensionTier 5
- everolimus 5 MG Oral TabletTier 2
- everolimus 5 MG Oral Tablet [Torpenz]Tier 5
- everolimus 5 MG Tablet for Oral SuspensionTier 5
- everolimus 7.5 MG Oral TabletTier 2
- everolimus 7.5 MG Oral Tablet [Torpenz]Tier 5