FillMapSelect Health Medicare Essential (HMO)

Does Select Health Medicare Essential (HMO) cover paliperidone?

Select Health Medicare Essential (HMO)
H1994-012-0 · 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 Select Health Medicare Essential (HMO)
Covered — some forms require prior authorization
17 of 21 covered forms have a condition attached. Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
$47per 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
Required
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 5Approval first0.25 syringes per 28 days
  • 0.25 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Invega]Tier 4Approval first
  • 0.5 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Erzofri]Tier 5Approval first0.5 syringes per 28 days
  • 0.5 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Invega]Tier 5Approval first
  • 0.75 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Erzofri]Tier 5Approval first0.75 syringes per 28 days
  • 0.75 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Invega]Tier 5Approval first
  • 0.88 ML paliperidone palmitate 310 MG/ML Prefilled Syringe [Invega]Tier 5Approval first0.88 mL per 90 days
  • 1 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Erzofri]Tier 5Approval first1 syringe per 28 days
  • 1 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Invega]Tier 5Approval first
  • 1.32 ML paliperidone palmitate 311 MG/ML Prefilled Syringe [Invega]Tier 5Approval first1.32 mL per 90 days
  • 1.5 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Erzofri]Tier 5Approval first1.5 syringes per 28 days
  • 1.5 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Invega]Tier 5Approval first
  • 1.75 ML paliperidone palmitate 312 MG/ML Prefilled Syringe [Invega]Tier 5Approval first1.75 mL per 90 days
  • 2.25 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Erzofri]Tier 5Approval first2.25 syringes per 28 days
  • 2.63 ML paliperidone palmitate 311 MG/ML Prefilled Syringe [Invega]Tier 5Approval first2.63 mL per 90 days
  • 24 HR paliperidone 1.5 MG Extended Release Oral TabletTier 330 tablets per 30 days
  • 24 HR paliperidone 3 MG Extended Release Oral TabletTier 330 tablets per 30 days
  • 24 HR paliperidone 6 MG Extended Release Oral TabletTier 360 tablets per 30 days
  • 24 HR paliperidone 9 MG Extended Release Oral TabletTier 330 tablets per 30 days
  • 3.5 ML paliperidone palmitate 312 MG/ML Prefilled Syringe [Invega]Tier 5Approval first3.5 mL per 180 days
  • 5 ML paliperidone palmitate 312 MG/ML Prefilled Syringe [Invega]Tier 5Approval first5 mL per 180 days

← All coverage for paliperidone