FillMapThe Health Plan SecureCare Capitol Plan (HMO)

Does The Health Plan SecureCare Capitol Plan (HMO) cover ustekinumab?

The Health Plan SecureCare Capitol Plan (HMO)
H3672-023-0 · MA_LOCAL · Medicare Part D
ustekinumab
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.

ustekinumabunder The Health Plan SecureCare Capitol Plan (HMO)
Covered — requires prior authorization
Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
20%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. Before that, you pay the full price until you have paid $250 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
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 (16)

  • 0.5 ML ustekinumab 90 MG/ML InjectionTier 5Approval first0.5 mL per 28 days
  • 0.5 ML ustekinumab 90 MG/ML Injection [Stelara]Tier 5Approval first0.5 mL per 28 days
  • 0.5 ML ustekinumab-aauz 90 MG/ML Injection [Otulfi]Tier 3Approval first0.5 mL per 28 days
  • 0.5 ML ustekinumab-aauz 90 MG/ML Prefilled Syringe [Otulfi]Tier 3Approval first0.5 mL per 28 days
  • 0.5 ML ustekinumab-aekn 90 MG/ML Injection [Selarsdi]Tier 3Approval first0.5 mL per 28 days
  • 0.5 ML ustekinumab-aekn 90 MG/ML Prefilled SyringeTier 3Approval first0.5 mL per 28 days
  • 0.5 ML ustekinumab-aekn 90 MG/ML Prefilled Syringe [Selarsdi]Tier 3Approval first0.5 mL per 28 days
  • 0.5 ML ustekinumab-kfce 90 MG/ML Injection [Yesintek]Tier 3Approval first0.5 mL per 28 days
  • 0.5 ML ustekinumab-kfce 90 MG/ML Prefilled Syringe [Yesintek]Tier 3Approval first0.5 mL per 28 days
  • 0.5 ML ustekinumab-ttwe 90 MG/ML Injection [Pyzchiva]Tier 3Approval first0.5 mL per 28 days
  • 0.5 ML ustekinumab-ttwe 90 MG/ML Prefilled Syringe [Pyzchiva]Tier 3Approval first0.5 mL per 28 days
  • 1 ML ustekinumab-aauz 90 MG/ML Prefilled Syringe [Otulfi]Tier 5Approval first1 mL per 28 days
  • 1 ML ustekinumab-aekn 90 MG/ML Prefilled SyringeTier 5Approval first1 mL per 28 days
  • 1 ML ustekinumab-aekn 90 MG/ML Prefilled Syringe [Selarsdi]Tier 5Approval first1 mL per 28 days
  • 1 ML ustekinumab-kfce 90 MG/ML Prefilled Syringe [Yesintek]Tier 5Approval first1 mL per 28 days
  • 1 ML ustekinumab-ttwe 90 MG/ML Prefilled Syringe [Pyzchiva]Tier 5Approval first1 mL per 28 days

← All coverage for ustekinumab