Benefily
Sign inCreate account

Does Medicare Part D cover Risperdal?

Risperdal appears on the Medicare Part D formularies of 35 payers in the corpus. 2 require prior authorization on every covering plan, 0 on some plans, and 33 on none.

Prior authorization is set per plan, not per payer. Pick a payer below for its full plan-by-plan breakdown, effective 2026-06-30.

Coverage by payer

PayerPlans coveringRequire prior authStatus
Humana8170No prior authorization
Centene (WellCare)1970No prior authorization
Kaiser Permanente1150No prior authorization
Cariten Health Plan INC.440No prior authorization
Careplus Health Plans, INC.360No prior authorization
Sunshine State Health Plan, INC.240No prior authorization
Triple S Advantage, INC.220No prior authorization
Harmony Health Plan, INC.190No prior authorization
Superior Healthplan, INC.150No prior authorization
Aetna (CVS Health)100No prior authorization
New York Quality Healthcare Corporation90No prior authorization
Meridian Health Plan Of Michigan, INC.80No prior authorization
American Progressive Life & Hlth Ins Company Of Ny80No prior authorization
Keystone Health Plan East, INC.80No prior authorization
Buckeye Community Health Plan, INC.60No prior authorization
Nebraska Total Care, INC.60No prior authorization
Coordinated Care Of Washington, INC.50No prior authorization
Coordinated Care Corporation50No prior authorization
Meridian Health Plan Of Illinois, INC.50No prior authorization
Sunflower State Health Plan, INC.50No prior authorization
Arkansas Health & Wellness Health Plan, INC.50No prior authorization
Home State Health Plan, INC.40No prior authorization
Health New England, INC.40No prior authorization
Pennsylvania Health & Wellness, INC.40No prior authorization
Qcc Insurance Company40No prior authorization
Trillium Community Health Plan, INC.30No prior authorization
Celtic Insurance Company30No prior authorization
Amerihealth Insurance Company Of New Jersey30No prior authorization
Managed Health Services Insurance CORP.30No prior authorization
Hamaspik, INC.22Prior authorization required
Selectcare Of Texas, INC.20No prior authorization
Bridgeway Health Solutions Of Arizona, INC.20No prior authorization
Independent Care Health Plan10No prior authorization
Absolute Total Care, INC.10No prior authorization
Mcs Advantage, INC.11Prior authorization required

“Require prior auth” counts a plan when any Risperdal product on its formulary needs authorization.

Source
Monthly Prescription Drug Plan Formulary and Pharmacy Network Information — Basic Drugs Formulary File
Effective
2026-06-30
Retrieved
2026-07-19
SHA-256
e626e6bcda1aa6a0071e6f0df6bafe686ae41842cdf0a9feffdc649b6d3ff3ae

We publish the hash of the exact file we ingested so any answer can be audited against the bytes CMS served that day.

Administrative information only. Benefily reports what a payer has published in its own prior-authorization policy as of the effective date shown. It is not medical advice, not a coverage or payment guarantee, and not an authorization. Requirements vary by plan, place of service and member benefits — always verify with the payer before rendering service.