Home › Agent Hub › Agent Tools › Part D coverage by drug › Aimovig

Agent Tools

Aimovig Part D coverage 2027

Aimovig is a brand of erenumab. What agents check before quoting it: how many 2027 Part D plans cover it, on which tier, with what restrictions and copays, by plan type, carrier and state.

Coverage at a glance

In 2027, 4,376 of 5,492 Medicare Part D and Medicare Advantage drug plans (79.7%) list Aimovig on their formulary, across 257 of 286 formularies. The most common placement is tier 3 (3,975 plans, 90.8% of those covering it). 4,341 of the covering plans require prior authorization (99.2%), 0 step therapy and 4,370 a quantity limit.

What a 30-day fill costs

469 covering plans charge a flat copay for a 30-day supply at a preferred retail pharmacy after the deductible — median $42, 66 of them $0; 3,907 charge coinsurance instead — median 22% of the drug's cost. Once a member's out-of-pocket drug spending reaches $2,400 in 2027, covered drugs cost $0 for the rest of the year.

What changed since 2026

2026: 4,382 of 5,496 plans covered it (79.7%); 2027: 4,376 of 5,492 (79.7%).

Of 4,367 plans offered in both years, 26 added it to the formulary and 46 dropped it.

Among plans covering it both years, 44 moved it to a higher tier and 203 to a lower one; 12 added prior authorization and 2 removed it.

Tier placement

TierPlans
Tier 1113
Tier 2279
Tier 33,975
Tier 49

By plan type

Plan typePlans coveringSharePrior auth
Stand-alone Part D (PDP)179 of 32355.4%100%
Medicare Advantage with drugs (MA-PD)2,515 of 3,20078.6%99%
Special needs plans (SNP)1,682 of 1,96985.4%99.3%

By carrier

CarrierPlans coveringUsual tierPrior auth
Humana0 of 846No tier listed0
UnitedHealthcare830 of 830Tier 3830
Devoted Health728 of 728Tier 3728
Aetna Medicare631 of 631Tier 3631
Wellcare234 of 268Tier 2234
HealthSpring226 of 226Tier 3226
Kaiser Permanente0 of 112No tier listed0
SCAN Health Plan83 of 83Tier 383
Highmark Blue Cross Blue Shield or Highmark Blue Shield80 of 80Tier 380
Alignment Health Plan77 of 77Tier 377
Anthem Blue Cross and Blue Shield74 of 74Tier 374
Wellpoint63 of 63Tier 363
Priority Health Medicare40 of 40Tier 340
CarePlus Health Plans, Inc.0 of 37No tier listed0
Zing Health36 of 36Tier 336
Capital Blue Cross35 of 35Tier 335
Prominence Health Plan29 of 29Tier 329
Medica27 of 27Tier 327
Anthem HealthKeepers26 of 26Tier 326
Blue Cross Blue Shield of Michigan26 of 26Tier 326

By state

StatePlans coveringShare
Alabama92 of 11480.7%
Alaska5 of 955.6%
American Samoa1 of 1100%
Arizona124 of 14784.4%
Arkansas63 of 8574.1%
California314 of 39779.1%
Colorado71 of 10667%
Connecticut46 of 5485.2%
Delaware35 of 4381.4%
District of Columbia8 of 1266.7%
Florida393 of 54572.1%
Georgia105 of 14970.5%
Guam1 of 1100%
Hawaii35 of 5070%
Idaho33 of 4573.3%
Illinois103 of 13278%
Indiana107 of 13877.5%
Iowa53 of 6482.8%
Kansas62 of 8473.8%
Kentucky78 of 12164.5%
Louisiana88 of 12570.4%
Maine36 of 5269.2%
Maryland31 of 4963.3%
Massachusetts81 of 8991%
Michigan164 of 18290.1%
Minnesota54 of 6385.7%
Mississippi79 of 10476%
Missouri135 of 17079.4%
Montana8 of 2729.6%
Nebraska38 of 5174.5%
Nevada74 of 10074%
New Hampshire15 of 2560%
New Jersey59 of 7380.8%
New Mexico53 of 6877.9%
New York204 of 21594.9%
North Carolina146 of 17683%
North Dakota21 of 2680.8%
Northern Mariana Islands1 of 1100%
Ohio148 of 17186.5%
Oklahoma57 of 8170.4%
Oregon74 of 9280.4%
Pennsylvania295 of 32391.3%
Puerto Rico47 of 6473.4%
Rhode Island20 of 2969%
South Carolina65 of 8973%
South Dakota25 of 3083.3%
Tennessee132 of 15684.6%
Texas337 of 40782.8%
U.S. Virgin Islands1 of 1100%
Utah34 of 5364.2%
Vermont6 of 1442.9%
Virginia93 of 14464.6%
Washington78 of 11468.4%
West Virginia51 of 6973.9%
Wisconsin75 of 9678.1%
Wyoming6 of 1346.2%

Medicare usage

Medicare Part D paid for 417,618 30-day fills of Aimovig in 2024 for about 55,767 enrollees, at an average total cost of $725.30 per 30-day fill (CMS Part D Prescribers by Geography and Drug, national).

Agent Tools

Price Aimovig and the rest of a client's list on every plan in their county.

Estimate Aimovig costs by plan

Free tools for licensed insurance agents. Data from CMS public files; verify with plan documents before advising a client.

Counts are over every Medicare Advantage drug plan and stand-alone Part D plan in the CMS monthly formulary files, excluding employer plans. A plan counts as covering a drug when any strength or form of it is on the plan’s formulary; the tier, prior authorization, step therapy and quantity limit shown are the most favorable version on that formulary. Copays are for a 30-day supply at a preferred retail pharmacy after the deductible. This is a reference for licensed agents, not a plan recommendation; verify with the plan’s formulary before advising a client. Source: CMS Part D formulary files (release 10/08/2026). CMS formulary data.