Does Medicare Cover Rinvoq?

Drug Coverage · Autoimmune & Skin

Rinvoq (upadacitinib) is used for rheumatoid arthritis, eczema, and more.

Does Medicare cover Rinvoq?

Yes — Part D covers Rinvoq for approved conditions, with criteria. Covered for approved uses like rheumatoid arthritis, atopic dermatitis (eczema), and inflammatory bowel disease. An oral JAK inhibitor, so Part D.

Which part of Medicare covers it?

Part D. These are self-administered prescriptions, so they fall under your Part D drug plan (or the drug coverage built into a Medicare Advantage plan), not Part B.

Typical formulary tier

Specialty tier (typically Tier 5). Your exact tier — and copay — depend on the plan you choose, which is why matching the formulary to your medications matters.

Prior authorization & plan rules

Prior authorization is standard; plans usually require you to have tried other treatments first (step therapy).

If it isn’t covered (or costs too much)

Your doctor can appeal; manufacturer and foundation programs help with the cost for those who qualify.

• Help paying for Rinvoq — assistance programs and grants.
• Compare Part D plans that cover Rinvoq on a better tier.
• How drug tiers work · Extra Help for lower-income beneficiaries.

Related medications

• Does Medicare cover Humira? — adalimumab
• Does Medicare cover Skyrizi? — risankizumab

Related Medicare guides

• All drug coverage · Part D plans · how drug tiers work.
• Medicare costs · Glossary · Medicare Help Center.

Get a Real Answer for Your Plan — Free

Coverage and cost depend on your specific plan and diagnosis. Call us free at 435-219-5120 (TTY: 711) with your medication list, and we’ll tell you exactly what Rinvoq costs on your plan — and whether a different plan would cover it better. No cost, no pressure.