Does Medicare Cover Skyrizi?

Drug Coverage · Autoimmune & Skin

Skyrizi (risankizumab) is used for plaque psoriasis and Crohn’s disease.

Does Medicare cover Skyrizi?

Yes — Part D covers Skyrizi for approved conditions, with criteria. Covered for approved uses like plaque psoriasis, psoriatic arthritis, and Crohn’s. Self-administered doses are Part D (some clinic-infused doses may fall under Part B).

Which part of Medicare covers it?

Usually Part D for the self-injected pen; a Part B possibility exists if it’s infused in a clinic. Confirm how yours is given.

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, often with step therapy.

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

Appeals plus manufacturer and foundation assistance can lower the cost significantly.

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

Related medications

• Does Medicare cover Humira? — adalimumab
• Does Medicare cover Rinvoq? — upadacitinib

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 Skyrizi costs on your plan — and whether a different plan would cover it better. No cost, no pressure.