0.375 ML leuprolide acetate 60 MG/ML Prefilled Syringe [Vabrinty]

Verify with CMS →

leuprolide acetate

RxCUI: 2720345

Important: Drug coverage and costs vary by plan and location. Verify coverage directly with your Medicare plan before filling a prescription. This is informational data only and should not replace advice from your healthcare provider or pharmacist.
2.7%
Plan Coverage
135
Plans Covering
T5
Avg Tier
40%
Prior Auth Required

What the CMS Formulary Data Shows for 0.375 ML leuprolide acetate 60 MG/ML Prefilled Syringe [Vabrinty]

Per the CMS 2026 Part D formulary file, 0.375 ML leuprolide acetate 60 MG/ML Prefilled Syringe [Vabrinty] (RxNorm concept RXCUI 2720345, generic name leuprolide acetate) appears on 5 distinct formulary files spanning 135 Medicare Part D plan offerings - 2.7% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 5 to Tier 5, with a cross-plan average of Tier 5.

Real-world access to 0.375 ML leuprolide acetate 60 MG/ML Prefilled Syringe [Vabrinty] depends on utilization management as much as tier placement: 40% of covering formularies require prior authorization. 0% require step therapy. 20% apply quantity limits.

Medicare Part D spending dashboard figures are not published for this drug. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry 0.375 ML leuprolide acetate 60 MG/ML Prefilled Syringe [Vabrinty] today.

Coverage Details

Formularies covering
5
Plans covering
135
Coverage rate
2.7%
Tier range
Tier 5, Specialty
Average tier
Tier 5, Specialty

Restrictions

Prior authorization required
40% of formularies
Step therapy required
0% of formularies
Quantity limits
20% of formularies

Tier Distribution Across Plans

100 plans
Tier 5, Specialty

Medicare Advantage Plans (MA-PD) Covering 0.375 ML leuprolide acetate 60 MG/ML Prefilled Syringe [Vabrinty]

100 Medicare Advantage plans with Part D drug coverage include this drug.

Plan Insurer Tier PA Premium States
HAP Medicare Explore (PPO) ALLIANCE HEALTH AND LIFE INSURANCE COMPANY T5 Yes $0 MI
HAP Medicare Prime (PPO) ALLIANCE HEALTH AND LIFE INSURANCE COMPANY T5 Yes $0 MI
HAP Medicare Connect (HMO) HEALTH ALLIANCE PLAN OF MICHIGAN T5 Yes $0 MI
HAP Medicare Complete Duals (HMO D-SNP) HEALTH ALLIANCE PLAN OF MICHIGAN T5 Yes $0 MI
HAP Medicare Superior (HMO) HEALTH ALLIANCE PLAN OF MICHIGAN T5 Yes $0 MI
Henry Ford Select (HMO) HEALTH ALLIANCE PLAN OF MICHIGAN T5 Yes $0 MI
Health New England Medicare Compass (PPO) HEALTH NEW ENGLAND, INC. T5 Yes $0 MA
Health New England Medicare Value (HMO) HEALTH NEW ENGLAND, INC. T5 Yes $0 MA
Presbyterian Senior Care Plan 2 with Rx (HMO) PRESBYTERIAN HEALTH PLAN T5 No $0 NM
Presbyterian Dual Plus (HMO D-SNP) PRESBYTERIAN HEALTH PLAN T5 No $0 NM
Presbyterian Senior Care Extra Health Plan with Rx (HMO) PRESBYTERIAN HEALTH PLAN T5 No $0 NM
Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Senior Advantage Enhanced Solano (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Senior Advantage Inland Empire (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Sr Adv Enhanced Marin San Mateo (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Senior Advantage Ventura (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Senior Advantage Enhanced Kern (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Senior Advantage Basic Kern (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Senior Advantage San Diego (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Senior Advantage Enhanced Stanis (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Senior Advantage Basic Stanis (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Senior Advantage Basic SnJoaq (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Senior Advantage Basic Fresno (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Senior Advantage Santa Cruz (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Senior Advantage Basic Alameda (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Senior Advantage Basic SF (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Sr Adv Basic Contra Costa (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Sr Adv Basic Santa Clara (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Senior Advantage Basic Solano (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Senior Advantage Basic San Mateo (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Sr Advantage LA, Orange Value (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Sr Advantage Inland Empire Value (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Senior Advantage San Diego Value (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Senior Advantage Ventura Value (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Senior Advantage Core DM (HMO) KAISER FOUNDATION HP OF CO T5 No $0 CO
Kaiser Permanente Dual Essential (HMO D-SNP) KAISER FOUNDATION HP OF CO T5 No $0 CO
Kaiser Permanente Senior Advantage Silver DM (HMO-POS) KAISER FOUNDATION HP OF CO T5 No $0 CO
Kaiser Permanente Senior Advantage Core South (HMO) KAISER FOUNDATION HP OF CO T5 No $0 CO
Kaiser Permanente Senior Advantage Core North (HMO) KAISER FOUNDATION HP OF CO T5 No $0 CO
Kaiser Permanente Senior Advantage Enhanced (HMO-POS) KAISER FOUNDATION HP OF CO T5 No $0 CO
Kaiser Permanente Dual Complete Pueblo (HMO D-SNP) KAISER FOUNDATION HP OF CO T5 No $0 CO
Kaiser Permanente Senior Advantage Bronze DM (HMO-POS) KAISER FOUNDATION HP OF CO T5 No $0 CO
Kaiser Permanente Dual Complete (HMO D-SNP) KAISER FOUNDATION HP OF CO T5 No $0 CO
Kaiser Permanente Dual Essential Plan 1 (HMO D-SNP) KAISER FOUNDATION HP OF GA, INC. T5 No $0 GA
Kaiser Permanente Senior Advantage Basic 1 (HMO) KAISER FOUNDATION HP OF GA, INC. T5 No $0 GA
Kaiser Permanente Dual Essential Plan 2 (HMO D-SNP) KAISER FOUNDATION HP OF GA, INC. T5 No $0 GA
Kaiser Permanente Senior Advantage Basic 2 (HMO) KAISER FOUNDATION HP OF GA, INC. T5 No $0 GA
Kaiser Permanente Senior Advantage Care Plus (HMO-POS) KAISER FOUNDATION HP OF GA, INC. T5 No $0 GA

Frequently Asked Questions

Is 0.375 ML leuprolide acetate 60 MG/ML Prefilled Syringe [Vabrinty] covered by Medicare Part D?

Yes, 0.375 ML leuprolide acetate 60 MG/ML Prefilled Syringe [Vabrinty] is covered by 135 Medicare Part D plans (2.7% of all Part D formularies).

What tier is 0.375 ML leuprolide acetate 60 MG/ML Prefilled Syringe [Vabrinty] on Medicare Part D plans?

0.375 ML leuprolide acetate 60 MG/ML Prefilled Syringe [Vabrinty] averages Tier 5 across Part D plans, ranging from Tier 5 to Tier 5.

Does 0.375 ML leuprolide acetate 60 MG/ML Prefilled Syringe [Vabrinty] require prior authorization?

40% of Part D formularies require prior authorization for 0.375 ML leuprolide acetate 60 MG/ML Prefilled Syringe [Vabrinty]. Step therapy: 0%. Quantity limits: 20%.

Data sourced from the Centers for Medicare & Medicaid Services (CMS). See our methodology for details. Retrieved and formatted by PlainMedicare Editorial