0.5 ML filgrastim-ayow 0.6 MG/ML Prefilled Syringe [Releuko]

Verify with CMS →

filgrastim-ayow

RxCUI: 2595950

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.
4.1%
Plan Coverage
209
Plans Covering
T3.2
Avg Tier
85.7%
Prior Auth Required

What the CMS Formulary Data Shows for 0.5 ML filgrastim-ayow 0.6 MG/ML Prefilled Syringe [Releuko]

Per the CMS 2026 Part D formulary file, 0.5 ML filgrastim-ayow 0.6 MG/ML Prefilled Syringe [Releuko] (RxNorm concept RXCUI 2595950, generic name filgrastim-ayow) appears on 28 distinct formulary files spanning 209 Medicare Part D plan offerings - 4.1% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 5, with a cross-plan average of Tier 3.2.

Real-world access to 0.5 ML filgrastim-ayow 0.6 MG/ML Prefilled Syringe [Releuko] depends on utilization management as much as tier placement: 85.7% of covering formularies require prior authorization. 0% require step therapy. 0% 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 0.5 ML filgrastim-ayow 0.6 MG/ML Prefilled Syringe [Releuko] today.

Coverage Details

Formularies covering
28
Plans covering
209
Coverage rate
4.1%
Tier range
Tier 1 – Tier 5
Average tier
Tier 3, Preferred Brand

Restrictions

Prior authorization required
85.7% of formularies
Step therapy required
0% of formularies
Quantity limits
0% of formularies

Tier Distribution Across Plans

17 plans
Tier 1, Preferred Generic
83 plans
Tier 4, Non-Preferred

Medicare Advantage Plans (MA-PD) Covering 0.5 ML filgrastim-ayow 0.6 MG/ML Prefilled Syringe [Releuko]

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

Plan Insurer Tier PA Premium States
ElderServe MAP (HMO D-SNP) ELDERSERVE HEALTH, INC. T1 Yes $0 NY
Cooperative Advantage (HMO D-SNP) GROUP HEALTH COOPERATIVE OF EAU CLAIRE T1 Yes $0 WI
Longevity Health Plan (PPO I-SNP) LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP T1 Yes $0 NJ
Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP) UPPER PENINSULA HEALTH PLAN, LLC T1 Yes $0 MI
CareSource Dual Advantage (HMO D-SNP) CARESOURCE GEORGIA CO. T1 Yes $0 GA
HAP CareSource MI Coordinated Health (HMO D-SNP) HAP CARESOURCE T1 Yes $0 MI
CareAdvantage (HMO D-SNP) SAN MATEO HEALTH COMMISSION T1 No $0 CA
CalOptima Health OneCare Complete (HMO D-SNP) ORANGE COUNTY HEALTH AUTHORITY T1 Yes $0 CA
Longevity Health Plan (HMO I-SNP) LONGEVITY HEALTH PLAN OF FLORIDA, INC. T1 Yes $4.80 FL
Longevity Health Plan (HMO I-SNP) LONGEVITY HEALTH PLAN OF MICHIGAN, INC. T1 Yes $8.80 MI
Longevity Health Plan (HMO I-SNP) LONGEVITY HEALTH PLAN OF ILLINOIS, INC. T1 Yes $15.20 IL
WellSense Added Value (HMO) BOSTON MEDICAL CENTER HEALTH PLAN, INC. T1 Yes $21.70 NH
Longevity Health Plan (HMO I-SNP) LONGEVITY HEALTH PLAN OF COLORADO, INC. T1 Yes $35.20 CO
Longevity Health Plan (HMO I-SNP) LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC. T1 Yes $36.20 NC
Longevity Health Plan (PPO I-SNP) LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP T1 Yes $40.00 NJ
ElderServe Star (HMO I-SNP) ELDERSERVE HEALTH, INC. T1 Yes $58.80 NY
Longevity Health Plan (HMO I-SNP) LONGEVITY HEALTH PLAN OF NEW YORK, INC. T1 Yes $58.80 NY
The Health Plan SecureCare - Option II (HMO) THE HEALTH PLAN OF WEST VIRGINIA, INC. T4 Yes $0 OH
The Health Plan SecureCare - Option II (HMO) THE HEALTH PLAN OF WEST VIRGINIA, INC. T4 Yes $0 OH, WV
The Health Plan SecureCare Capitol Plan (HMO) THE HEALTH PLAN OF WEST VIRGINIA, INC. T4 Yes $0 WV
The Health Plan SecureChoice Optimum (PPO) THP INSURANCE COMPANY T4 Yes $0 OH, WV
WellSense Signature (HMO) BOSTON MEDICAL CENTER HEALTH PLAN, INC. T4 Yes $0 NH
WellSense Signature Access (PPO) BOSTON MEDICAL CENTER HEALTH PLAN, INC. T4 Yes $0 NH
Providence Medicare Extra Part B Only + Rx (HMO) PROVIDENCE HEALTH ASSURANCE T4 No $0 OR
Providence Medicare Prime + Rx (HMO) PROVIDENCE HEALTH ASSURANCE T4 No $0 OR
Providence Medicare Dual Plus (HMO D-SNP) PROVIDENCE HEALTH ASSURANCE T4 No $0 OR
Providence Medicare Timber + Rx (HMO) PROVIDENCE HEALTH ASSURANCE T4 No $0 OR, WA
Providence Medicare Pine + Rx (HMO) PROVIDENCE HEALTH ASSURANCE T4 No $0 WA
Providence Medicare Extra + Rx (HMO) PROVIDENCE HEALTH ASSURANCE T4 No $0 OR, WA
Providence Medicare Sycamore + Rx (HMO) PROVIDENCE HEALTH ASSURANCE T4 No $0 CA
Essence Advantage (HMO) ESSENCE HEALTHCARE, INC. T4 Yes $0 IL, MO
Essence Advantage (HMO) ESSENCE HEALTHCARE, INC. T4 Yes $0 AR, MO
Essence Advantage Select (HMO) ESSENCE HEALTHCARE, INC. T4 Yes $0 IL, MO
Essence Advantage (HMO) ESSENCE HEALTHCARE, INC. T4 Yes $0 IN, KY
Essence Advantage Select (HMO) ESSENCE HEALTHCARE, INC. T4 Yes $0 IL
Essence Advantage Choice (PPO) ESSENCE HEALTHCARE PPO, INC. T4 Yes $0 IL, MO
Essence Advantage Choice (PPO) ESSENCE HEALTHCARE PPO, INC. T4 Yes $0 AR, MO
Essence Advantage Choice (PPO) ESSENCE HEALTHCARE PPO, INC. T4 Yes $0 IL
CareSource Dual Advantage Plus (HMO D-SNP) CARESOURCE GEORGIA CO. T4 Yes $0 GA
CareSource MyCare Ohio (HMO D-SNP) CARESOURCE OHIO, INC. T4 Yes $0 OH
Blue adVantage Liberty (PPO) LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY T4 Yes $0 LA
Blue adVantage Thrive (PPO) LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY T4 Yes $0 LA
Blue adVantage Classic (HMO-POS) HMO LOUISIANA, INC. T4 Yes $0 LA
Blue adVantage Giveback (HMO-POS) HMO LOUISIANA, INC. T4 Yes $0 LA
Geisinger Gold Preferred Complete Rx (PPO) GEISINGER INDEMNITY INSURANCE COMPANY T4 Yes $0 PA
Geisinger Gold Secure Rx (HMO D-SNP) GEISINGER HEALTH PLAN T4 Yes $0 PA
Geisinger Gold Classic 360 Rx (HMO) GEISINGER HEALTH PLAN T4 Yes $0 PA
Geisinger Gold Classic Essential Rx (HMO) GEISINGER HEALTH PLAN T4 Yes $0 PA
Medica Advantage Solution H6154-001 (HMO-POS) MEDICA HEALTH PLANS T4 Yes $0 MN
Medica Advantage Solution H8889-005 (PPO) MEDICA HEALTH PLANS T4 Yes $0 MN

Frequently Asked Questions

Is 0.5 ML filgrastim-ayow 0.6 MG/ML Prefilled Syringe [Releuko] covered by Medicare Part D?

Yes, 0.5 ML filgrastim-ayow 0.6 MG/ML Prefilled Syringe [Releuko] is covered by 209 Medicare Part D plans (4.1% of all Part D formularies).

What tier is 0.5 ML filgrastim-ayow 0.6 MG/ML Prefilled Syringe [Releuko] on Medicare Part D plans?

0.5 ML filgrastim-ayow 0.6 MG/ML Prefilled Syringe [Releuko] averages Tier 3.2 across Part D plans, ranging from Tier 1 to Tier 5.

Does 0.5 ML filgrastim-ayow 0.6 MG/ML Prefilled Syringe [Releuko] require prior authorization?

85.7% of Part D formularies require prior authorization for 0.5 ML filgrastim-ayow 0.6 MG/ML Prefilled Syringe [Releuko]. Step therapy: 0%. Quantity limits: 0%.

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