0.8 ML donidalorsen 100 MG/ML Auto-Injector [Dawnzera]
donidalorsen
RxCUI: 2724453
What the CMS Formulary Data Shows for 0.8 ML donidalorsen 100 MG/ML Auto-Injector [Dawnzera]
Per the CMS 2026 Part D formulary file, 0.8 ML donidalorsen 100 MG/ML Auto-Injector [Dawnzera] (RxNorm concept RXCUI 2724453, generic name donidalorsen) appears on 7 distinct formulary files spanning 32 Medicare Part D plan offerings - 0.6% 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 4.1.
Real-world access to 0.8 ML donidalorsen 100 MG/ML Auto-Injector [Dawnzera] depends on utilization management as much as tier placement: 100% of covering formularies require prior authorization. 0% require step therapy. 85.7% 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 0.8 ML donidalorsen 100 MG/ML Auto-Injector [Dawnzera] today.
Coverage Details
- Formularies covering
- 7
- Plans covering
- 32
- Coverage rate
- 0.6%
- Tier range
- Tier 1 – Tier 5
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 100% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 85.7% of formularies
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering 0.8 ML donidalorsen 100 MG/ML Auto-Injector [Dawnzera]
32 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | GOLD KIDNEY OF FLORIDA INC | T1 | Yes | $4.80 | FL |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | GOLD KIDNEY OF ARIZONA | T1 | Yes | $17.00 | AZ |
| PHP (HMO C-SNP) | AIDS HEALTHCARE FOUNDATION | T4 | Yes | $0 | CA |
| VNS Health Total (HMO D-SNP) | VNS CHOICE | T4 | Yes | $0 | NY |
| VNS Health EasyCare Plus (HMO D-SNP) | VNS CHOICE | T4 | Yes | $51.60 | NY |
| SummaCare Medicare Topaz (HMO) | SUMMACARE INC. | T5 | Yes | $0 | OH |
| SummaCare Medicare Quartz (HMO) | SUMMACARE INC. | T5 | Yes | $0 | OH |
| Gold Heart & Diabetes (HMO-POS C-SNP) | GOLD KIDNEY OF FLORIDA INC | T5 | Yes | $0 | FL |
| Gold Heart & Diabetes Complete (HMO-POS C-SNP) | GOLD KIDNEY OF FLORIDA INC | T5 | Yes | $0 | FL |
| Gold Dialysis & Kidney (HMO-POS C-SNP) | GOLD KIDNEY OF FLORIDA INC | T5 | Yes | $0 | FL |
| Gold Health (HMO-POS C-SNP) | GOLD KIDNEY OF FLORIDA INC | T5 | Yes | $0 | FL |
| Gold Dialysis & Kidney (HMO-POS C-SNP) | GOLD KIDNEY OF FLORIDA INC | T5 | Yes | $0 | FL |
| Gold Heart & Diabetes (HMO-POS C-SNP) | GOLD KIDNEY OF ARIZONA | T5 | Yes | $0 | AZ |
| Gold Dialysis & Kidney (HMO-POS C-SNP) | GOLD KIDNEY OF ARIZONA | T5 | Yes | $0 | AZ |
| Gold Heart & Diabetes (HMO-POS C-SNP) | GOLD KIDNEY OF ARIZONA | T5 | Yes | $0 | AZ |
| Gold Dialysis & Kidney (HMO-POS C-SNP) | GOLD KIDNEY OF ARIZONA | T5 | Yes | $0 | AZ |
| VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP) | VILLAGE SENIOR SERVICES CORPORATION | T5 | Yes | $0 | NY |
| VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP) | VILLAGE SENIOR SERVICES CORPORATION | T5 | Yes | $0 | NY |
| Health First Rewards H1099-014 (HMO) | HEALTH FIRST HEALTH PLANS | T5 | Yes | $0 | FL |
| Health First SunSaver H1099-016 (HMO) | HEALTH FIRST HEALTH PLANS | T5 | Yes | $0 | FL |
| Health First Complete Care H1099-023 (HMO) | HEALTH FIRST HEALTH PLANS | T5 | Yes | $0 | FL |
| Health First Emerald Plus H1099-024 (HMO) | HEALTH FIRST HEALTH PLANS | T5 | Yes | $0 | FL |
| Health First Premier Access H1099-025 (HMO-POS) | HEALTH FIRST HEALTH PLANS | T5 | Yes | $0 | FL |
| Health First Emerald Plus H1099-026 (HMO) | HEALTH FIRST HEALTH PLANS | T5 | Yes | $0 | FL |
| Health First Premier Access H1099-027 (HMO-POS) | HEALTH FIRST HEALTH PLANS | T5 | Yes | $0 | FL |
| Health First Emerald Plus H1099-028 (HMO) | HEALTH FIRST HEALTH PLANS | T5 | Yes | $0 | FL |
| Health First Value H1099-006 (HMO) | HEALTH FIRST HEALTH PLANS | T5 | Yes | $15.00 | FL |
| SummaCare Medicare Garnet (HMO) | SUMMACARE INC. | T5 | Yes | $35.00 | OH |
| Health First Classic H1099-001 (HMO-POS) | HEALTH FIRST HEALTH PLANS | T5 | Yes | $49.40 | FL |
| SummaCare Medicare Ruby (HMO) | SUMMACARE INC. | T5 | Yes | $50.00 | OH |
| SummaCare Medicare Sapphire (HMO-POS) | SUMMACARE INC. | T5 | Yes | $83.00 | OH |
| SummaCare Medicare Emerald (HMO-POS) | SUMMACARE INC. | T5 | Yes | $100.80 | OH |
Frequently Asked Questions
Is 0.8 ML donidalorsen 100 MG/ML Auto-Injector [Dawnzera] covered by Medicare Part D?
Yes, 0.8 ML donidalorsen 100 MG/ML Auto-Injector [Dawnzera] is covered by 32 Medicare Part D plans (0.6% of all Part D formularies).
What tier is 0.8 ML donidalorsen 100 MG/ML Auto-Injector [Dawnzera] on Medicare Part D plans?
0.8 ML donidalorsen 100 MG/ML Auto-Injector [Dawnzera] averages Tier 4.1 across Part D plans, ranging from Tier 1 to Tier 5.
Does 0.8 ML donidalorsen 100 MG/ML Auto-Injector [Dawnzera] require prior authorization?
100% of Part D formularies require prior authorization for 0.8 ML donidalorsen 100 MG/ML Auto-Injector [Dawnzera]. Step therapy: 0%. Quantity limits: 85.7%.
Read our methodology - how this data is sourced, computed, and verified.