Medicare Part D coverage · 0.8 · RxCUI 2701428
0.8 ML olezarsen 100 MG/ML Auto-Injector [Tryngolza]
Per the CMS 2026 Part D formulary file, 0.8 ML olezarsen 100 MG/ML Auto-Injector [Tryngolza] is covered by 273 Medicare Part D plans (5.4% of enrollable products), averaging Tier 4.4, with prior authorization required on 93.9% of covering formularies.
- 5.4%
- Plan coverage
- 273
- Plans covering
- T4.4
- Avg tier
- 93.9%
- Prior auth required
What the CMS Formulary Data Shows for 0.8 ML olezarsen 100 MG/ML Auto-Injector [Tryngolza]
Per the CMS 2026 Part D formulary file, 0.8 ML olezarsen 100 MG/ML Auto-Injector [Tryngolza] (RxNorm concept RXCUI 2701428, generic name 0.8) appears on 33 distinct formulary files spanning 273 Medicare Part D plan offerings - 5.4% 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 4.4.
Real-world access to 0.8 ML olezarsen 100 MG/ML Auto-Injector [Tryngolza] depends on utilization management as much as tier placement: 93.9% of covering formularies require prior authorization. 0% require step therapy. 93.9% 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 olezarsen 100 MG/ML Auto-Injector [Tryngolza] today.
Coverage Details
- Formularies covering
- 33
- Plans covering
- 273
- Coverage rate
- 5.4%
- Tier range
- Tier 1 – Tier 5
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 93.9% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 93.9% of formularies
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering 0.8 ML olezarsen 100 MG/ML Auto-Injector [Tryngolza]
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Provider Partners Pennsylvania Community Plan (HMO I-SNP) | Provider Partners Health Plan OF Pennsylvania, Inc | T1 | Yes | $0 | PA |
| Provider Partners North Carolina Community Plan (HMO I-SNP) | Provider Partners Health Plan OF North Carolina | T1 | Yes | $0 | NC |
| Provider Partners Indiana Community Plan (HMO I-SNP) | Provider Partners Health Plan OF Indiana | T1 | Yes | $0 | IN |
| Provider Partners Missouri Community Plan (HMO I-SNP) | Provider Partners Health Plan OF Missouri, Inc. | T1 | Yes | $0 | MO |
| Mass General Brigham SCO (HMO D-SNP) | Mass General Brigham Health Plan, Inc | T1 | Yes | $0 | MA |
| Mass General Brigham One Care (HMO D-SNP) | Mass General Brigham Health Plan, Inc | T1 | Yes | $0 | MA |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | Yes | $0 | PA |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | Yes | $0 | PA |
| Highmark Health Options Duals (HMO D-SNP) | Highmark Health Options West Virginia Inc. | T1 | Yes | $0 | WV |
| Highmark Health Options Duals (HMO D-SNP) | Highmark Bcbsd, Inc. | T1 | Yes | $0 | DE |
| Provider Partners Texas Advantage Plan (HMO I-SNP) | Provider Partners Health Plan OF Texas, Inc. | T1 | Yes | $4.80 | TX |
| Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | Yes | $13.10 | PA |
| Provider Partners Illinois Advantage Plan (HMO I-SNP) | Provider Partners Health Plan OF Illinois | T1 | Yes | $15.20 | IL |
| Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | Yes | $17.60 | PA |
| Highmark Health Options Duals Select (HMO D-SNP) | Highmark Bcbsd, Inc. | T1 | Yes | $31.20 | DE |
| Provider Partners Pennsylvania Advantage Plan (HMO I-SNP) | Provider Partners Health Plan OF Pennsylvania, Inc | T1 | Yes | $32.70 | PA |
| Provider Partners Pennsylvania Essential Plan (HMO I-SNP) | Provider Partners Health Plan OF Pennsylvania, Inc | T1 | Yes | $32.70 | PA |
| Provider Partners North Carolina Advantage Plan (HMO I-SNP) | Provider Partners Health Plan OF North Carolina | T1 | Yes | $36.20 | NC |
| Provider Partners North Carolina Essential Plan (HMO I-SNP) | Provider Partners Health Plan OF North Carolina | T1 | Yes | $36.20 | NC |
| Provider Partners Indiana Advantage Plan (HMO I-SNP) | Provider Partners Health Plan OF Indiana | T1 | Yes | $38.40 | IN |
Show the next 30 plans
| Provider Partners Indiana Essential Plan (HMO I-SNP) | Provider Partners Health Plan OF Indiana | T1 | Yes | $38.40 | IN |
| Provider Partners Kentucky Advantage Plan (HMO I-SNP) | Provider Partners Health Plan OF Kentucky | T1 | Yes | $38.40 | KY |
| Provider Partners Missouri Advantage Plan (HMO I-SNP) | Provider Partners Health Plan OF Missouri, Inc. | T1 | Yes | $43.00 | MO |
| Provider Partners Missouri Essential Plan (HMO I-SNP) | Provider Partners Health Plan OF Missouri, Inc. | T1 | Yes | $43.00 | MO |
| CalOptima Health OneCare Complete (HMO D-SNP) | Orange County Health Authority | T2 | Yes | $0 | CA |
| eternalHealth Forever (HMO) | Eternalhealth, Inc. | T5 | Yes | $0 | MA |
| eternalHealth Freedom (PPO) | Eternalhealth, Inc. | T5 | Yes | $0 | MA |
| eternalHealth Give Back (PPO) | Eternalhealth, Inc. | T5 | Yes | $0 | MA |
| eternalHealth Horizon (HMO) | Eternalhealth OF Arizona Inc | T5 | Yes | $0 | AZ |
| eternalHealth Grand Give Back (HMO) | Eternalhealth OF Arizona Inc | T5 | Yes | $0 | AZ |
| eternalHealth + Fry's Medicare Advantage (HMO) | Eternalhealth OF Arizona Inc | T5 | Yes | $0 | AZ |
| Senior Care Plus Essential plan (HMO) | Hometown Health Plan, Inc. | T5 | Yes | $0 | NV |
| Senior Care Plus Complete Plan (HMO) | Hometown Health Plan, Inc. | T5 | Yes | $0 | NV |
| Renown Preferred Plan by Senior Care Plus (HMO) | Hometown Health Plan, Inc. | T5 | Yes | $0 | NV |
| Senior Care Plus Extensive Duals Plan (HMO D-SNP) | Hometown Health Plan, Inc. | T5 | Yes | $0 | NV |
| Senior Care Plus Enriched Duals Plan (HMO D-SNP) | Hometown Health Plan, Inc. | T5 | Yes | $0 | NV |
| MyAdvocate Medicare Advantage SILVER (HMO-POS) | Beshp, Inc. | T5 | Yes | $0 | NE |
| Great Plain Medicare Advantage Gold (HMO I-SNP) | Sanford Health Plan | T5 | Yes | $0 | IA, SD |
| Align ChoicePlus (PPO) | Sanford Health Plan OF Minnesota | T5 | Yes | $0 | MN |
| Great Plains Medicare Advantage Gold (HMO I-SNP) | Good Samaritan Insurance Plan OF Nebraska, Inc. | T5 | Yes | $0 | NE |
| Align ChoicePlus (PPO) | Sanford Health Plan | T5 | Yes | $0 | IA, SD |
| Align ChoicePlus (PPO) | Sanford Health Plan | T5 | Yes | $0 | ND |
| Great Plains Medicare Advantage Gold (HMO I-SNP) | Sanford Health Plan | T5 | Yes | $0 | ND |
| Align Dual Partnership (HMO D-SNP) | Sanford Health Plan | T5 | Yes | $0 | ND |
| Ally Rx (HMO D-SNP) | Security Health Plan OF Wisconsin, Inc. | T5 | Yes | $0 | WI |
| Esteem Rx (HMO-POS) | Security Health Plan OF Wisconsin, Inc. | T5 | Yes | $0 | WI |
| BlueCross Total Value (PPO) | Bluecross AND Blueshield OF South Carolina | T5 | Yes | $0 | SC |
| BlueCross Total Value (PPO) | Bluecross AND Blueshield OF South Carolina | T5 | Yes | $0 | SC |
| BlueCross Total Value (PPO) | Bluecross AND Blueshield OF South Carolina | T5 | Yes | $0 | SC |
| Blue Best Life Classic (HMO) | Medisun, Inc. | T5 | Yes | $0 | AZ |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is 0.8 ML olezarsen 100 MG/ML Auto-Injector [Tryngolza] covered by Medicare Part D?
Yes, 0.8 ML olezarsen 100 MG/ML Auto-Injector [Tryngolza] is covered by 273 Medicare Part D plans (5.4% of all Part D formularies).
What tier is 0.8 ML olezarsen 100 MG/ML Auto-Injector [Tryngolza] on Medicare Part D plans?
0.8 ML olezarsen 100 MG/ML Auto-Injector [Tryngolza] averages Tier 4.4 across Part D plans, ranging from Tier 1 to Tier 5.
Does 0.8 ML olezarsen 100 MG/ML Auto-Injector [Tryngolza] require prior authorization?
93.9% of Part D formularies require prior authorization for 0.8 ML olezarsen 100 MG/ML Auto-Injector [Tryngolza]. Step therapy: 0%. Quantity limits: 93.9%.
Read our methodology - how this data is sourced, computed, and verified.
Nationwide similar Part D drugs
Data-derived peers across the CMS Part D formulary extract: nearest average tier placement and nearest prior-authorization rate. Not therapeutic alternatives or same-generic strengths.
Closest average formulary tier
- 0.5 ML dalteparin sodium 25000 UNT/ML Prefilled Syringe [Fragmin] T4.4
- 0.6 ML dalteparin sodium 25000 UNT/ML Prefilled Syringe [Fragmin] T4.4
- 0.72 ML dalteparin sodium 25000 UNT/ML Prefilled Syringe [Fragmin] T4.4
- 1 ML dalteparin sodium 10000 UNT/ML Prefilled Syringe [Fragmin] T4.4
- {112 (treprostinil 0.016 MG Inhalation Powder [Tyvaso]) / 112 (treprostinil 0.032 MG Inhalation Powder [Tyvaso]) / 28 (treprostinil 0.048 MG Inhalation Powder [Tyvaso]) } Pack [Tyvaso 16-32-48 MCG Titration Pack] T4.4
- treprostinil 0.016 MG Inhalation Powder [Tyvaso] T4.4
Similar prior-authorization rate
- lidocaine 0.018 MG/MG Medicated Patch [ZTlido] 93.9% PA
- lidocaine 0.05 MG/MG Medicated Patch 93.9% PA
- 28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo] 93.9% PA
- 1 ML glatiramer acetate 40 MG/ML Prefilled Syringe [Copaxone] 93.9% PA
- bexarotene 75 MG Oral Capsule 93.9% PA
- degarelix 80 MG Injection [Firmagon] 93.8% PA