1 ML darbepoetin alfa 0.1 MG/ML Injection [Aranesp]
darbepoetin alfa
RxCUI: 352047
What the CMS Formulary Data Shows for 1 ML darbepoetin alfa 0.1 MG/ML Injection [Aranesp]
Per the CMS 2026 Part D formulary file, 1 ML darbepoetin alfa 0.1 MG/ML Injection [Aranesp] (RxNorm concept RXCUI 352047, generic name darbepoetin alfa) appears on 57 distinct formulary files spanning 1,358 Medicare Part D plan offerings - 26.8% 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 4.2.
Real-world access to 1 ML darbepoetin alfa 0.1 MG/ML Injection [Aranesp] depends on utilization management as much as tier placement: 96.5% of covering formularies require prior authorization. 0% require step therapy. 0% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 5,574 Part D beneficiaries filled 1 ML darbepoetin alfa 0.1 MG/ML Injection [Aranesp] in 2023, with total plan-and-beneficiary spending of $59,909,953 and an average per-beneficiary annual cost of $10,748.11. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry 1 ML darbepoetin alfa 0.1 MG/ML Injection [Aranesp] today.
Coverage Details
- Formularies covering
- 57
- Plans covering
- 1,358
- Coverage rate
- 26.8%
- Tier range
- Tier 1 – Tier 5
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 96.5% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 5,574
- Total spending
- $59,909,953
- Avg per beneficiary
- $10,748.11
Tier Distribution Across Plans
Standalone Drug Plans (PDP) Covering 1 ML darbepoetin alfa 0.1 MG/ML Injection [Aranesp]
5 standalone prescription drug plans include this drug.
| Plan | Insurer | Tier | PA | ST | Premium | States |
|---|---|---|---|---|---|---|
| Anthem Full Dual Advantage (PPO D-SNP) | ANTHEM HEALTH PLANS, INC. | T4 | Yes | No | $0 | CT |
| Anthem Dual Advantage (PPO D-SNP) | ANTHEM HEALTH PLANS, INC. | T4 | Yes | No | $0 | CT |
| Anthem Kidney Care (HMO-POS C-SNP) | ANTHEM HEALTH PLANS, INC. | T4 | Yes | No | $0 | CT |
| Anthem Full Dual Advantage Select (HMO D-SNP) | ANTHEM HEALTH PLANS, INC. | T4 | Yes | No | $0 | CT |
| Anthem Dual Advantage (HMO D-SNP) | ANTHEM HEALTH PLANS, INC. | T4 | Yes | No | $0 | CT |
Medicare Advantage Plans (MA-PD) Covering 1 ML darbepoetin alfa 0.1 MG/ML Injection [Aranesp]
95 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Gold Coast Health Plan Total Care Advantage (HMO D-SNP) | Ventura County Medi-Cal Managed Care Commission | T1 | Yes | $0 | CA |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | Health Care Service Corporation | T1 | Yes | $0 | NM |
| Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) | Health Care Service Corporation | T1 | Yes | $0 | NM |
| SecureBlue (HMO D-SNP) | HMO Minnesota | T1 | Yes | $0 | MN |
| Hamaspik Medicare Choice (HMO D-SNP) | HAMASPIK, INC. | T1 | Yes | $0 | NY |
| SeniorCare Complete (HMO D-SNP) | SOUTH COUNTRY HEALTH ALLIANCE | T1 | Yes | $0 | MN |
| AbilityCare (HMO D-SNP) | SOUTH COUNTRY HEALTH ALLIANCE | T1 | Yes | $0 | MN |
| Alameda Alliance Wellness (HMO D-SNP) | ALAMEDA ALLIANCE FOR HEALTH | T1 | Yes | $0 | CA |
| Community Care's Partnership Program (HMO D-SNP) | COMMUNITY CARE HEALTH PLAN, INC. | T1 | Yes | $0 | WI |
| Platino Blindao (HMO D-SNP) | TRIPLE S ADVANTAGE, INC. | T1 | Yes | $0 | PR |
| Platino Enlace (HMO D-SNP) | TRIPLE S ADVANTAGE, INC. | T1 | Yes | $0 | PR |
| PLATINO ADVANCE (HMO D-SNP) | TRIPLE S ADVANTAGE, INC. | T1 | Yes | $0 | PR |
| PLATINO PLUS (HMO D-SNP) | TRIPLE S ADVANTAGE, INC. | T1 | Yes | $0 | PR |
| 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 |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | HCSC INSURANCE SERVICES COMPANY | T1 | Yes | $4.80 | TX |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | GHS INSURANCE COMPANY | T1 | Yes | $5.00 | OK |
| Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) | GATEWAY HEALTH PLAN, INC. | T1 | Yes | $13.10 | PA |
| 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 |
| Hamaspik Medicare Select (HMO D-SNP) | HAMASPIK, INC. | T1 | Yes | $34.50 | NY |
| CareAdvantage (HMO D-SNP) | SAN MATEO HEALTH COMMISSION | T2 | Yes | $0 | CA |
| CalOptima Health OneCare Complete (HMO D-SNP) | ORANGE COUNTY HEALTH AUTHORITY | T2 | Yes | $0 | CA |
| Anthem Medicare Advantage (HMO-POS) | BLUE CROSS OF CALIFORNIA | T4 | Yes | $0 | CA |
| Anthem Medicare Advantage (HMO-POS) | BLUE CROSS OF CALIFORNIA | T4 | Yes | $0 | CA |
| Anthem Medicare Advantage (HMO-POS) | BLUE CROSS OF CALIFORNIA | T4 | Yes | $0 | CA |
| Anthem Medicare Advantage (HMO-POS) | BLUE CROSS OF CALIFORNIA | T4 | Yes | $0 | CA |
| Anthem Full Dual Advantage (HMO D-SNP) | ANTHEM INSURANCE COMPANIES, INC. | T4 | Yes | $0 | IN |
| Anthem I PathWays Dual Care Advantage (HMO D-SNP) | ANTHEM INSURANCE COMPANIES, INC. | T4 | Yes | $0 | IN |
| Anthem I PathWays Dual Care Advantage NFLOC (HMO D-SNP) | ANTHEM INSURANCE COMPANIES, INC. | T4 | Yes | $0 | IN |
| Wellpoint Full Dual Advantage (HMO-POS D-SNP) | WELLPOINT IOWA, INC. | T4 | Yes | $0 | IA |
| Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP) | WELLPOINT IOWA, INC. | T4 | Yes | $0 | IA |
| Wellpoint Full Dual Advantage (HMO D-SNP) | WELLPOINT WEST VIRGINIA , INC. | T4 | Yes | $0 | WV |
| Wellpoint Full Dual Advantage (HMO D-SNP) | WELLPOINT WASHINGTON, INC. | T4 | Yes | $0 | WA |
| Wellpoint Dual Advantage (HMO D-SNP) | WELLPOINT WASHINGTON, INC. | T4 | Yes | $0 | WA |
| Healthy Blue Dual Advantage (HMO D-SNP) | COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC. | T4 | Yes | $0 | LA |
| Healthy Blue Dual Advantage 2 (HMO D-SNP) | COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC. | T4 | Yes | $0 | LA |
| Anthem Dual Advantage (PPO D-SNP) | ANTHEM INSURANCE COMPANIES, INC. | T4 | Yes | $0 | VA |
| Wellpoint Medicare Advantage 2 (HMO-POS) | WELLPOINT TEXAS, INC. | T4 | Yes | $0 | TX |
| Wellpoint Kidney Care (HMO-POS C-SNP) | WELLPOINT TEXAS, INC. | T4 | Yes | $0 | TX |
| Wellpoint Dual Advantage 2 (HMO D-SNP) | WELLPOINT TEXAS, INC. | T4 | Yes | $0 | TX |
| Wellpoint Kidney Care (HMO-POS C-SNP) | WELLPOINT TEXAS, INC. | T4 | Yes | $0 | TX |
| Wellpoint Full Dual Advantage Aligned (HMO D-SNP) | WELLPOINT TEXAS, INC. | T4 | Yes | $0 | TX |
| Wellpoint Full Dual Advantage Aligned (HMO D-SNP) | WELLPOINT TEXAS, INC. | T4 | Yes | $0 | TX |
| Wellpoint Full Dual Advantage Aligned (HMO D-SNP) | WELLPOINT TEXAS, INC. | T4 | Yes | $0 | TX |
| Wellpoint Full Dual Advantage Aligned (HMO D-SNP) | WELLPOINT TEXAS, INC. | T4 | Yes | $0 | TX |
| Wellpoint Full Dual Advantage 2 (HMO D-SNP) | WELLPOINT TEXAS, INC. | T4 | Yes | $0 | TX |
| Wellpoint Full Dual Advantage 2 (HMO D-SNP) | WELLPOINT TEXAS, INC. | T4 | Yes | $0 | TX |
Frequently Asked Questions
Is 1 ML darbepoetin alfa 0.1 MG/ML Injection [Aranesp] covered by Medicare Part D?
Yes, 1 ML darbepoetin alfa 0.1 MG/ML Injection [Aranesp] is covered by 1,358 Medicare Part D plans (26.8% of all Part D formularies).
What tier is 1 ML darbepoetin alfa 0.1 MG/ML Injection [Aranesp] on Medicare Part D plans?
1 ML darbepoetin alfa 0.1 MG/ML Injection [Aranesp] averages Tier 4.2 across Part D plans, ranging from Tier 1 to Tier 5.
Does 1 ML darbepoetin alfa 0.1 MG/ML Injection [Aranesp] require prior authorization?
96.5% of Part D formularies require prior authorization for 1 ML darbepoetin alfa 0.1 MG/ML Injection [Aranesp]. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on 1 ML darbepoetin alfa 0.1 MG/ML Injection [Aranesp]?
In 2023, total Medicare Part D spending on 1 ML darbepoetin alfa 0.1 MG/ML Injection [Aranesp] was $59,909,953, covering 5,574 beneficiaries. The average spend per beneficiary was $10,748.11.
Read our methodology - how this data is sourced, computed, and verified.