1 ML lanadelumab-flyo 150 MG/ML Prefilled Syringe [Takhzyro]

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lanadelumab-flyo

RxCUI: 2629981

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.
6.4%
Plan Coverage
322
Plans Covering
T4.6
Avg Tier
92.9%
Prior Auth Required

What the CMS Formulary Data Shows for 1 ML lanadelumab-flyo 150 MG/ML Prefilled Syringe [Takhzyro]

Per the CMS 2026 Part D formulary file, 1 ML lanadelumab-flyo 150 MG/ML Prefilled Syringe [Takhzyro] (RxNorm concept RXCUI 2629981, generic name lanadelumab-flyo) appears on 28 distinct formulary files spanning 322 Medicare Part D plan offerings - 6.4% 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 4.6.

Real-world access to 1 ML lanadelumab-flyo 150 MG/ML Prefilled Syringe [Takhzyro] depends on utilization management as much as tier placement: 92.9% of covering formularies require prior authorization. 0% require step therapy. 78.6% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 27 Part D beneficiaries filled 1 ML lanadelumab-flyo 150 MG/ML Prefilled Syringe [Takhzyro] in 2023, with total plan-and-beneficiary spending of $5,832,614 and an average per-beneficiary annual cost of $216,022.73. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry 1 ML lanadelumab-flyo 150 MG/ML Prefilled Syringe [Takhzyro] today.

Coverage Details

Formularies covering
28
Plans covering
322
Coverage rate
6.4%
Tier range
Tier 1 – Tier 5
Average tier
Tier 5, Specialty

Restrictions

Prior authorization required
92.9% of formularies
Step therapy required
0% of formularies
Quantity limits
78.6% of formularies

2023 Medicare Spending

Beneficiaries
27
Total spending
$5,832,614
Avg per beneficiary
$216,022.73

Tier Distribution Across Plans

2 plans
Tier 1, Preferred Generic
1 plans
Tier 2, Generic
7 plans
Tier 4, Non-Preferred
90 plans
Tier 5, Specialty

Medicare Advantage Plans (MA-PD) Covering 1 ML lanadelumab-flyo 150 MG/ML Prefilled Syringe [Takhzyro]

100 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
CalOptima Health OneCare Complete (HMO D-SNP) ORANGE COUNTY HEALTH AUTHORITY T2 Yes $0 CA
PHP (HMO C-SNP) AIDS HEALTHCARE FOUNDATION T4 Yes $0 CA
VNS Health Total (HMO D-SNP) VNS CHOICE T4 Yes $0 NY
Leon MediExtra (HMO) LEON HEALTH, INC. T4 Yes $0 FL
Leon MediDual (HMO D-SNP) LEON HEALTH, INC. T4 Yes $0 FL
Leon MediMore (HMO) LEON HEALTH, INC. T4 Yes $0 FL
Leon MediMax (HMO D-SNP) LEON HEALTH, INC. T4 Yes $0 FL
VNS Health EasyCare Plus (HMO D-SNP) VNS CHOICE T4 Yes $51.60 NY
HealthSun HealthAdvantage Plan (HMO) HEALTHSUN HEALTH PLANS, INC. T5 Yes $0 FL
HealthSun MediMax (HMO) HEALTHSUN HEALTH PLANS, INC. T5 Yes $0 FL
HealthSun HealthAdvantage Plan (HMO) HEALTHSUN HEALTH PLANS, INC. T5 Yes $0 FL
HealthSun HealthAdvantage Plan (HMO) HEALTHSUN HEALTH PLANS, INC. T5 Yes $0 FL
HealthSun MediSun Plus (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T5 Yes $0 FL
HealthSun HealthAdvantage Plus (HMO) HEALTHSUN HEALTH PLANS, INC. T5 Yes $0 FL
HealthSun HealthAdvantage Plus (HMO) HEALTHSUN HEALTH PLANS, INC. T5 Yes $0 FL
HealthSun MediSun Extra (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T5 Yes $0 FL
HealthSun HealthAdvantage Plus (HMO) HEALTHSUN HEALTH PLANS, INC. T5 Yes $0 FL
HealthSun VitalCare (HMO C-SNP) HEALTHSUN HEALTH PLANS, INC. T5 Yes $0 FL
HealthSun VitalCare (HMO C-SNP) HEALTHSUN HEALTH PLANS, INC. T5 Yes $0 FL
HealthSun MediSun Full Dual Plus (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T5 Yes $0 FL
HealthSun MediSun Full Dual Extra (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T5 Yes $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T5 Yes $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T5 Yes $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T5 Yes $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T5 Yes $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T5 Yes $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T5 Yes $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T5 Yes $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T5 Yes $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T5 Yes $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T5 Yes $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T5 Yes $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T5 Yes $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T5 Yes $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T5 Yes $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T5 Yes $0 FL
Simply Extra (HMO) SIMPLY HEALTHCARE PLANS, INC. T5 Yes $0 FL
Simply Extra Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T5 Yes $0 FL
Simply More Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T5 Yes $0 FL
Simply Complete Platinum (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T5 Yes $0 FL
Simply Level Platinum (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T5 Yes $0 FL
Simply Extra Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T5 Yes $0 FL
Simply Level Platinum (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T5 Yes $0 FL
Simply Extra Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T5 Yes $0 FL
Simply Level Platinum (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T5 Yes $0 FL
Simply Extra Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T5 Yes $0 FL
Simply More Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T5 Yes $0 FL
Simply Complete Platinum (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T5 Yes $0 FL

Frequently Asked Questions

Is 1 ML lanadelumab-flyo 150 MG/ML Prefilled Syringe [Takhzyro] covered by Medicare Part D?

Yes, 1 ML lanadelumab-flyo 150 MG/ML Prefilled Syringe [Takhzyro] is covered by 322 Medicare Part D plans (6.4% of all Part D formularies).

What tier is 1 ML lanadelumab-flyo 150 MG/ML Prefilled Syringe [Takhzyro] on Medicare Part D plans?

1 ML lanadelumab-flyo 150 MG/ML Prefilled Syringe [Takhzyro] averages Tier 4.6 across Part D plans, ranging from Tier 1 to Tier 5.

Does 1 ML lanadelumab-flyo 150 MG/ML Prefilled Syringe [Takhzyro] require prior authorization?

92.9% of Part D formularies require prior authorization for 1 ML lanadelumab-flyo 150 MG/ML Prefilled Syringe [Takhzyro]. Step therapy: 0%. Quantity limits: 78.6%.

How much does Medicare spend on 1 ML lanadelumab-flyo 150 MG/ML Prefilled Syringe [Takhzyro]?

In 2023, total Medicare Part D spending on 1 ML lanadelumab-flyo 150 MG/ML Prefilled Syringe [Takhzyro] was $5,832,614, covering 27 beneficiaries. The average spend per beneficiary was $216,022.73.

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