Medicare Part D coverage · 1 · RxCUI 2629981
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] is covered by 321 Medicare Part D plans (6.4% of enrollable products), averaging Tier 4.6, with prior authorization required on 92.9% of covering formularies.
- 6.4%
- Plan coverage
- 321
- 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 1) appears on 28 distinct formulary files spanning 321 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
- 321
- 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
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 |
Show the next 30 plans
| 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 |
Showing top 50 of 100 plans.
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 321 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.
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
- 28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo] T4.6
- dasatinib 100 MG Oral Tablet [Phyrago] T4.6
- methyltestosterone 10 MG Oral Tablet [Methitest] T4.7
- nitisinone 10 MG Oral Tablet [Nityr] T4.7
- buspirone hydrochloride 15 MG Oral Capsule [Bucapsol] T4.7
- 1.7 ML denosumab 70 MG/ML Injection [Xgeva] T4.6
Similar prior-authorization rate
- 0.4 ML adalimumab-adbm 100 MG/ML Prefilled Syringe 92.9% PA
- insulin lispro 100 UNT/ML Injectable Solution [Admelog] 93% PA
- {28 (alpelisib 50 MG Oral Granules [Vijoice]) } Pack [Vijoice 50 MG Granules 28 Day] 93% PA
- 0.5 ML tbo-filgrastim 0.6 MG/ML Prefilled Syringe [Granix] 93% PA
- 0.8 ML tbo-filgrastim 0.6 MG/ML Prefilled Syringe [Granix] 93% PA
- 0.6 ML pegfilgrastim-bmez 10 MG/ML Prefilled Syringe [Ziextenzo] 93.1% PA