Medicare Part D coverage · 1.2 · RxCUI 2644523
1.2 ML somatrogon-ghla 20 MG/ML Pen Injector [Ngenla]
Per the CMS 2026 Part D formulary file, 1.2 ML somatrogon-ghla 20 MG/ML Pen Injector [Ngenla] is covered by 21 Medicare Part D plans (0.4% of enrollable products), averaging Tier 3.9, with prior authorization required on 100% of covering formularies.
- 0.4%
- Plan coverage
- 21
- Plans covering
- T3.9
- Avg tier
- 100%
- Prior auth required
What the CMS Formulary Data Shows for 1.2 ML somatrogon-ghla 20 MG/ML Pen Injector [Ngenla]
Per the CMS 2026 Part D formulary file, 1.2 ML somatrogon-ghla 20 MG/ML Pen Injector [Ngenla] (RxNorm concept RXCUI 2644523, generic name 1.2) appears on 15 distinct formulary files spanning 21 Medicare Part D plan offerings - 0.4% 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 3.9.
Real-world access to 1.2 ML somatrogon-ghla 20 MG/ML Pen Injector [Ngenla] depends on utilization management as much as tier placement: 100% of covering formularies require prior authorization. 0% require step therapy. 0% 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 1.2 ML somatrogon-ghla 20 MG/ML Pen Injector [Ngenla] today.
Coverage Details
- Formularies covering
- 15
- Plans covering
- 21
- Coverage rate
- 0.4%
- 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
- 0% of formularies
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering 1.2 ML somatrogon-ghla 20 MG/ML Pen Injector [Ngenla]
21 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| 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 |
| 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 |
| Troy Medicare (HMO) | Troy Health, Inc. | T5 | Yes | $0 | NC |
| Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) | Troy Health, Inc. | T5 | Yes | $0 | NC |
| Contra Costa Health Care Plus (HMO D-SNP) | Contra Costa County Medical Service DBA Contra Costa Health | T5 | Yes | $0 | CA |
| Keystone First VIP Choice (HMO D-SNP) | Vista Health Plan, Inc. | T5 | Yes | $0 | PA |
| AmeriHealth Caritas VIP Care (HMO D-SNP) | Vista Health Plan, Inc. | T5 | Yes | $0 | PA |
| First Choice VIP Care (HMO D-SNP) | Select Health OF South Carolina, Inc. | T5 | Yes | $0 | SC |
| AmeriHealth Caritas VIP Care (HMO D-SNP) | AmeriHealth Caritas VIP Next, Inc. | T5 | Yes | $0 | DE |
| AmeriHealth Caritas VIP Care Choice (HMO D-SNP) | AmeriHealth Caritas VIP Next, Inc. | T5 | Yes | $0 | DE |
| AmeriHealth Caritas VIP Care (HMO D-SNP) | Amerihealth Caritas Florida, Inc. | T5 | Yes | $0 | FL |
| AmeriHealth Caritas VIP Care (HMO D-SNP) | Amerihealth Caritas Louisiana, Inc. | T5 | Yes | $0 | LA |
| AmeriHealth Caritas VIP Care (HMO D-SNP) | Amerihealth Caritas North Carolina, Inc. | T5 | Yes | $0 | NC |
| AmeriHealth Caritas VIP Care (HMO D-SNP) | Amerihealth Michigan, Inc. | T5 | Yes | $0 | MI |
| Mass General Brigham Advantage (PPO) | Mass General Brigham Health Plan, Inc. | T5 | Yes | $0 | MA |
| Mass General Brigham Advantage Secure (HMO-POS) | Mass General Brigham Health Plan, Inc. | T5 | Yes | $62.00 | MA |
| Mass General Brigham Advantage Premier (PPO) | Mass General Brigham Health Plan, Inc. | T5 | Yes | $79.70 | MA |
Show the next 1 plans
| Mass General Brigham Advantage Signature (PPO) | Mass General Brigham Health Plan, Inc. | T5 | Yes | $147.20 | MA |
Frequently Asked Questions
Is 1.2 ML somatrogon-ghla 20 MG/ML Pen Injector [Ngenla] covered by Medicare Part D?
Yes, 1.2 ML somatrogon-ghla 20 MG/ML Pen Injector [Ngenla] is covered by 21 Medicare Part D plans (0.4% of all Part D formularies).
What tier is 1.2 ML somatrogon-ghla 20 MG/ML Pen Injector [Ngenla] on Medicare Part D plans?
1.2 ML somatrogon-ghla 20 MG/ML Pen Injector [Ngenla] averages Tier 3.9 across Part D plans, ranging from Tier 1 to Tier 5.
Does 1.2 ML somatrogon-ghla 20 MG/ML Pen Injector [Ngenla] require prior authorization?
100% of Part D formularies require prior authorization for 1.2 ML somatrogon-ghla 20 MG/ML Pen Injector [Ngenla]. Step therapy: 0%. Quantity limits: 0%.
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
- brensocatib 10 MG Oral Tablet [Brinsupri] T3.9
- betamethasone dipropionate 0.643 MG/ML / calcipotriene 0.05 MG/ML Topical Suspension T3.9
- crinecerfont 25 MG Oral Capsule [Crenessity] T3.9
- {180 (danicopan 100 MG Oral Tablet [Voydeya]) } Pack [Voydeya 200 MG Dose Bottle] T3.9
- {90 (danicopan 100 MG Oral Tablet [Voydeya]) / 90 (danicopan 50 MG Oral Tablet [Voydeya]) } Pack [Voydeya 150 MG Dose Bottle] T3.9
- sofosbuvir 400 MG / velpatasvir 100 MG Oral Tablet T3.9
Similar prior-authorization rate
- azathioprine 50 MG Oral Tablet 100% PA
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- 1 ML hepatitis B surface antigen vaccine 0.02 MG/ML Prefilled Syringe [Engerix-B] 100% PA
- sotagliflozin 200 MG Oral Tablet [Inpefa] 100% PA
- mycophenolate mofetil 250 MG Oral Capsule 100% PA