1.5 ML brodalumab 140 MG/ML Prefilled Syringe [Siliq]
brodalumab
RxCUI: 1872261
What the CMS Formulary Data Shows for 1.5 ML brodalumab 140 MG/ML Prefilled Syringe [Siliq]
Per the CMS 2026 Part D formulary file, 1.5 ML brodalumab 140 MG/ML Prefilled Syringe [Siliq] (RxNorm concept RXCUI 1872261, generic name brodalumab) appears on 17 distinct formulary files spanning 183 Medicare Part D plan offerings - 3.6% 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 1.5 ML brodalumab 140 MG/ML Prefilled Syringe [Siliq] depends on utilization management as much as tier placement: 94.1% of covering formularies require prior authorization. 0% require step therapy. 82.4% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 218 Part D beneficiaries filled 1.5 ML brodalumab 140 MG/ML Prefilled Syringe [Siliq] in 2023, with total plan-and-beneficiary spending of $10,003,559 and an average per-beneficiary annual cost of $45,887.88. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry 1.5 ML brodalumab 140 MG/ML Prefilled Syringe [Siliq] today.
Coverage Details
- Formularies covering
- 17
- Plans covering
- 183
- Coverage rate
- 3.6%
- Tier range
- Tier 1 – Tier 5
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 94.1% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 82.4% of formularies
2023 Medicare Spending
- Beneficiaries
- 218
- Total spending
- $10,003,559
- Avg per beneficiary
- $45,887.88
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering 1.5 ML brodalumab 140 MG/ML Prefilled Syringe [Siliq]
100 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 |
| CalOptima Health OneCare Complete (HMO D-SNP) | ORANGE COUNTY HEALTH AUTHORITY | T2 | Yes | $0 | CA |
| Community Blue Medicare HMO Signature (HMO) | Highmark Western and Northeastern New York Inc. | T5 | Yes | $0 | NY |
| Community Blue Medicare HMO Merit (HMO) | Highmark Western and Northeastern New York Inc. | T5 | Yes | $0 | NY |
| Community Blue Medicare PPO Signature (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T5 | Yes | $0 | PA |
| Complete Blue PPO Signature (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T5 | Yes | $0 | PA |
| Community Blue Medicare Plus PPO Signature (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T5 | Yes | $0 | PA |
| Complete Blue PPO Signature (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T5 | Yes | $0 | PA |
| Complete Blue PPO Merit (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T5 | Yes | $0 | PA |
| Complete Blue PPO Signature (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T5 | Yes | $0 | PA |
| Complete Blue PPO Distinct (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T5 | Yes | $0 | PA |
| Community Blue Medicare Plus PPO Signature (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T5 | Yes | $0 | PA |
| Complete Blue Plus PPO Merit (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T5 | Yes | $0 | PA |
| Community Blue Medicare PPO Signature (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T5 | Yes | $0 | PA |
| Complete Blue PPO Merit (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T5 | Yes | $0 | PA |
| Community Blue Medicare HMO Signature (HMO) | HIGHMARK CHOICE COMPANY | T5 | Yes | $0 | PA |
| Security Blue HMO-POS ValueRx (HMO-POS) | HIGHMARK CHOICE COMPANY | T5 | Yes | $0 | PA |
| Community Blue Medicare HMO Signature (HMO) | HIGHMARK CHOICE COMPANY | T5 | Yes | $0 | PA |
| Together Blue Medicare HMO Signature (HMO) | HIGHMARK CHOICE COMPANY | T5 | Yes | $0 | PA |
| Community Blue Medicare HMO Distinct (HMO) | HIGHMARK CHOICE COMPANY | T5 | Yes | $0 | PA |
| Complete Blue HMO Distinct (HMO) | HIGHMARK CHOICE COMPANY | T5 | Yes | $0 | PA |
| Complete Blue PPO Distinct (PPO) | HIGHMARK SENIOR SOLUTIONS COMPANY | T5 | Yes | $0 | WV |
| Complete Blue PPO Signature (PPO) | HIGHMARK SENIOR SOLUTIONS COMPANY | T5 | Yes | $0 | WV |
| Complete Blue PPO Signature (PPO) | HIGHMARK SENIOR SOLUTIONS COMPANY | T5 | Yes | $0 | WV |
| Complete Blue PPO Merit (PPO) | HIGHMARK SENIOR SOLUTIONS COMPANY | T5 | Yes | $0 | WV |
| Complete Blue PPO Signature (PPO) | HIGHMARK BCBSD INC. | T5 | Yes | $0 | DE |
| 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 |
| Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Enhanced Solano (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Inland Empire (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
| Kaiser Permanente Sr Adv Enhanced Marin San Mateo (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Ventura (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Enhanced Kern (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Basic Kern (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
| Kaiser Permanente Senior Advantage San Diego (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
| Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Enhanced Stanis (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
Frequently Asked Questions
Is 1.5 ML brodalumab 140 MG/ML Prefilled Syringe [Siliq] covered by Medicare Part D?
Yes, 1.5 ML brodalumab 140 MG/ML Prefilled Syringe [Siliq] is covered by 183 Medicare Part D plans (3.6% of all Part D formularies).
What tier is 1.5 ML brodalumab 140 MG/ML Prefilled Syringe [Siliq] on Medicare Part D plans?
1.5 ML brodalumab 140 MG/ML Prefilled Syringe [Siliq] averages Tier 4.4 across Part D plans, ranging from Tier 1 to Tier 5.
Does 1.5 ML brodalumab 140 MG/ML Prefilled Syringe [Siliq] require prior authorization?
94.1% of Part D formularies require prior authorization for 1.5 ML brodalumab 140 MG/ML Prefilled Syringe [Siliq]. Step therapy: 0%. Quantity limits: 82.4%.
How much does Medicare spend on 1.5 ML brodalumab 140 MG/ML Prefilled Syringe [Siliq]?
In 2023, total Medicare Part D spending on 1.5 ML brodalumab 140 MG/ML Prefilled Syringe [Siliq] was $10,003,559, covering 218 beneficiaries. The average spend per beneficiary was $45,887.88.
Read our methodology - how this data is sourced, computed, and verified.