168 HR granisetron 0.129 MG/HR Transdermal System [Sancuso]

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granisetron

RxCUI: 825005

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.
20.6%
Plan Coverage
1,045
Plans Covering
T4.4
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for 168 HR granisetron 0.129 MG/HR Transdermal System [Sancuso]

Per the CMS 2026 Part D formulary file, 168 HR granisetron 0.129 MG/HR Transdermal System [Sancuso] (RxNorm concept RXCUI 825005, generic name granisetron) appears on 21 distinct formulary files spanning 1,045 Medicare Part D plan offerings - 20.6% 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 168 HR granisetron 0.129 MG/HR Transdermal System [Sancuso] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 14.3% require step therapy. 38.1% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 1,178 Part D beneficiaries filled 168 HR granisetron 0.129 MG/HR Transdermal System [Sancuso] in 2023, with total plan-and-beneficiary spending of $6,806,991 and an average per-beneficiary annual cost of $5,778.43. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry 168 HR granisetron 0.129 MG/HR Transdermal System [Sancuso] today.

Coverage Details

Formularies covering
21
Plans covering
1,045
Coverage rate
20.6%
Tier range
Tier 1 – Tier 5
Average tier
Tier 4, Non-Preferred

Restrictions

Prior authorization required
0% of formularies
Step therapy required
14.3% of formularies
Quantity limits
38.1% of formularies

2023 Medicare Spending

Beneficiaries
1,178
Total spending
$6,806,991
Avg per beneficiary
$5,778.43

Tier Distribution Across Plans

6 plans
Tier 1, Preferred Generic
94 plans
Tier 5, Specialty

Standalone Drug Plans (PDP) Covering 168 HR granisetron 0.129 MG/HR Transdermal System [Sancuso]

2 standalone prescription drug plans include this drug.

Plan Insurer Tier PA ST Premium States
AARP Medicare Rx Preferred from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T5 No No $0 -
AARP Medicare Rx Preferred from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T5 No No $0 -

Medicare Advantage Plans (MA-PD) Covering 168 HR granisetron 0.129 MG/HR Transdermal System [Sancuso]

98 Medicare Advantage plans with Part D drug coverage include this drug.

Plan Insurer Tier PA Premium States
Platino Blindao (HMO D-SNP) TRIPLE S ADVANTAGE, INC. T1 No $0 PR
Platino Enlace (HMO D-SNP) TRIPLE S ADVANTAGE, INC. T1 No $0 PR
PLATINO ADVANCE (HMO D-SNP) TRIPLE S ADVANTAGE, INC. T1 No $0 PR
PLATINO PLUS (HMO D-SNP) TRIPLE S ADVANTAGE, INC. T1 No $0 PR
Mass General Brigham SCO (HMO D-SNP) MASS GENERAL BRIGHAM HEALTH PLAN, INC T1 No $0 MA
Mass General Brigham One Care (HMO D-SNP) MASS GENERAL BRIGHAM HEALTH PLAN, INC T1 No $0 MA
UHC Dual Complete IA-S001 (HMO-POS D-SNP) UNITEDHEALTHCARE OF WISCONSIN, INC. T5 No $0 IA
UHC Dual Complete MO-S001 (HMO-POS D-SNP) UNITEDHEALTHCARE OF WISCONSIN, INC. T5 No $0 MO
UHC Dual Complete NE-S001 (HMO-POS D-SNP) UNITEDHEALTHCARE OF WISCONSIN, INC. T5 No $0 NE
UHC Dual Complete KS-S001 (HMO-POS D-SNP) UNITEDHEALTHCARE OF WISCONSIN, INC. T5 No $0 KS
UHC Dual Complete MO-S3 (HMO-POS D-SNP) UNITEDHEALTHCARE OF WISCONSIN, INC. T5 No $0 MO
UHC Dual Complete KS-Q1 (HMO-POS D-SNP) UNITEDHEALTHCARE OF WISCONSIN, INC. T5 No $0 KS
UHC Dual Complete TN-S001 (HMO-POS D-SNP) UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC. T5 No $0 TN
UHC Dual Complete TN-Y001 (HMO-POS D-SNP) UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC. T5 No $0 TN
UHC Dual Complete TN-Y2 (HMO-POS D-SNP) UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC. T5 No $0 TN
AARP Medicare Advantage from UHC MI-0001 (PPO) UNITEDHEALTHCARE INSURANCE COMPANY T5 No $0 MI
UHC Dual Complete NM-Y1 (PPO D-SNP) UNITEDHEALTHCARE INSURANCE COMPANY T5 No $0 NM
UHC Dual Complete NM-S1 (PPO D-SNP) UNITEDHEALTHCARE INSURANCE COMPANY T5 No $0 NM
UHC Dual Complete NM-V1 (PPO D-SNP) UNITEDHEALTHCARE INSURANCE COMPANY T5 No $0 NM
UHC Dual Complete AZ-S001 (HMO-POS D-SNP) ARIZONA PHYSICIANS IPA, INC. T5 No $0 AZ
UHC Dual Complete AZ-Y001 (HMO-POS D-SNP) ARIZONA PHYSICIANS IPA, INC. T5 No $0 AZ
UHC Dual Complete VA-Y4 (PPO D-SNP) CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. T5 No $0 VA
AARP Medicare Advantage from UHC AL-0001 (HMO-POS) UNITEDHEALTHCARE OF THE MIDLANDS, INC. T5 No $0 AL
AARP Medicare Advantage from UHC CA-0002 (HMO-POS) UHC OF CALIFORNIA T5 No $0 CA
UHC Sharp Medicare Advantage CA-001P (HMO-POS) UHC OF CALIFORNIA T5 No $0 CA
AARP Medicare Advantage from UHC CA-003P (HMO-POS) UHC OF CALIFORNIA T5 No $0 CA
AARP Medicare Advantage from UHC CA-0012 (HMO-POS) UHC OF CALIFORNIA T5 No $0 CA
AARP Medicare Advantage from UHC CA-004P (HMO-POS) UHC OF CALIFORNIA T5 No $0 CA
AARP Medicare Advantage from UHC CA-005P (HMO-POS) UHC OF CALIFORNIA T5 No $0 CA
AARP Medicare Advantage from UHC CA-006P (HMO-POS) UHC OF CALIFORNIA T5 No $0 CA
AARP Medicare Advantage from UHC CA-10 (HMO-POS) UHC OF CALIFORNIA T5 No $0 CA
UHC Sharp Medicare Advantage ValueRx CA-12P (HMO-POS) UHC OF CALIFORNIA T5 No $0 CA
AARP Medicare Advantage from UHC CA-021P (HMO-POS) UHC OF CALIFORNIA T5 No $0 CA
AARP Medicare Advantage from UHC CA-022P (HMO-POS) UHC OF CALIFORNIA T5 No $0 CA
AARP Medicare Advantage from UHC CA-023P (HMO-POS) UHC OF CALIFORNIA T5 No $0 CA
AARP Medicare Advantage from UHC CA-026P (HMO-POS) UHC OF CALIFORNIA T5 No $0 CA
AARP Medicare Advantage Giveback from UHC CA-19 (HMO-POS) UHC OF CALIFORNIA T5 No $0 CA
AARP Medicare Advantage Giveback from UHC CA-20 (HMO-POS) UHC OF CALIFORNIA T5 No $0 CA
AARP Medicare Advantage Giveback from UHC CA-21 (HMO-POS) UHC OF CALIFORNIA T5 No $0 CA
AARP Medicare Advantage Essentials from UHC CO-2 (HMO-POS) UnitedHealthcare Benefits of Texas, Inc. T5 No $0 CO
AARP Medicare Advantage Essentials from UHC AZ-1 (HMO-POS) UnitedHealthcare Benefits of Texas, Inc. T5 No $0 AZ
AARP Medicare Advantage Essentials from UHC AZ-2 (HMO-POS) UnitedHealthcare Benefits of Texas, Inc. T5 No $0 AZ
AARP Medicare Advantage from UHC AZ-002P (HMO-POS) UnitedHealthcare Benefits of Texas, Inc. T5 No $0 AZ
AARP Medicare Advantage from UHC NV-0001 (HMO-POS) UnitedHealthcare Benefits of Texas, Inc. T5 No $0 NV
AARP Medicare Advantage from UHC NV-0002 (HMO-POS) UnitedHealthcare Benefits of Texas, Inc. T5 No $0 NV
UHC Medicare Advantage NV-001P (HMO-POS) UnitedHealthcare Benefits of Texas, Inc. T5 No $0 NV
AARP Medicare Advantage Essentials from UHC CO-4 (HMO-POS) UnitedHealthcare Benefits of Texas, Inc. T5 No $0 CO
AARP Medicare Advantage Essentials ValueRx NV-5 (HMO-POS) UnitedHealthcare Benefits of Texas, Inc. T5 No $0 NV
AARP Medicare Advantage from UHC NV-0006 (HMO-POS) UnitedHealthcare Benefits of Texas, Inc. T5 No $0 NV
AARP Medicare Advantage Extras from UHC AZ-4 (HMO-POS) UnitedHealthcare Benefits of Texas, Inc. T5 No $0 AZ

Frequently Asked Questions

Is 168 HR granisetron 0.129 MG/HR Transdermal System [Sancuso] covered by Medicare Part D?

Yes, 168 HR granisetron 0.129 MG/HR Transdermal System [Sancuso] is covered by 1,045 Medicare Part D plans (20.6% of all Part D formularies).

What tier is 168 HR granisetron 0.129 MG/HR Transdermal System [Sancuso] on Medicare Part D plans?

168 HR granisetron 0.129 MG/HR Transdermal System [Sancuso] averages Tier 4.4 across Part D plans, ranging from Tier 1 to Tier 5.

Does 168 HR granisetron 0.129 MG/HR Transdermal System [Sancuso] require prior authorization?

0% of Part D formularies require prior authorization for 168 HR granisetron 0.129 MG/HR Transdermal System [Sancuso]. Step therapy: 14.3%. Quantity limits: 38.1%.

How much does Medicare spend on 168 HR granisetron 0.129 MG/HR Transdermal System [Sancuso]?

In 2023, total Medicare Part D spending on 168 HR granisetron 0.129 MG/HR Transdermal System [Sancuso] was $6,806,991, covering 1,178 beneficiaries. The average spend per beneficiary was $5,778.43.

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