Medicare Part D coverage · 1.7 · RxCUI 2723345
1.7 ML denosumab-nxxp 70 MG/ML Injection [Bilprevda]
Per the CMS 2026 Part D formulary file, 1.7 ML denosumab-nxxp 70 MG/ML Injection [Bilprevda] is covered by 741 Medicare Part D plans (14.7% of enrollable products), averaging Tier 4.5, with prior authorization required on 86.4% of covering formularies.
- 14.7%
- Plan coverage
- 741
- Plans covering
- T4.5
- Avg tier
- 86.4%
- Prior auth required
What the CMS Formulary Data Shows for 1.7 ML denosumab-nxxp 70 MG/ML Injection [Bilprevda]
Per the CMS 2026 Part D formulary file, 1.7 ML denosumab-nxxp 70 MG/ML Injection [Bilprevda] (RxNorm concept RXCUI 2723345, generic name 1.7) appears on 22 distinct formulary files spanning 741 Medicare Part D plan offerings - 14.7% 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 4.5.
Real-world access to 1.7 ML denosumab-nxxp 70 MG/ML Injection [Bilprevda] depends on utilization management as much as tier placement: 86.4% of covering formularies require prior authorization. 0% require step therapy. 22.7% 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 1.7 ML denosumab-nxxp 70 MG/ML Injection [Bilprevda] today.
Coverage Details
- Formularies covering
- 22
- Plans covering
- 741
- Coverage rate
- 14.7%
- Tier range
- Tier 1 – Tier 5
- Average tier
- Tier 5, Specialty
Restrictions
- Prior authorization required
- 86.4% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 22.7% of formularies
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering 1.7 ML denosumab-nxxp 70 MG/ML Injection [Bilprevda]
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Community Care's Partnership Program (HMO D-SNP) | Community Care Health Plan, Inc. | T1 | Yes | $0 | WI |
| Platino Blindao (HMO D-SNP) | Triple S Advantage, Inc. | T1 | Yes | $0 | PR |
| Platino Enlace (HMO D-SNP) | Triple S Advantage, Inc. | T1 | Yes | $0 | PR |
| Platino Advance (HMO D-snp) | Triple S Advantage, Inc. | T1 | Yes | $0 | PR |
| Platino Plus (HMO D-snp) | Triple S Advantage, Inc. | T1 | Yes | $0 | PR |
| CareAdvantage (HMO D-SNP) | SAN Mateo Health Commission | T2 | Yes | $0 | CA |
| Aetna Medicare Signature (HMO) | Aetna Health OF California Inc. | T5 | Yes | $0 | CA |
| Aetna Medicare Signature (HMO) | Aetna Health OF California Inc. | T5 | Yes | $0 | CA |
| Aetna Medicare Signature Extra (HMO-POS) | Aetna Health OF California Inc. | T5 | Yes | $0 | CA |
| Aetna Medicare Prime (HMO-POS) | Aetna Health OF California Inc. | T5 | Yes | $0 | CA |
| Aetna Medicare Prime (HMO-POS) | Aetna Health OF California Inc. | T5 | Yes | $0 | CA |
| Aetna Medicare Prime (HMO-POS) | Aetna Health OF California Inc. | T5 | Yes | $0 | CA |
| Aetna Medicare Signature Extra (HMO) | Aetna Health OF California Inc. | T5 | Yes | $0 | CA |
| Aetna Medicare Prime (HMO-POS) | Aetna Health OF California Inc. | T5 | Yes | $0 | CA |
| Aetna Medicare Signature Extra (HMO) | Aetna Health OF California Inc. | T5 | Yes | $0 | CA |
| Aetna Medicare Signature Extra (HMO) | Aetna Health OF California Inc. | T5 | Yes | $0 | CA |
| Aetna Medicare Signature Extra (HMO) | Aetna Health OF California Inc. | T5 | Yes | $0 | CA |
| Aetna Medicare Signature Care (HMO-POS) | Aetna Health OF Ohio Inc. | T5 | Yes | $0 | OH |
| Aetna Medicare Signature Extra (HMO-POS) | Aetna Health OF Ohio Inc. | T5 | Yes | $0 | OH |
| Aetna Medicare Signature Care (HMO-POS) | Aetna Health OF Ohio Inc. | T5 | Yes | $0 | OH |
Show the next 30 plans
| Aetna Medicare Signature Extra (HMO-POS) | Aetna Health OF Ohio Inc. | T5 | Yes | $0 | KY |
| Aetna Medicare Signature (HMO-POS) | Aetna Health OF Ohio Inc. | T5 | Yes | $0 | KY |
| Aetna Medicare Signature (HMO-POS) | Aetna Health OF Ohio Inc. | T5 | Yes | $0 | KY |
| Aetna Medicare HIDE (HMO D-SNP) | Aetna Health OF Ohio Inc. | T5 | Yes | $0 | KY |
| Aetna Medicare Dual Care (HMO D-SNP) | Aetna Health OF Ohio Inc. | T5 | Yes | $0 | OH |
| Aetna Medicare Signature Care (HMO-POS) | Aetna Health OF Ohio Inc. | T5 | Yes | $0 | OH |
| Aetna Medicare Signature (HMO-POS) | Aetna Health OF Ohio Inc. | T5 | Yes | $0 | OH |
| Aetna Medicare Signature (HMO-POS) | Aetna Health OF Ohio Inc. | T5 | Yes | $0 | KY |
| Aetna Medicare Partial Dual (HMO D-SNP) | Aetna Health OF Ohio Inc. | T5 | Yes | $0 | KY |
| Aetna Medicare Partial Dual (HMO D-SNP) | Aetna Health OF Ohio Inc. | T5 | Yes | $0 | OH |
| Aetna Medicare Signature (HMO) | Aetna Health Inc. (GA) | T5 | Yes | $0 | GA |
| Aetna Medicare Signature (HMO-POS) | Coventry Health Care OF Illinois, Inc. | T5 | Yes | $0 | WI |
| Aetna Medicare Signature (HMO-POS) | Coventry Health Care OF Illinois, Inc. | T5 | Yes | $0 | IL |
| Aetna Medicare Prime Chronic Care (HMO C-SNP) | Coventry Health Care OF Illinois, Inc. | T5 | Yes | $0 | IL |
| Aetna Medicare Signature Extra (HMO-POS) | Coventry Health Care OF Illinois, Inc. | T5 | Yes | $0 | IL |
| Aetna Medicare Signature (PPO) | Coventry Health AND Life Insurance Company | T5 | Yes | $0 | IA |
| Aetna Medicare Signature (PPO) | Coventry Health AND Life Insurance Company | T5 | Yes | $0 | NE |
| Aetna Medicare Signature (PPO) | Coventry Health AND Life Insurance Company | T5 | Yes | $0 | KS, MO |
| Aetna Medicare Signature Extra (PPO) | Coventry Health AND Life Insurance Company | T5 | Yes | $0 | KS |
| Aetna Medicare Signature (PPO) | Coventry Health AND Life Insurance Company | T5 | Yes | $0 | KS, MO |
| Aetna Medicare Signature Plus (PPO) | Coventry Health AND Life Insurance Company | T5 | Yes | $0 | AR |
| Aetna Medicare Signature (PPO) | Coventry Health AND Life Insurance Company | T5 | Yes | $0 | KS |
| Aetna Medicare Advantra (PPO) | Coventry Health AND Life Insurance Company | T5 | Yes | $0 | OH |
| Aetna Medicare Advantra Signature Giveback (PPO) | Coventry Health AND Life Insurance Company | T5 | Yes | $0 | WV |
| Aetna Medicare Elite (PPO) | Coventry Health AND Life Insurance Company | T5 | Yes | $0 | IA |
| Aetna Medicare Signature Extra (PPO) | Coventry Health AND Life Insurance Company | T5 | Yes | $0 | NE |
| Aetna Medicare Advantra Signature (PPO) | Coventry Health AND Life Insurance Company | T5 | Yes | $0 | WV |
| Aetna Medicare Elite (PPO) | Coventry Health AND Life Insurance Company | T5 | Yes | $0 | IL, MO |
| Aetna Medicare Signature (PPO) | Coventry Health AND Life Insurance Company | T5 | Yes | $0 | MO |
| Aetna Medicare Elite (PPO) | Coventry Health AND Life Insurance Company | T5 | Yes | $0 | KS, MO |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is 1.7 ML denosumab-nxxp 70 MG/ML Injection [Bilprevda] covered by Medicare Part D?
Yes, 1.7 ML denosumab-nxxp 70 MG/ML Injection [Bilprevda] is covered by 741 Medicare Part D plans (14.7% of all Part D formularies).
What tier is 1.7 ML denosumab-nxxp 70 MG/ML Injection [Bilprevda] on Medicare Part D plans?
1.7 ML denosumab-nxxp 70 MG/ML Injection [Bilprevda] averages Tier 4.5 across Part D plans, ranging from Tier 1 to Tier 5.
Does 1.7 ML denosumab-nxxp 70 MG/ML Injection [Bilprevda] require prior authorization?
86.4% of Part D formularies require prior authorization for 1.7 ML denosumab-nxxp 70 MG/ML Injection [Bilprevda]. Step therapy: 0%. Quantity limits: 22.7%.
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
- 0.6 ML pegfilgrastim-cbqv 10 MG/ML Auto-Injector [Udenyca] T4.5
- 1 ML tbo-filgrastim 0.3 MG/ML Injection [Granix] T4.5
- 0.5 ML filgrastim 0.6 MG/ML Prefilled Syringe [Neupogen] T4.5
- 0.8 ML filgrastim 0.6 MG/ML Prefilled Syringe [Neupogen] T4.5
- 1 ML filgrastim 0.3 MG/ML Injection [Neupogen] T4.5
- 1.6 ML filgrastim 0.3 MG/ML Injection [Neupogen] T4.5
Similar prior-authorization rate
- 0.6 ML pegfilgrastim-cbqv 10 MG/ML Prefilled Syringe [Udenyca] 86.4% PA
- ondansetron 0.8 MG/ML Oral Solution 86.3% PA
- crinecerfont 50 MG/ML Oral Solution [Crenessity] 86.7% PA
- 1.5 ML leuprolide acetate 30 MG/ML Prefilled Syringe [Lupron] 86.8% PA
- 60 ACTUAT testosterone 30 MG/ACTUAT Topical Solution 86% PA
- leuprolide acetate 5 MG/ML Injectable Solution 86% PA