Medicare Part D coverage · 1.7 · RxCUI 2717549

1.7 ML denosumab-bnht 70 MG/ML Injection [Bomyntra]

Per the CMS 2026 Part D formulary file, 1.7 ML denosumab-bnht 70 MG/ML Injection [Bomyntra] is covered by 699 Medicare Part D plans (13.8% of enrollable products), averaging Tier 3.8, with prior authorization required on 98.4% of covering formularies.

13.8%
Plan coverage
699
Plans covering
T3.8
Avg tier
98.4%
Prior auth required

Verify with CMS →

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.

What the CMS Formulary Data Shows for 1.7 ML denosumab-bnht 70 MG/ML Injection [Bomyntra]

Per the CMS 2026 Part D formulary file, 1.7 ML denosumab-bnht 70 MG/ML Injection [Bomyntra] (RxNorm concept RXCUI 2717549, generic name 1.7) appears on 61 distinct formulary files spanning 699 Medicare Part D plan offerings - 13.8% 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 3.8.

Real-world access to 1.7 ML denosumab-bnht 70 MG/ML Injection [Bomyntra] depends on utilization management as much as tier placement: 98.4% of covering formularies require prior authorization. 0% require step therapy. 47.5% 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-bnht 70 MG/ML Injection [Bomyntra] today.

Coverage Details

Formularies covering
61
Plans covering
699
Coverage rate
13.8%
Tier range
Tier 1 – Tier 5
Average tier
Tier 4, Non-Preferred

Restrictions

Prior authorization required
98.4% of formularies
Step therapy required
0% of formularies
Quantity limits
47.5% of formularies

Tier Distribution Across Plans

55 plans
Tier 1, Preferred Generic
45 plans
Tier 5, Specialty

Medicare Advantage Plans (MA-PD) Covering 1.7 ML denosumab-bnht 70 MG/ML Injection [Bomyntra]

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

Plan Insurer Tier PA Premium States
ElderServe MAP (HMO D-SNP) Elderserve Health, Inc. T1 Yes $0 NY
Cooperative Advantage (HMO D-SNP) Group Health Cooperative OF EAU Claire T1 Yes $0 WI
Longevity Health Plan (PPO I-SNP) Longevity Health Plan OF NEW Jersey Insurance Comp T1 Yes $0 NJ
Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP) Upper Peninsula Health Plan, LLC T1 Yes $0 MI
CareSource Dual Advantage (HMO D-SNP) Caresource Georgia Co. T1 Yes $0 GA
HAP CareSource MI Coordinated Health (HMO D-SNP) HAP Caresource T1 Yes $0 MI
PruittHealth Premier D-SNP (HMO D-SNP) Pruitthealth Premier, Inc. T1 Yes $0 GA
Simpra Advantage Dual Care (PPO D-SNP) Simpra Advantage, Inc. T1 Yes $0 AL
Longevity Health Plan (HMO I-SNP) Longevity Health Plan OF Florida, Inc. T1 Yes $4.80 FL
Senior Care (HMO I-SNP) Align Senior Care Florida, Inc. T1 Yes $4.80 FL
ProCare Advantage (HMO-POS I-SNP) Procare Advantage, LLC T1 Yes $4.80 TX
ProCare Advantage - Kidney Care (HMO-POS C-SNP) Procare Advantage, LLC T1 Yes $4.80 TX
American Health Advantage of Florida (HMO I-SNP) American Health Plan OF FL, Inc. T1 Yes $4.80 FL
SECUR Advantage (HMO I-SNP) Secur Inc T1 Yes $4.80 FL
SECUR Enhanced (HMO I-SNP) Secur Inc T1 Yes $4.80 FL
Longevity Health Plan (HMO I-SNP) Longevity Health Plan OF Michigan, Inc. T1 Yes $8.80 MI
Senior Care (HMO I-SNP) Align Senior Care MI, LLC T1 Yes $8.80 MI
AgeRight Advantage Health Plan (HMO I-SNP) Marquis Advantage, Inc. T1 Yes $10.50 OR, WA
Senior Care (HMO I-SNP) Align Senior Care California Inc. T1 Yes $12.00 CA
Liberty Medicare Dual Plan (HMO D-SNP) Liberty Advantage, LLC T1 Yes $14.70 NC
Show the next 30 plans
Longevity Health Plan (HMO I-SNP) Longevity Health Plan OF Illinois, Inc. T1 Yes $15.20 IL
WellSense Added Value (HMO) Boston Medical Center Health Plan, Inc. T1 Yes $21.70 NH
KeyCare Advantage (HMO I-SNP) Isnp Ventures, LLC T1 Yes $23.20 MD
American Health Advantage of Mississippi (HMO I-SNP) American Health Plan OF MS, Inc. T1 Yes $23.80 MS
Senior Care (HMO I-SNP) Lifeworks Advantage, LLC T1 Yes $24.60 VA
PruittHealth Premier (HMO I-SNP) Pruitthealth Premier, Inc. T1 Yes $25.40 GA
Georgia Health Advantage (HMO I-SNP) Georgia Assurance, Inc. T1 Yes $25.40 GA
Georgia Health Advantage Choice (HMO I-SNP) Georgia Assurance, Inc. T1 Yes $25.40 GA
American Health Advantage of Tennessee (HMO I-SNP) American Health Plan, Inc. T1 Yes $27.70 TN
Simpra Advantage Nursing Home Plan (PPO I-SNP) Simpra Advantage, Inc. T1 Yes $27.70 AL
American Health Advantage of Oklahoma (HMO I-SNP) Oklahoma Superior Select, Inc. T1 Yes $28.20 OK
NHC Advantage (HMO I-SNP) NHC Advantage, LLC T1 Yes $31.00 MO, NC, SC, TN
Perennial Advantage Strive (HMO I-SNP) Perennial Advantage OF Ohio, Inc. T1 Yes $31.40 OH
Perennial Advantage Strive (HMO I-SNP) Perennial Advantage OF Colorado, Inc. T1 Yes $32.70 PA
American Health Advantage of Pennsylvania (HMO I-SNP) American Health Plan OF Pennsylvania Inc T1 Yes $32.70 PA
Lagniappe Advantage (PPO I-SNP) Lagniappe Advantage Insurance Company T1 Yes $32.90 LA
American Health Advantage of Louisiana (HMO I-SNP) Dignity Care Corporation T1 Yes $32.90 LA
Longevity Health Plan (HMO I-SNP) Longevity Health Plan OF Colorado, Inc. T1 Yes $35.20 CO
Perennial Advantage Strive (HMO I-SNP) Perennial Advantage OF Colorado, Inc. T1 Yes $35.20 CO
PruittHealth Premier (HMO I-SNP) Pruitthealth Premier North Carolina, LLC T1 Yes $35.70 SC
Longevity Health Plan (HMO I-SNP) Longevity Health Plan OF North Carolina, Inc. T1 Yes $36.20 NC
PruittHealth Premier (HMO I-SNP) Pruitthealth Premier North Carolina, LLC T1 Yes $36.20 NC
Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP) Liberty Advantage, LLC T1 Yes $36.20 NC
American Health Advantage of Utah (HMO I-SNP) American Health Plan OF UT, Inc. T1 Yes $37.60 UT
American Health Advantage of Idaho (HMO I-SNP) American Health Plan OF UT, Inc. T1 Yes $37.60 ID
American Health Advantage of Indiana (HMO I-SNP) American Health Plan OF Indiana Inc T1 Yes $38.40 IN
Longevity Health Plan (PPO I-SNP) Longevity Health Plan OF NEW Jersey Insurance Comp T1 Yes $40.00 NJ
Iowa Health Advantage (HMO I-SNP) American Health Plan OF Iowa Inc T1 Yes $41.50 IA
Iowa Health Advantage Choice (HMO I-SNP) American Health Plan OF Iowa Inc T1 Yes $41.50 IA
American Health Advantage of Missouri (HMO I-SNP) American Health Plan OF Missouri, Inc. T1 Yes $43.00 MO

Showing top 50 of 100 plans.

Frequently Asked Questions

Is 1.7 ML denosumab-bnht 70 MG/ML Injection [Bomyntra] covered by Medicare Part D?

Yes, 1.7 ML denosumab-bnht 70 MG/ML Injection [Bomyntra] is covered by 699 Medicare Part D plans (13.8% of all Part D formularies).

What tier is 1.7 ML denosumab-bnht 70 MG/ML Injection [Bomyntra] on Medicare Part D plans?

1.7 ML denosumab-bnht 70 MG/ML Injection [Bomyntra] averages Tier 3.8 across Part D plans, ranging from Tier 1 to Tier 5.

Does 1.7 ML denosumab-bnht 70 MG/ML Injection [Bomyntra] require prior authorization?

98.4% of Part D formularies require prior authorization for 1.7 ML denosumab-bnht 70 MG/ML Injection [Bomyntra]. Step therapy: 0%. Quantity limits: 47.5%.

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.

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