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

Verify with CMS →

denosumab-bnht

RxCUI: 2717549

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.
13.7%
Plan Coverage
692
Plans Covering
T3.7
Avg Tier
98.3%
Prior Auth Required

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 denosumab-bnht) appears on 60 distinct formulary files spanning 692 Medicare Part D plan offerings - 13.7% 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 3.7.

Real-world access to 1.7 ML denosumab-bnht 70 MG/ML Injection [Bomyntra] depends on utilization management as much as tier placement: 98.3% of covering formularies require prior authorization. 0% require step therapy. 48.3% 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
60
Plans covering
692
Coverage rate
13.7%
Tier range
Tier 1 – Tier 5
Average tier
Tier 4, Non-Preferred

Restrictions

Prior authorization required
98.3% of formularies
Step therapy required
0% of formularies
Quantity limits
48.3% 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
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

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 692 Medicare Part D plans (13.7% 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 3.7 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?

98.3% of Part D formularies require prior authorization for 1.7 ML denosumab-bnht 70 MG/ML Injection [Bomyntra]. Step therapy: 0%. Quantity limits: 48.3%.

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