{180 (danicopan 100 MG Oral Tablet [Voydeya]) } Pack [Voydeya 200 MG Dose Bottle]
danicopan
RxCUI: 2678973
What the CMS Formulary Data Shows for {180 (danicopan 100 MG Oral Tablet [Voydeya]) } Pack [Voydeya 200 MG Dose Bottle]
Per the CMS 2026 Part D formulary file, {180 (danicopan 100 MG Oral Tablet [Voydeya]) } Pack [Voydeya 200 MG Dose Bottle] (RxNorm concept RXCUI 2678973, generic name danicopan) appears on 14 distinct formulary files spanning 60 Medicare Part D plan offerings - 1.2% 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 3.9.
Real-world access to {180 (danicopan 100 MG Oral Tablet [Voydeya]) } Pack [Voydeya 200 MG Dose Bottle] depends on utilization management as much as tier placement: 100% of covering formularies require prior authorization. 0% require step therapy. 85.7% 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 {180 (danicopan 100 MG Oral Tablet [Voydeya]) } Pack [Voydeya 200 MG Dose Bottle] today.
Coverage Details
- Formularies covering
- 14
- Plans covering
- 60
- Coverage rate
- 1.2%
- Tier range
- Tier 1 – Tier 5
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 100% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 85.7% of formularies
Tier Distribution Across Plans
Standalone Drug Plans (PDP) Covering {180 (danicopan 100 MG Oral Tablet [Voydeya]) } Pack [Voydeya 200 MG Dose Bottle]
2 standalone prescription drug plans include this drug.
| Plan | Insurer | Tier | PA | ST | Premium | States |
|---|---|---|---|---|---|---|
| Prescription Blue Select (PDP) | BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY | T5 | Yes | No | $78.40 | - |
| Prescription Blue Premium (PDP) | BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY | T5 | Yes | No | $106.70 | - |
Medicare Advantage Plans (MA-PD) Covering {180 (danicopan 100 MG Oral Tablet [Voydeya]) } Pack [Voydeya 200 MG Dose Bottle]
58 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| NaviCare (HMO D-SNP) | FALLON COMMUNITY HEALTH PLAN | T1 | Yes | $0 | MA |
| Mass General Brigham SCO (HMO D-SNP) | MASS GENERAL BRIGHAM HEALTH PLAN, INC | T1 | Yes | $0 | MA |
| Mass General Brigham One Care (HMO D-SNP) | MASS GENERAL BRIGHAM HEALTH PLAN, INC | T1 | Yes | $0 | MA |
| CalOptima Health OneCare Complete (HMO D-SNP) | ORANGE COUNTY HEALTH AUTHORITY | T2 | Yes | $0 | CA |
| Fallon Medicare Plus Orange (HMO) | FALLON COMMUNITY HEALTH PLAN | T5 | Yes | $0 | MA |
| UPMC for Life HMO Premier Rx (HMO) | UPMC HEALTH PLAN, INC. | T5 | Yes | $0 | PA |
| UPMC for Life Complete Care (HMO D-SNP) | UPMC FOR YOU, INC | T5 | Yes | $0 | PA |
| UPMC for Life Complete Care (HMO D-SNP) | UPMC FOR YOU, INC | T5 | Yes | $0 | PA |
| UPMC for Life PPO Premier Rx (PPO) | UPMC HEALTH NETWORK, INC. | T5 | Yes | $0 | PA |
| UPMC for Life PPO Premier Rx (PPO) | UPMC HEALTH NETWORK, INC. | T5 | Yes | $0 | PA |
| UPMC for Life PPO Essential Care Rx (PPO) | UPMC HEALTH NETWORK, INC. | T5 | Yes | $0 | PA |
| UPMC for Life Complete Care (HMO D-SNP) | UPMC HEALTH COVERAGE, INC. | T5 | Yes | $0 | PA |
| PriorityMedicare Key (HMO-POS) | PRIORITY HEALTH | T5 | Yes | $0 | MI |
| PriorityMedicare Smart Savings (HMO-POS) | PRIORITY HEALTH | T5 | Yes | $0 | MI |
| PriorityMedicare Edge (PPO) | PRIORITY HEALTH | T5 | Yes | $0 | MI |
| PriorityMedicare Vital (PPO) | PRIORITY HEALTH | T5 | Yes | $0 | MI |
| PriorityMedicare Thrive (PPO) | PRIORITY HEALTH | T5 | Yes | $0 | MI |
| PriorityMedicare D-SNP (HMO D-SNP) | PRIORITY HEALTH CHOICE, INC. | T5 | Yes | $0 | MI |
| PriorityMedicare Dual Premier (HMO D-SNP) | PRIORITY HEALTH CHOICE, INC. | T5 | Yes | $0 | MI |
| Mass General Brigham Advantage (PPO) | Mass General Brigham Health Plan, Inc. | T5 | Yes | $0 | MA |
| BCN Advantage ConnectedCare (HMO) | BLUE CARE NETWORK OF MICHIGAN | T5 | Yes | $0 | MI |
| Medicare Plus Blue Essential (PPO) | BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY | T5 | Yes | $0 | MI |
| Medicare Plus Blue + Meijer (PPO) | BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY | T5 | Yes | $0 | MI |
| Medicare Plus Blue Giveback (PPO) | BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY | T5 | Yes | $0 | MI |
| Medicare Plus Blue Secure (PPO) | BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY | T5 | Yes | $0 | MI |
| Medicare Plus Blue Value (PPO) | BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY | T5 | Yes | $0 | MI |
| CareOregon Advantage Plus (HMO D-SNP) | HEALTH PLAN OF CAREOREGON, INC. | T5 | Yes | $0 | OR |
| UPMC for Life HMO Rx Choice (HMO) | UPMC HEALTH PLAN, INC. | T5 | Yes | $3.90 | OH, PA |
| PriorityMedicare Vintage (HMO-POS) | PRIORITY HEALTH | T5 | Yes | $8.80 | MI |
| BCN Advantage Prime Value (HMO-POS) | BLUE CARE NETWORK OF MICHIGAN | T5 | Yes | $9.60 | MI |
| UPMC for Life HMO Deductible Rx (HMO) | UPMC HEALTH PLAN, INC. | T5 | Yes | $18.10 | OH, PA |
| NextBlue Discover PPO (PPO) | NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY | T5 | Yes | $23.70 | ND |
| UPMC for Life PPO Rx Choice (PPO) | UPMC HEALTH NETWORK, INC. | T5 | Yes | $25.00 | PA |
| PriorityMedicare Value (HMO-POS) | PRIORITY HEALTH | T5 | Yes | $29.10 | MI |
| Medicare Plus Blue Vitality (PPO) | BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY | T5 | Yes | $30.70 | MI |
| UPMC for Life PPO High Deductible Rx (PPO) | UPMC HEALTH NETWORK, INC. | T5 | Yes | $33.00 | PA |
| UPMC for Life HMO Rx (HMO) | UPMC HEALTH PLAN, INC. | T5 | Yes | $33.70 | OH, PA |
| WyoBlue Advantage Essential PPO (PPO) | WYOBLUE ADVANTAGE INC | T5 | Yes | $33.70 | WY |
| PriorityMedicare Thrive Plus (PPO) | PRIORITY HEALTH | T5 | Yes | $41.60 | MI |
| BCN Advantage Classic (HMO-POS) | BLUE CARE NETWORK OF MICHIGAN | T5 | Yes | $42.20 | MI |
| UPMC for Life PPO Rx Enhanced (PPO) | UPMC HEALTH NETWORK, INC. | T5 | Yes | $42.70 | PA |
| Independent Health's Assure Advantage (HMO C-SNP) | INDEPENDENT HEALTH ASSOCIATION, INC. | T5 | Yes | $46.50 | NY |
| Medicare Plus Blue Signature (PPO) | BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY | T5 | Yes | $46.60 | MI |
| Fallon Medicare Plus Green (HMO) | FALLON COMMUNITY HEALTH PLAN | T5 | Yes | $56.40 | MA |
| Independent Health's Medicare Family Choice (HMO I-SNP) | INDEPENDENT HEALTH ASSOCIATION, INC. | T5 | Yes | $58.80 | NY |
| NextBlue Summit PPO (PPO) | NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY | T5 | Yes | $59.70 | ND |
| BCN Advantage Prestige (HMO-POS) | BLUE CARE NETWORK OF MICHIGAN | T5 | Yes | $61.60 | MI |
| Mass General Brigham Advantage Secure (HMO-POS) | Mass General Brigham Health Plan, Inc. | T5 | Yes | $62.00 | MA |
| PriorityMedicare (HMO-POS) | PRIORITY HEALTH | T5 | Yes | $70.30 | MI |
| Fallon Medicare Plus Blue (HMO) | FALLON COMMUNITY HEALTH PLAN | T5 | Yes | $72.10 | MA |
Frequently Asked Questions
Is {180 (danicopan 100 MG Oral Tablet [Voydeya]) } Pack [Voydeya 200 MG Dose Bottle] covered by Medicare Part D?
Yes, {180 (danicopan 100 MG Oral Tablet [Voydeya]) } Pack [Voydeya 200 MG Dose Bottle] is covered by 60 Medicare Part D plans (1.2% of all Part D formularies).
What tier is {180 (danicopan 100 MG Oral Tablet [Voydeya]) } Pack [Voydeya 200 MG Dose Bottle] on Medicare Part D plans?
{180 (danicopan 100 MG Oral Tablet [Voydeya]) } Pack [Voydeya 200 MG Dose Bottle] averages Tier 3.9 across Part D plans, ranging from Tier 1 to Tier 5.
Does {180 (danicopan 100 MG Oral Tablet [Voydeya]) } Pack [Voydeya 200 MG Dose Bottle] require prior authorization?
100% of Part D formularies require prior authorization for {180 (danicopan 100 MG Oral Tablet [Voydeya]) } Pack [Voydeya 200 MG Dose Bottle]. Step therapy: 0%. Quantity limits: 85.7%.
Read our methodology - how this data is sourced, computed, and verified.