Medicare Part D coverage · 20 · RxCUI 2705796
20 ML apomorphine hydrochloride 4.9 MG/ML Cartridge [Onapgo]
Per the CMS 2026 Part D formulary file, 20 ML apomorphine hydrochloride 4.9 MG/ML Cartridge [Onapgo] is covered by 125 Medicare Part D plans (2.5% of enrollable products), averaging Tier 3.8, with prior authorization required on 100% of covering formularies.
- 2.5%
- Plan coverage
- 125
- Plans covering
- T3.8
- Avg tier
- 100%
- Prior auth required
What the CMS Formulary Data Shows for 20 ML apomorphine hydrochloride 4.9 MG/ML Cartridge [Onapgo]
Per the CMS 2026 Part D formulary file, 20 ML apomorphine hydrochloride 4.9 MG/ML Cartridge [Onapgo] (RxNorm concept RXCUI 2705796, generic name 20) appears on 49 distinct formulary files spanning 125 Medicare Part D plan offerings - 2.5% 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 20 ML apomorphine hydrochloride 4.9 MG/ML Cartridge [Onapgo] depends on utilization management as much as tier placement: 100% of covering formularies require prior authorization. 0% require step therapy. 100% 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 20 ML apomorphine hydrochloride 4.9 MG/ML Cartridge [Onapgo] today.
Coverage Details
- Formularies covering
- 49
- Plans covering
- 125
- Coverage rate
- 2.5%
- 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
- 100% of formularies
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering 20 ML apomorphine hydrochloride 4.9 MG/ML Cartridge [Onapgo]
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Elevate Medicare Choice (HMO D-SNP) | Denver Health Medical Plan, Inc. | T1 | Yes | $0 | CO |
| AllCare Advantage Redwood Rx (HMO D-SNP) | Allcare Health Plan, Inc. | T1 | Yes | $0 | OR |
| PrimeWest Senior Health Complete (HMO D-SNP) | Primewest Rural MN Health Care Access Initiative | T1 | Yes | $0 | MN |
| Prime Health Complete (HMO D-SNP) | Primewest Rural MN Health Care Access Initiative | T1 | Yes | $0 | MN |
| Alterwood Advantage Dual Secure (HMO D-SNP) | Alterwood Advantage, Inc. | T1 | Yes | $0 | MD |
| Nascentia Dual Advantage (HMO D-SNP) | Visiting Nurse Association OF Central NEW York | T1 | Yes | $0 | NY |
| Abilis Health Community (HMO I-SNP) | Signature Advantage, LLC | T1 | Yes | $0 | KY, TN |
| Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) | Arkansas Superior Select, Inc. | T1 | Yes | $0 | AR |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | Gold Kidney OF Florida Inc | T1 | Yes | $4.80 | FL |
| Texas Independence Health Plan, Inc. (HMO I-SNP) | Texas Independence Health Plan, Inc. | T1 | Yes | $4.80 | TX |
| Texas Independence Community Plan (HMO I-SNP) | Texas Independence Health Plan, Inc. | T1 | Yes | $4.80 | TX |
| Tribute Select (HMO-POS I-SNP) | Arkansas Superior Select, Inc. | T1 | Yes | $8.90 | AR |
| ATRIO Special Needs Plan (HMO D-SNP) | Atrio Health Plans | T1 | Yes | $10.50 | OR |
| ATRIO Special Needs Plan (HMO D-SNP) | Atrio Health Plans | T1 | Yes | $10.50 | OR |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | Gold Kidney OF Arizona | T1 | Yes | $17.00 | AZ |
| Alterwood Advantage Dual Value (HMO D-SNP) | Alterwood Advantage, Inc. | T1 | Yes | $31.20 | MD |
| Valor Health Plan (HMO I-SNP) | TSG Guard, Inc. | T1 | Yes | $31.40 | OH |
| WV Senior Advantage (HMO I-SNP) | West Virginia Senior Advantage, Inc. | T1 | Yes | $32.70 | WV |
| Abilis Health (HMO I-SNP) | Signature Advantage, LLC | T1 | Yes | $35.90 | KY, TN |
| CommuniCare Advantage ISNP (HMO I-SNP) | OH CHS SNP Inc. | T1 | Yes | $38.40 | IN, MD, OH |
Show the next 30 plans
| Nascentia Skilled Nursing Facility (HMO I-SNP) | Visiting Nurse Association OF Central NEW York | T1 | Yes | $58.80 | NY |
| CalOptima Health OneCare Complete (HMO D-SNP) | Orange County Health Authority | T2 | Yes | $0 | CA |
| PHP (HMO C-snp) | Aids Healthcare Foundation | T4 | Yes | $0 | CA |
| VNS Health Total (HMO D-SNP) | VNS Choice | T4 | Yes | $0 | NY |
| VNS Health EasyCare Plus (HMO D-SNP) | VNS Choice | T4 | Yes | $51.60 | NY |
| CenCal CareConnect (HMO D-SNP) | Santa Barbara SAN Luis Obispo Regional Health Authority DBA | T5 | Yes | $0 | CA |
| SummaCare Medicare Topaz (HMO) | Summacare Inc. | T5 | Yes | $0 | OH |
| SummaCare Medicare Quartz (HMO) | Summacare Inc. | T5 | Yes | $0 | OH |
| IEHP DualChoice (HMO D-SNP) | Inland Empire Health Plan | T5 | Yes | $0 | CA |
| Astiva Health Savings Plan (HMO) | Astiva Health, Inc. | T5 | Yes | $0 | CA |
| Astiva Health C-SNP Deluxe (HMO C-SNP) | Astiva Health, Inc. | T5 | Yes | $0 | CA |
| Astiva Health Savings Plan - NorCal (HMO) | Astiva Health, Inc. | T5 | Yes | $0 | CA |
| Astiva Health Premier Plan - NorCal (HMO) | Astiva Health, Inc. | T5 | Yes | $0 | CA |
| Astiva Health Premier Plan (HMO) | Astiva Health, Inc. | T5 | Yes | $0 | CA |
| ATRIO Prime Rx (HMO) | Atrio Health Plans | T5 | Yes | $0 | OR |
| ATRIO Choice Rx (PPO) | Atrio Health Plans | T5 | Yes | $0 | OR |
| ATRIO Choice Rx (PPO) | Atrio Health Plans | T5 | Yes | $0 | OR |
| ATRIO Prime Rx (PPO) | Atrio Health Plans | T5 | Yes | $0 | OR |
| ATRIO Prime Rx (PPO) | Atrio Health Plans | T5 | Yes | $0 | OR |
| ATRIO Prime Rx (PPO) | Atrio Health Plans | T5 | Yes | $0 | OR |
| ATRIO Choice Rx (PPO) | Atrio Health Plans | T5 | Yes | $0 | OR |
| ATRIO Choice Rx (PPO) | Atrio Health Plans | T5 | Yes | $0 | OR |
| ATRIO Support Rx (PPO C-SNP) | Atrio Health Plans | T5 | Yes | $0 | OR |
| BayCarePlus Complete (HMO) | Baycare Select Health Plans, Inc. | T5 | Yes | $0 | FL |
| BayCarePlus Rewards (HMO) | Baycare Select Health Plans, Inc. | T5 | Yes | $0 | FL |
| BayCarePlus Premier (HMO) | Baycare Select Health Plans, Inc. | T5 | Yes | $0 | FL |
| TotalCare (HMO D-SNP) | Santa Cruz Monterey Merced SAN Benito Mariposa Managed Medic | T5 | Yes | $0 | CA |
| CommuniCare Advantage (HMO D-SNP) | Community Health Group | T5 | Yes | $0 | CA |
| Community y Más (HMO C-SNP) | Community Health Group | T5 | Yes | $0 | CA |
| Elevate Medicare Select (HMO) | Denver Health Medical Plan, Inc. | T5 | Yes | $0 | CO |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is 20 ML apomorphine hydrochloride 4.9 MG/ML Cartridge [Onapgo] covered by Medicare Part D?
Yes, 20 ML apomorphine hydrochloride 4.9 MG/ML Cartridge [Onapgo] is covered by 125 Medicare Part D plans (2.5% of all Part D formularies).
What tier is 20 ML apomorphine hydrochloride 4.9 MG/ML Cartridge [Onapgo] on Medicare Part D plans?
20 ML apomorphine hydrochloride 4.9 MG/ML Cartridge [Onapgo] averages Tier 3.8 across Part D plans, ranging from Tier 1 to Tier 5.
Does 20 ML apomorphine hydrochloride 4.9 MG/ML Cartridge [Onapgo] require prior authorization?
100% of Part D formularies require prior authorization for 20 ML apomorphine hydrochloride 4.9 MG/ML Cartridge [Onapgo]. Step therapy: 0%. Quantity limits: 100%.
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
- {2 (0.1 ML) (diazepam 100 MG/ML Nasal Spray [Valtoco]) } Pack [Valtoco 20 MG Dose Kit] T3.8
- alosetron 1 MG Oral Tablet T3.8
- clobazam 5 MG Oral Film [Sympazan] T3.8
- etravirine 200 MG Oral Tablet T3.8
- trazodone hydrochloride 10 MG/ML Oral Solution [Raldesy] T3.8
- 0.4 ML fondaparinux sodium 12.5 MG/ML Prefilled Syringe T3.8
Similar prior-authorization rate
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- 1 ML hepatitis B surface antigen vaccine 0.02 MG/ML Prefilled Syringe [Engerix-B] 100% PA
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