20 ML apomorphine hydrochloride 4.9 MG/ML Cartridge [Onapgo]

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apomorphine hydrochloride

RxCUI: 2705796

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.
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 apomorphine hydrochloride) 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

21 plans
Tier 1, Preferred Generic
1 plans
Tier 2, Generic
3 plans
Tier 4, Non-Preferred
75 plans
Tier 5, Specialty

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
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

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%.

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