Medicare Part D coverage · 28 · RxCUI 1435117

28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo]

Per the CMS 2026 Part D formulary file, 28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo] is covered by 1,096 Medicare Part D plans (21.7% of enrollable products), averaging Tier 4.6, with prior authorization required on 93.9% of covering formularies.

21.7%
Plan coverage
1,096
Plans covering
T4.6
Avg tier
93.9%
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 28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo]

Per the CMS 2026 Part D formulary file, 28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo] (RxNorm concept RXCUI 1435117, generic name 28) appears on 33 distinct formulary files spanning 1,096 Medicare Part D plan offerings - 21.7% 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 4.6.

Real-world access to 28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo] depends on utilization management as much as tier placement: 93.9% of covering formularies require prior authorization. 0% require step therapy. 39.4% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 15,602 Part D beneficiaries filled 28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo] in 2023, with total plan-and-beneficiary spending of $425,012,975 and an average per-beneficiary annual cost of $27,240.93. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry 28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo] today.

Coverage Details

Formularies covering
33
Plans covering
1,096
Coverage rate
21.7%
Tier range
Tier 1 – Tier 5
Average tier
Tier 5, Specialty

Restrictions

Prior authorization required
93.9% of formularies
Step therapy required
0% of formularies
Quantity limits
39.4% of formularies

2023 Medicare Spending

Beneficiaries
15,602
Total spending
$425,012,975
Avg per beneficiary
$27,240.93

Tier Distribution Across Plans

21 plans
Tier 1, Preferred Generic
79 plans
Tier 5, Specialty

Standalone Drug Plans (PDP) Covering 28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo]

26 standalone prescription drug plans include this drug.

Plan Insurer Tier PA ST Premium States
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T5 Yes No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T5 Yes No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T5 Yes No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T5 Yes No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T5 Yes No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T5 Yes No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T5 Yes No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T5 Yes No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T5 Yes No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T5 Yes No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T5 Yes No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T5 Yes No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T5 Yes No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T5 Yes No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T5 Yes No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T5 Yes No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T5 Yes No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T5 Yes No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T5 Yes No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T5 Yes No $0 -
Show the next 6 plans
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T5 Yes No $0 -
Humana Value Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T5 Yes No $0 -
Humana Value Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T5 Yes No $0 -
Humana Value Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T5 Yes No $0 -
Humana Value Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T5 Yes No $0 -
Humana Value Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T5 Yes No $0 -

Medicare Advantage Plans (MA-PD) Covering 28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo]

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

Plan Insurer Tier PA Premium States
Hamaspik Medicare Choice (HMO D-SNP) Hamaspik, Inc. T1 Yes $0 NY
Provider Partners Pennsylvania Community Plan (HMO I-SNP) Provider Partners Health Plan OF Pennsylvania, Inc T1 Yes $0 PA
Provider Partners North Carolina Community Plan (HMO I-SNP) Provider Partners Health Plan OF North Carolina T1 Yes $0 NC
Provider Partners Indiana Community Plan (HMO I-SNP) Provider Partners Health Plan OF Indiana T1 Yes $0 IN
Provider Partners Missouri Community Plan (HMO I-SNP) Provider Partners Health Plan OF Missouri, Inc. T1 Yes $0 MO
Platino Blindao (HMO D-SNP) Triple S Advantage, Inc. T1 Yes $0 PR
Platino Enlace (HMO D-SNP) Triple S Advantage, Inc. T1 Yes $0 PR
Platino Advance (HMO D-snp) Triple S Advantage, Inc. T1 Yes $0 PR
Platino Plus (HMO D-snp) Triple S Advantage, Inc. T1 Yes $0 PR
Provider Partners Texas Advantage Plan (HMO I-SNP) Provider Partners Health Plan OF Texas, Inc. T1 Yes $4.80 TX
Provider Partners Illinois Advantage Plan (HMO I-SNP) Provider Partners Health Plan OF Illinois T1 Yes $15.20 IL
Provider Partners Pennsylvania Advantage Plan (HMO I-SNP) Provider Partners Health Plan OF Pennsylvania, Inc T1 Yes $32.70 PA
Provider Partners Pennsylvania Essential Plan (HMO I-SNP) Provider Partners Health Plan OF Pennsylvania, Inc T1 Yes $32.70 PA
Hamaspik Medicare Select (HMO D-SNP) Hamaspik, Inc. T1 Yes $34.50 NY
Provider Partners North Carolina Advantage Plan (HMO I-SNP) Provider Partners Health Plan OF North Carolina T1 Yes $36.20 NC
Provider Partners North Carolina Essential Plan (HMO I-SNP) Provider Partners Health Plan OF North Carolina T1 Yes $36.20 NC
Provider Partners Indiana Advantage Plan (HMO I-SNP) Provider Partners Health Plan OF Indiana T1 Yes $38.40 IN
Provider Partners Indiana Essential Plan (HMO I-SNP) Provider Partners Health Plan OF Indiana T1 Yes $38.40 IN
Provider Partners Kentucky Advantage Plan (HMO I-SNP) Provider Partners Health Plan OF Kentucky T1 Yes $38.40 KY
Provider Partners Missouri Advantage Plan (HMO I-SNP) Provider Partners Health Plan OF Missouri, Inc. T1 Yes $43.00 MO
Show the next 30 plans
Provider Partners Missouri Essential Plan (HMO I-SNP) Provider Partners Health Plan OF Missouri, Inc. T1 Yes $43.00 MO
Personal Choice 65 Achieve Rx (PPO) QCC Insurance Company T5 Yes $0 PA
Keystone 65 Focus Rx (HMO-POS) Keystone Health Plan East, Inc. T5 Yes $0 PA
Keystone 65 Focus Rx (HMO-POS) Keystone Health Plan East, Inc. T5 Yes $0 PA
Keystone 65 Basic Rx (HMO) Keystone Health Plan East, Inc. T5 Yes $0 PA
AmeriHealth Medicare Core (PPO) Amerihealth Insurance Company OF NEW Jersey T5 Yes $0 NJ
AmeriHealth Medicare Ultimate (PPO) Amerihealth Insurance Company OF NEW Jersey T5 Yes $0 NJ
eternalHealth Forever (HMO) Eternalhealth, Inc. T5 Yes $0 MA
eternalHealth Freedom (PPO) Eternalhealth, Inc. T5 Yes $0 MA
eternalHealth Give Back (PPO) Eternalhealth, Inc. T5 Yes $0 MA
eternalHealth Horizon (HMO) Eternalhealth OF Arizona Inc T5 Yes $0 AZ
eternalHealth Grand Give Back (HMO) Eternalhealth OF Arizona Inc T5 Yes $0 AZ
eternalHealth + Fry's Medicare Advantage (HMO) Eternalhealth OF Arizona Inc T5 Yes $0 AZ
Senior Care Plus Essential plan (HMO) Hometown Health Plan, Inc. T5 Yes $0 NV
Senior Care Plus Complete Plan (HMO) Hometown Health Plan, Inc. T5 Yes $0 NV
Renown Preferred Plan by Senior Care Plus (HMO) Hometown Health Plan, Inc. T5 Yes $0 NV
Senior Care Plus Extensive Duals Plan (HMO D-SNP) Hometown Health Plan, Inc. T5 Yes $0 NV
Senior Care Plus Enriched Duals Plan (HMO D-SNP) Hometown Health Plan, Inc. T5 Yes $0 NV
MyAdvocate Medicare Advantage SILVER (HMO-POS) Beshp, Inc. T5 Yes $0 NE
Great Plain Medicare Advantage Gold (HMO I-SNP) Sanford Health Plan T5 Yes $0 IA, SD
Align ChoicePlus (PPO) Sanford Health Plan OF Minnesota T5 Yes $0 MN
Great Plains Medicare Advantage Gold (HMO I-SNP) Good Samaritan Insurance Plan OF Nebraska, Inc. T5 Yes $0 NE
Align ChoicePlus (PPO) Sanford Health Plan T5 Yes $0 IA, SD
Align ChoicePlus (PPO) Sanford Health Plan T5 Yes $0 ND
Great Plains Medicare Advantage Gold (HMO I-SNP) Sanford Health Plan T5 Yes $0 ND
Align Dual Partnership (HMO D-SNP) Sanford Health Plan T5 Yes $0 ND
Ally Rx (HMO D-SNP) Security Health Plan OF Wisconsin, Inc. T5 Yes $0 WI
Esteem Rx (HMO-POS) Security Health Plan OF Wisconsin, Inc. T5 Yes $0 WI
BlueCross Total Value (PPO) Bluecross AND Blueshield OF South Carolina T5 Yes $0 SC
BlueCross Total Value (PPO) Bluecross AND Blueshield OF South Carolina T5 Yes $0 SC

Showing top 50 of 74 plans.

Frequently Asked Questions

Is 28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo] covered by Medicare Part D?

Yes, 28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo] is covered by 1,096 Medicare Part D plans (21.7% of all Part D formularies).

What tier is 28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo] on Medicare Part D plans?

28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo] averages Tier 4.6 across Part D plans, ranging from Tier 1 to Tier 5.

Does 28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo] require prior authorization?

93.9% of Part D formularies require prior authorization for 28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo]. Step therapy: 0%. Quantity limits: 39.4%.

How much does Medicare spend on 28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo]?

In 2023, total Medicare Part D spending on 28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo] was $425,012,975, covering 15,602 beneficiaries. The average spend per beneficiary was $27,240.93.

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

Similar prior-authorization rate

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