{90 (danicopan 100 MG Oral Tablet [Voydeya]) / 90 (danicopan 50 MG Oral Tablet [Voydeya]) } Pack [Voydeya 150 MG Dose Bottle]

Verify with CMS →

danicopan

RxCUI: 2678975

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.
1.2%
Plan Coverage
60
Plans Covering
T3.9
Avg Tier
100%
Prior Auth Required

What the CMS Formulary Data Shows for {90 (danicopan 100 MG Oral Tablet [Voydeya]) / 90 (danicopan 50 MG Oral Tablet [Voydeya]) } Pack [Voydeya 150 MG Dose Bottle]

Per the CMS 2026 Part D formulary file, {90 (danicopan 100 MG Oral Tablet [Voydeya]) / 90 (danicopan 50 MG Oral Tablet [Voydeya]) } Pack [Voydeya 150 MG Dose Bottle] (RxNorm concept RXCUI 2678975, 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 {90 (danicopan 100 MG Oral Tablet [Voydeya]) / 90 (danicopan 50 MG Oral Tablet [Voydeya]) } Pack [Voydeya 150 MG Dose Bottle] 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 {90 (danicopan 100 MG Oral Tablet [Voydeya]) / 90 (danicopan 50 MG Oral Tablet [Voydeya]) } Pack [Voydeya 150 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
100% of formularies

Tier Distribution Across Plans

3 plans
Tier 1, Preferred Generic
1 plans
Tier 2, Generic
56 plans
Tier 5, Specialty

Standalone Drug Plans (PDP) Covering {90 (danicopan 100 MG Oral Tablet [Voydeya]) / 90 (danicopan 50 MG Oral Tablet [Voydeya]) } Pack [Voydeya 150 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 {90 (danicopan 100 MG Oral Tablet [Voydeya]) / 90 (danicopan 50 MG Oral Tablet [Voydeya]) } Pack [Voydeya 150 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 {90 (danicopan 100 MG Oral Tablet [Voydeya]) / 90 (danicopan 50 MG Oral Tablet [Voydeya]) } Pack [Voydeya 150 MG Dose Bottle] covered by Medicare Part D?

Yes, {90 (danicopan 100 MG Oral Tablet [Voydeya]) / 90 (danicopan 50 MG Oral Tablet [Voydeya]) } Pack [Voydeya 150 MG Dose Bottle] is covered by 60 Medicare Part D plans (1.2% of all Part D formularies).

What tier is {90 (danicopan 100 MG Oral Tablet [Voydeya]) / 90 (danicopan 50 MG Oral Tablet [Voydeya]) } Pack [Voydeya 150 MG Dose Bottle] on Medicare Part D plans?

{90 (danicopan 100 MG Oral Tablet [Voydeya]) / 90 (danicopan 50 MG Oral Tablet [Voydeya]) } Pack [Voydeya 150 MG Dose Bottle] averages Tier 3.9 across Part D plans, ranging from Tier 1 to Tier 5.

Does {90 (danicopan 100 MG Oral Tablet [Voydeya]) / 90 (danicopan 50 MG Oral Tablet [Voydeya]) } Pack [Voydeya 150 MG Dose Bottle] require prior authorization?

100% of Part D formularies require prior authorization for {90 (danicopan 100 MG Oral Tablet [Voydeya]) / 90 (danicopan 50 MG Oral Tablet [Voydeya]) } Pack [Voydeya 150 MG Dose Bottle]. 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