Medicare Part D coverage · ambrisentan · RxCUI 722116
ambrisentan 10 MG Oral Tablet
Per the CMS 2026 Part D formulary file, ambrisentan 10 MG Oral Tablet is covered by 4,903 Medicare Part D plans (97.1% of enrollable products), averaging Tier 4.1, with prior authorization required on 98.9% of covering formularies.
- 97.1%
- Plan coverage
- 4,903
- Plans covering
- T4.1
- Avg tier
- 98.9%
- Prior auth required
What the CMS Formulary Data Shows for ambrisentan 10 MG Oral Tablet
Per the CMS 2026 Part D formulary file, ambrisentan 10 MG Oral Tablet (RxNorm concept RXCUI 722116, generic name ambrisentan) appears on 281 distinct formulary files spanning 4,903 Medicare Part D plan offerings - 97.1% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 6, with a cross-plan average of Tier 4.1.
Real-world access to ambrisentan 10 MG Oral Tablet depends on utilization management as much as tier placement: 98.9% of covering formularies require prior authorization. 0% require step therapy. 90.7% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 6,456 Part D beneficiaries filled ambrisentan 10 MG Oral Tablet in 2023, with total plan-and-beneficiary spending of $246,059,319 and an average per-beneficiary annual cost of $38,113.28. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry ambrisentan 10 MG Oral Tablet today.
Coverage Details
- Formularies covering
- 281
- Plans covering
- 4,903
- Coverage rate
- 97.1%
- Tier range
- Tier 1 – Tier 6
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 98.9% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 90.7% of formularies
2023 Medicare Spending
- Beneficiaries
- 6,456
- Total spending
- $246,059,319
- Avg per beneficiary
- $38,113.28
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering ambrisentan 10 MG Oral Tablet
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Sentara Community Complete Select (HMO D-SNP) | Sentara Health Plans | T1 | Yes | $0 | VA |
| Sentara Community Complete (HMO D-SNP) | Sentara Health Plans | T1 | Yes | $0 | VA |
| Florida Complete Care-Duals VIP (HMO-POS D-SNP) | Hpmp OF Florida, Inc. | T1 | Yes | $0 | FL |
| ElderServe MAP (HMO D-SNP) | Elderserve Health, Inc. | T1 | Yes | $0 | NY |
| Cooperative Advantage (HMO D-SNP) | Group Health Cooperative OF EAU Claire | T1 | Yes | $0 | WI |
| Longevity Health Plan (PPO I-SNP) | Longevity Health Plan OF NEW Jersey Insurance Comp | T1 | Yes | $0 | NJ |
| Mercy Care Advantage (HMO D-SNP) | Mercy Care | T1 | Yes | $0 | AZ |
| Mercy Care Advantage (HMO D-SNP) | Mercy Care | T1 | Yes | $0 | AZ |
| Mercy Care Advantage (HMO D-SNP) | Mercy Care | T1 | Yes | $0 | AZ |
| Elderplan Plus Long-Term Care (HMO-POS D-SNP) | Elderplan, Inc. | T1 | Yes | $0 | NY |
| Health Choice Pathway (HMO D-SNP) | Health Choice Arizona, Inc. | T1 | Yes | $0 | AZ |
| Healthfirst CompleteCare (HMO D-SNP) | Healthfirst Health Plan, Inc. | T1 | Yes | $0 | NY |
| IMCare Classic (HMO D-SNP) | Itasca Medical Care | T1 | Yes | $0 | MN |
| Johns Hopkins Advantage MD D-SNP (HMO D-SNP) | Hopkins Health Advantage, Inc. | T1 | Yes | $0 | MD |
| MetroPlus UltraCare (HMO D-SNP) | Metroplus Health Plan, Inc. | T1 | Yes | $0 | NY |
| Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP) | Upper Peninsula Health Plan, LLC | T1 | Yes | $0 | MI |
| CareSource Dual Advantage (HMO D-SNP) | Caresource Georgia Co. | T1 | Yes | $0 | GA |
| Senior Whole Health SCO (HMO D-SNP) | Senior Whole Health, LLC | T1 | Yes | $0 | MA |
| Senior Whole Health SCO NHC (HMO D-SNP) | Senior Whole Health, LLC | T1 | Yes | $0 | MA |
| Molina One Care (HMO D-SNP) | Senior Whole Health, LLC | T1 | Yes | $0 | MA |
Show the next 30 plans
| HAP CareSource MI Coordinated Health (HMO D-SNP) | HAP Caresource | T1 | Yes | $0 | MI |
| PruittHealth Premier D-SNP (HMO D-SNP) | Pruitthealth Premier, Inc. | T1 | Yes | $0 | GA |
| Simpra Advantage Dual Care (PPO D-SNP) | Simpra Advantage, Inc. | T1 | Yes | $0 | AL |
| CareAdvantage (HMO D-SNP) | SAN Mateo Health Commission | T1 | Yes | $0 | CA |
| Gold Coast Health Plan Total Care Advantage (HMO D-SNP) | Ventura County Medi-Cal Managed Care Commission | T1 | Yes | $0 | CA |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | Health Care Service Corporation | T1 | Yes | $0 | NM |
| Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) | Health Care Service Corporation | T1 | Yes | $0 | NM |
| Horizon NJ TotalCare (HMO D-SNP) | Horizon Healthcare OF NEW Jersey, Inc. | T1 | Yes | $0 | NJ |
| SecureBlue (HMO D-SNP) | HMO Minnesota | T1 | Yes | $0 | MN |
| NaviCare (HMO D-SNP) | Fallon Community Health Plan | T1 | Yes | $0 | MA |
| Hamaspik Medicare Choice (HMO D-SNP) | Hamaspik, Inc. | T1 | Yes | $0 | NY |
| SeniorCare Complete (HMO D-SNP) | South Country Health Alliance | T1 | Yes | $0 | MN |
| AbilityCare (HMO D-SNP) | South Country Health Alliance | T1 | Yes | $0 | MN |
| Alameda Alliance Wellness (HMO D-SNP) | Alameda Alliance FOR Health | T1 | Yes | $0 | CA |
| CCA One Care (HMO D-SNP) | Commonwealth Care Alliance, Inc. | T1 | Yes | $0 | MA |
| CCA Senior Care Options (HMO D-SNP) | Commonwealth Care Alliance, Inc. | T1 | Yes | $0 | MA |
| 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 |
| Community Care's Partnership Program (HMO D-SNP) | Community Care Health Plan, Inc. | T1 | No | $0 | WI |
| CalOptima Health OneCare Complete (HMO D-SNP) | Orange County Health Authority | T1 | Yes | $0 | CA |
| 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 |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | Yes | $0 | PA |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | Yes | $0 | PA |
| Highmark Health Options Duals (HMO D-SNP) | Highmark Health Options West Virginia Inc. | T1 | Yes | $0 | WV |
| Highmark Health Options Duals (HMO D-SNP) | Highmark Bcbsd, Inc. | T1 | Yes | $0 | DE |
| Tufts Health One Care (HMO D-SNP) | Tufts Health Public Plans, Inc. | T1 | Yes | $0 | MA |
| Tufts Health One Care CW (HMO D-SNP) | Tufts Health Public Plans, Inc. | T1 | Yes | $0 | MA |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is ambrisentan 10 MG Oral Tablet covered by Medicare Part D?
Yes, ambrisentan 10 MG Oral Tablet is covered by 4,903 Medicare Part D plans (97.1% of all Part D formularies).
What tier is ambrisentan 10 MG Oral Tablet on Medicare Part D plans?
ambrisentan 10 MG Oral Tablet averages Tier 4.1 across Part D plans, ranging from Tier 1 to Tier 6.
Does ambrisentan 10 MG Oral Tablet require prior authorization?
98.9% of Part D formularies require prior authorization for ambrisentan 10 MG Oral Tablet. Step therapy: 0%. Quantity limits: 90.7%.
How much does Medicare spend on ambrisentan 10 MG Oral Tablet?
In 2023, total Medicare Part D spending on ambrisentan 10 MG Oral Tablet was $246,059,319, covering 6,456 beneficiaries. The average spend per beneficiary was $38,113.28.
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
- clozapine 50 MG/ML Oral Suspension [Versacloz] T4.1
- trospium chloride 20 MG / xanomeline 50 MG Oral Capsule [Cobenfy] T4.1
- venetoclax 50 MG Oral Tablet [Venclexta] T4.1
- fidaxomicin 200 MG Oral Tablet T4.1
- entecavir 0.05 MG/ML Oral Solution [Baraclude] T4.1
- belumosudil 200 MG Oral Tablet [Rezurock] T4.1
Similar prior-authorization rate
- 500 ML olive oil 160 MG/ML / soybean oil 40 MG/ML Injection [Clinolipid] 98.9% PA
- 25 ML immunoglobulin G, human 100 MG/ML Injection [Gammagard] 98.9% PA
- 0.8 ML adalimumab-aaty 100 MG/ML Auto-Injector 98.9% PA
- {3 (0.8 ML adalimumab-aaty 100 MG/ML Auto-Injector) } Pack 98.9% PA
- 3 ML liraglutide 6 MG/ML Pen Injector 99% PA
- 500 ML soybean oil 200 MG/ML Injection [Nutrilipid] 99% PA