auranofin 3 MG Oral Capsule [Ridaura]
auranofin
RxCUI: 213510
What the CMS Formulary Data Shows for auranofin 3 MG Oral Capsule [Ridaura]
Per the CMS 2026 Part D formulary file, auranofin 3 MG Oral Capsule [Ridaura] (RxNorm concept RXCUI 213510, generic name auranofin) appears on 71 distinct formulary files spanning 767 Medicare Part D plan offerings - 15.1% 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 3.4.
Real-world access to auranofin 3 MG Oral Capsule [Ridaura] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 0% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 91 Part D beneficiaries filled auranofin 3 MG Oral Capsule [Ridaura] in 2023, with total plan-and-beneficiary spending of $993,665 and an average per-beneficiary annual cost of $10,919.40. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry auranofin 3 MG Oral Capsule [Ridaura] today.
Coverage Details
- Formularies covering
- 71
- Plans covering
- 767
- Coverage rate
- 15.1%
- Tier range
- Tier 1 – Tier 5
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 91
- Total spending
- $993,665
- Avg per beneficiary
- $10,919.40
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering auranofin 3 MG Oral Capsule [Ridaura]
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Gold Coast Health Plan Total Care Advantage (HMO D-SNP) | Ventura County Medi-Cal Managed Care Commission | T1 | No | $0 | CA |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | Health Care Service Corporation | T1 | No | $0 | NM |
| Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) | Health Care Service Corporation | T1 | No | $0 | NM |
| SecureBlue (HMO D-SNP) | HMO Minnesota | T1 | No | $0 | MN |
| Hamaspik Medicare Choice (HMO D-SNP) | HAMASPIK, INC. | T1 | No | $0 | NY |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | HCSC INSURANCE SERVICES COMPANY | T1 | No | $4.80 | TX |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | GOLD KIDNEY OF FLORIDA INC | T1 | No | $4.80 | FL |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | GHS INSURANCE COMPANY | T1 | No | $5.00 | OK |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | GOLD KIDNEY OF ARIZONA | T1 | No | $17.00 | AZ |
| Hamaspik Medicare Select (HMO D-SNP) | HAMASPIK, INC. | T1 | No | $34.50 | NY |
| CareAdvantage (HMO D-SNP) | SAN MATEO HEALTH COMMISSION | T2 | No | $0 | CA |
| HAP Medicare Explore (PPO) | ALLIANCE HEALTH AND LIFE INSURANCE COMPANY | T3 | No | $0 | MI |
| HAP Medicare Prime (PPO) | ALLIANCE HEALTH AND LIFE INSURANCE COMPANY | T3 | No | $0 | MI |
| HAP Medicare Connect (HMO) | HEALTH ALLIANCE PLAN OF MICHIGAN | T3 | No | $0 | MI |
| HAP Medicare Complete Duals (HMO D-SNP) | HEALTH ALLIANCE PLAN OF MICHIGAN | T3 | No | $0 | MI |
| HAP Medicare Superior (HMO) | HEALTH ALLIANCE PLAN OF MICHIGAN | T3 | No | $0 | MI |
| Henry Ford Select (HMO) | HEALTH ALLIANCE PLAN OF MICHIGAN | T3 | No | $0 | MI |
| Blue Advantage Choice (PPO) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | T3 | No | $0 | AL |
| Blue Advantage Plus (PPO) | PATRIUS HEALTH, INC. | T3 | No | $0 | MS |
| Blue Advantage Capital (PPO) | PATRIUS HEALTH, INC. | T3 | No | $0 | MS |
| Blue Advantage Magnolia (PPO) | PATRIUS HEALTH, INC. | T3 | No | $0 | MS |
| Blue Advantage Complete (PPO) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | T3 | No | $0 | AL |
| EmblemHealth VIP Value (HMO-POS) | HEALTH INSURANCE PLAN OF GREATER NEW YORK | T3 | No | $0 | NY |
| EmblemHealth VIP Dual Reserve (HMO D-SNP) | HEALTH INSURANCE PLAN OF GREATER NEW YORK | T3 | No | $0 | NY |
| EmblemHealth VIP Dual (HMO D-SNP) | HEALTH INSURANCE PLAN OF GREATER NEW YORK | T3 | No | $0 | NY |
| EmblemHealth VIP Dual Enhanced (HMO D-SNP) | HEALTH INSURANCE PLAN OF GREATER NEW YORK | T3 | No | $0 | NY |
| Alignment Health the ONE + Walgreens (HMO) | ALIGNMENT HEALTH PLAN OF ARIZONA, INC. | T3 | No | $0 | AZ |
| Alignment Health the ONE + Walgreens (HMO) | ALIGNMENT HEALTH PLAN OF ARIZONA, INC. | T3 | No | $0 | AZ |
| Alignment Health Heart & Diabetes (HMO C-SNP) | ALIGNMENT HEALTH PLAN OF ARIZONA, INC. | T3 | No | $0 | AZ |
| Alignment Health smartHMO (HMO) | ALIGNMENT HEALTH PLAN OF ARIZONA, INC. | T3 | No | $0 | AZ |
| Alignment Health My Choice (HMO) | ALIGNMENT HEALTH PLAN | T3 | No | $0 | CA |
| Alignment Health Platinum + Instacart (HMO) | ALIGNMENT HEALTH PLAN | T3 | No | $0 | CA |
| Alignment Health Heart & Diabetes (HMO C-SNP) | ALIGNMENT HEALTH PLAN | T3 | No | $0 | CA |
| Alignment Health AllCare Preferred (HMO) | ALIGNMENT HEALTH PLAN | T3 | No | $0 | CA |
| Alignment Health smartHMO (HMO) | ALIGNMENT HEALTH PLAN | T3 | No | $0 | CA |
| Alignment Health Platinum + Instacart (HMO-POS) | ALIGNMENT HEALTH PLAN | T3 | No | $0 | CA |
| Alignment Health My Choice (HMO) | ALIGNMENT HEALTH PLAN | T3 | No | $0 | CA |
| Alignment Health Harmony (HMO) | ALIGNMENT HEALTH PLAN | T3 | No | $0 | CA |
| Alignment Health Balance (HMO C-SNP) | ALIGNMENT HEALTH PLAN | T3 | No | $0 | CA |
| Alignment Health the ONE (HMO) | ALIGNMENT HEALTH PLAN | T3 | No | $0 | CA |
| Alignment Health the ONE + Walgreens (HMO) | ALIGNMENT HEALTH PLAN | T3 | No | $0 | CA |
| Alignment Health smartHMO (HMO) | ALIGNMENT HEALTH PLAN | T3 | No | $0 | CA |
| Alignment Health smartHMO (HMO) | ALIGNMENT HEALTH PLAN | T3 | No | $0 | CA |
| Alignment Health CommUnity (HMO) | ALIGNMENT HEALTH PLAN | T3 | No | $0 | CA |
| Alignment Health smartSavings (HMO) | ALIGNMENT HEALTH PLAN | T3 | No | $0 | CA |
| Alignment Health Heart & Diabetes Care (HMO C-SNP) | ALIGNMENT HEALTH PLAN | T3 | No | $0 | CA |
| Alignment Health My Choice Select (HMO) | ALIGNMENT HEALTH PLAN | T3 | No | $0 | CA |
| Alignment Health My Choice CalCare (HMO) | ALIGNMENT HEALTH PLAN | T3 | No | $0 | CA |
| Alignment Health Honor+ Plan (HMO) | ALIGNMENT HEALTH PLAN | T3 | No | $0 | CA |
| Alignment Health ValorCare (HMO) | ALIGNMENT HEALTH PLAN | T3 | No | $0 | CA |
Frequently Asked Questions
Is auranofin 3 MG Oral Capsule [Ridaura] covered by Medicare Part D?
Yes, auranofin 3 MG Oral Capsule [Ridaura] is covered by 767 Medicare Part D plans (15.1% of all Part D formularies).
What tier is auranofin 3 MG Oral Capsule [Ridaura] on Medicare Part D plans?
auranofin 3 MG Oral Capsule [Ridaura] averages Tier 3.4 across Part D plans, ranging from Tier 1 to Tier 5.
Does auranofin 3 MG Oral Capsule [Ridaura] require prior authorization?
0% of Part D formularies require prior authorization for auranofin 3 MG Oral Capsule [Ridaura]. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on auranofin 3 MG Oral Capsule [Ridaura]?
In 2023, total Medicare Part D spending on auranofin 3 MG Oral Capsule [Ridaura] was $993,665, covering 91 beneficiaries. The average spend per beneficiary was $10,919.40.
Read our methodology - how this data is sourced, computed, and verified.