Medicare Part D coverage · avatrombopag · RxCUI 2721192

avatrombopag 10 MG Oral Granules [Doptelet]

Per the CMS 2026 Part D formulary file, avatrombopag 10 MG Oral Granules [Doptelet] is covered by 2,519 Medicare Part D plans (49.9% of enrollable products), averaging Tier 4.1, with prior authorization required on 100% of covering formularies.

49.9%
Plan coverage
2,519
Plans covering
T4.1
Avg tier
100%
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 avatrombopag 10 MG Oral Granules [Doptelet]

Per the CMS 2026 Part D formulary file, avatrombopag 10 MG Oral Granules [Doptelet] (RxNorm concept RXCUI 2721192, generic name avatrombopag) appears on 138 distinct formulary files spanning 2,519 Medicare Part D plan offerings - 49.9% 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 4.1.

Real-world access to avatrombopag 10 MG Oral Granules [Doptelet] depends on utilization management as much as tier placement: 100% of covering formularies require prior authorization. 0% require step therapy. 39.9% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 1,609 Part D beneficiaries filled avatrombopag 10 MG Oral Granules [Doptelet] in 2023, with total plan-and-beneficiary spending of $96,044,175 and an average per-beneficiary annual cost of $59,691.84. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry avatrombopag 10 MG Oral Granules [Doptelet] today.

Coverage Details

Formularies covering
138
Plans covering
2,519
Coverage rate
49.9%
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
39.9% of formularies

2023 Medicare Spending

Beneficiaries
1,609
Total spending
$96,044,175
Avg per beneficiary
$59,691.84

Tier Distribution Across Plans

77 plans
Tier 1, Preferred Generic
6 plans
Tier 4, Non-Preferred
17 plans
Tier 5, Specialty

Standalone Drug Plans (PDP) Covering avatrombopag 10 MG Oral Granules [Doptelet]

5 standalone prescription drug plans include this drug.

Plan Insurer Tier PA ST Premium States
AARP Medicare Rx Preferred from UHC (PDP) Unitedhealthcare INS. Co. & UHC INS. Co. OF NY T5 Yes No $0 -
AARP Medicare Rx Preferred from UHC (PDP) Unitedhealthcare INS. Co. & UHC INS. Co. OF NY T5 Yes No $0 -
AARP Medicare Rx Saver from UHC (PDP) Unitedhealthcare INS. Co. & UHC INS. Co. OF NY T5 Yes No $0 -
AARP Medicare Rx Saver from UHC (PDP) Unitedhealthcare INS. Co. & UHC INS. Co. OF NY T5 Yes No $0 -
AARP Medicare Rx Saver from UHC (PDP) Unitedhealthcare INS. Co. & UHC INS. Co. OF NY T5 Yes No $0 -

Medicare Advantage Plans (MA-PD) Covering avatrombopag 10 MG Oral Granules [Doptelet]

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

Plan Insurer Tier PA Premium States
Florida Complete Care-Duals VIP (HMO-POS D-SNP) Hpmp OF Florida, Inc. T1 Yes $0 FL
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
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
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
NaviCare (HMO D-SNP) Fallon Community Health Plan T1 Yes $0 MA
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
Show the next 30 plans
CCA Senior Care Options (HMO D-SNP) Commonwealth Care Alliance, Inc. 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
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
Florida Complete Care (HMO I-SNP) Hpmp OF Florida, Inc. T1 Yes $4.80 FL
Florida Complete Care- In The Community (HMO-POS I-SNP) Hpmp OF Florida, Inc. T1 Yes $4.80 FL
Senior Care (HMO I-SNP) Align Senior Care Florida, Inc. T1 Yes $4.80 FL
ProCare Advantage (HMO-POS I-SNP) Procare Advantage, LLC T1 Yes $4.80 TX
ProCare Advantage - Kidney Care (HMO-POS C-SNP) Procare Advantage, LLC T1 Yes $4.80 TX
American Health Advantage of Florida (HMO I-SNP) American Health Plan OF FL, Inc. T1 Yes $4.80 FL
SECUR Advantage (HMO I-SNP) Secur Inc T1 Yes $4.80 FL
SECUR Enhanced (HMO I-SNP) Secur Inc T1 Yes $4.80 FL
Gold Dialysis & Kidney Complete (HMO-POS C-SNP) Gold Kidney OF Florida Inc T1 Yes $4.80 FL
Senior Care (HMO I-SNP) Align Senior Care MI, LLC T1 Yes $8.80 MI
AgeRight Advantage Health Plan (HMO I-SNP) Marquis Advantage, Inc. T1 Yes $10.50 OR, WA
Senior Care (HMO I-SNP) Align Senior Care California Inc. T1 Yes $12.00 CA
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) Gateway Health Plan, Inc. T1 Yes $13.10 PA
Liberty Medicare Dual Plan (HMO D-SNP) Liberty Advantage, LLC T1 Yes $14.70 NC
Gold Dialysis & Kidney Complete (HMO-POS C-SNP) Gold Kidney OF Arizona T1 Yes $17.00 AZ
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) Gateway Health Plan, Inc. T1 Yes $17.60 PA
Elderplan For Medicaid Beneficiaries (HMO-POS D-SNP) Elderplan, Inc. T1 Yes $22.70 NY
KeyCare Advantage (HMO I-SNP) Isnp Ventures, LLC T1 Yes $23.20 MD
American Health Advantage of Mississippi (HMO I-SNP) American Health Plan OF MS, Inc. T1 Yes $23.80 MS
Senior Care (HMO I-SNP) Lifeworks Advantage, LLC T1 Yes $24.60 VA
PruittHealth Premier (HMO I-SNP) Pruitthealth Premier, Inc. T1 Yes $25.40 GA
Georgia Health Advantage (HMO I-SNP) Georgia Assurance, Inc. T1 Yes $25.40 GA
Georgia Health Advantage Choice (HMO I-SNP) Georgia Assurance, Inc. T1 Yes $25.40 GA

Showing top 50 of 95 plans.

Frequently Asked Questions

Is avatrombopag 10 MG Oral Granules [Doptelet] covered by Medicare Part D?

Yes, avatrombopag 10 MG Oral Granules [Doptelet] is covered by 2,519 Medicare Part D plans (49.9% of all Part D formularies).

What tier is avatrombopag 10 MG Oral Granules [Doptelet] on Medicare Part D plans?

avatrombopag 10 MG Oral Granules [Doptelet] averages Tier 4.1 across Part D plans, ranging from Tier 1 to Tier 5.

Does avatrombopag 10 MG Oral Granules [Doptelet] require prior authorization?

100% of Part D formularies require prior authorization for avatrombopag 10 MG Oral Granules [Doptelet]. Step therapy: 0%. Quantity limits: 39.9%.

How much does Medicare spend on avatrombopag 10 MG Oral Granules [Doptelet]?

In 2023, total Medicare Part D spending on avatrombopag 10 MG Oral Granules [Doptelet] was $96,044,175, covering 1,609 beneficiaries. The average spend per beneficiary was $59,691.84.

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.

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