Medicare Part D coverage · bosentan · RxCUI 1989085

bosentan 32 MG Tablet for Oral Suspension [Tracleer]

Per the CMS 2026 Part D formulary file, bosentan 32 MG Tablet for Oral Suspension [Tracleer] is covered by 95 Medicare Part D plans (1.9% of enrollable products), averaging Tier 4.2, with prior authorization required on 100% of covering formularies.

1.9%
Plan coverage
95
Plans covering
T4.2
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 bosentan 32 MG Tablet for Oral Suspension [Tracleer]

Per the CMS 2026 Part D formulary file, bosentan 32 MG Tablet for Oral Suspension [Tracleer] (RxNorm concept RXCUI 1989085, generic name bosentan) appears on 5 distinct formulary files spanning 95 Medicare Part D plan offerings - 1.9% 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 4.2.

Real-world access to bosentan 32 MG Tablet for Oral Suspension [Tracleer] depends on utilization management as much as tier placement: 100% of covering formularies require prior authorization. 0% require step therapy. 40% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 715 Part D beneficiaries filled bosentan 32 MG Tablet for Oral Suspension [Tracleer] in 2023, with total plan-and-beneficiary spending of $34,286,853 and an average per-beneficiary annual cost of $47,953.64. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry bosentan 32 MG Tablet for Oral Suspension [Tracleer] today.

Coverage Details

Formularies covering
5
Plans covering
95
Coverage rate
1.9%
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
40% of formularies

2023 Medicare Spending

Beneficiaries
715
Total spending
$34,286,853
Avg per beneficiary
$47,953.64

Tier Distribution Across Plans

2 plans
Tier 1, Preferred Generic
93 plans
Tier 5, Specialty

Medicare Advantage Plans (MA-PD) Covering bosentan 32 MG Tablet for Oral Suspension [Tracleer]

95 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
Hamaspik Medicare Select (HMO D-SNP) Hamaspik, Inc. T1 Yes $34.50 NY
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
Health New England Medicare Compass (PPO) Health NEW England, Inc. T5 Yes $0 MA
Health New England Medicare Value (HMO) Health NEW England, Inc. T5 Yes $0 MA
SCAN Connections (HMO D-SNP) Scan Health Plan T5 Yes $0 CA
SCAN Connections at Home (HMO D-SNP) Scan Health Plan T5 Yes $0 CA
SCAN Classic (HMO) Scan Health Plan Nevada, Inc. T5 Yes $0 NV
SCAN Balance (HMO C-SNP) Scan Health Plan Nevada, Inc. T5 Yes $0 NV
SCAN Strive (HMO C-SNP) Scan Health Plan Nevada, Inc. T5 Yes $0 NV
SCAN MyChoice (HMO) Scan Health Plan Nevada, Inc. T5 Yes $0 NV
SCAN Classic (HMO) Scan Desert Health Plan, Inc. T5 Yes $0 AZ
SCAN Balance (HMO C-SNP) Scan Desert Health Plan, Inc. T5 Yes $0 AZ
SCAN Embrace (HMO-POS I-SNP) Scan Desert Health Plan, Inc. T5 Yes $0 AZ
SCAN Strive (HMO C-SNP) Scan Desert Health Plan, Inc. T5 Yes $0 AZ
Show the next 30 plans
SCAN MyChoice (HMO) Scan Desert Health Plan, Inc. T5 Yes $0 AZ
SCAN Classic WA (HMO) Scan Health Plan (WA) T5 Yes $0 WA
SCAN MyChoice WA (HMO) Scan Health Plan (WA) T5 Yes $0 WA
SCAN Classic (HMO) Scan Health Plan (NM) T5 Yes $0 NM
SCAN Balance (HMO C-SNP) Scan Health Plan (NM) T5 Yes $0 NM
SCAN Strive (HMO C-SNP) Scan Health Plan (NM) T5 Yes $0 NM
SCAN MyChoice (HMO) Scan Health Plan (NM) T5 Yes $0 NM
SCAN Classic (HMO) Scan Health Plan T5 Yes $0 CA
SCAN Classic (HMO) Scan Health Plan T5 Yes $0 CA
SCAN Classic (HMO) Scan Health Plan T5 Yes $0 CA
SCAN Classic (HMO) Scan Health Plan T5 Yes $0 CA
SCAN Classic (HMO) Scan Health Plan T5 Yes $0 CA
SCAN Classic (HMO) Scan Health Plan T5 Yes $0 CA
SCAN Classic (HMO) Scan Health Plan T5 Yes $0 CA
SCAN Balance (HMO C-SNP) Scan Health Plan T5 Yes $0 CA
SCAN Prime (HMO) Scan Health Plan T5 Yes $0 CA
SCAN Classic (HMO) Scan Health Plan T5 Yes $0 CA
SCAN Balance (HMO C-SNP) Scan Health Plan T5 Yes $0 CA
SCAN Classic (HMO) Scan Health Plan T5 Yes $0 CA
SCAN Balance (HMO C-SNP) Scan Health Plan T5 Yes $0 CA
SCAN Alta (HMO) Scan Health Plan T5 Yes $0 CA
SCAN Venture (HMO) Scan Health Plan T5 Yes $0 CA
SCAN Venture (HMO) Scan Health Plan T5 Yes $0 CA
SCAN Embrace (HMO I-SNP) Scan Health Plan T5 Yes $0 CA
SCAN Embrace (HMO I-SNP) Scan Health Plan T5 Yes $0 CA
SCAN Embrace (HMO-POS I-SNP) Scan Health Plan T5 Yes $0 CA
SCAN Affirm partnered with Included LGBTQ+ Health (HMO) Scan Health Plan T5 Yes $0 CA
SCAN Affirm partnered with Included LGBTQ+ Health (HMO) Scan Health Plan T5 Yes $0 CA
SCAN Strive (HMO C-SNP) Scan Health Plan T5 Yes $0 CA
SCAN Strive (HMO C-SNP) Scan Health Plan T5 Yes $0 CA

Showing top 50 of 95 plans.

Frequently Asked Questions

Is bosentan 32 MG Tablet for Oral Suspension [Tracleer] covered by Medicare Part D?

Yes, bosentan 32 MG Tablet for Oral Suspension [Tracleer] is covered by 95 Medicare Part D plans (1.9% of all Part D formularies).

What tier is bosentan 32 MG Tablet for Oral Suspension [Tracleer] on Medicare Part D plans?

bosentan 32 MG Tablet for Oral Suspension [Tracleer] averages Tier 4.2 across Part D plans, ranging from Tier 1 to Tier 5.

Does bosentan 32 MG Tablet for Oral Suspension [Tracleer] require prior authorization?

100% of Part D formularies require prior authorization for bosentan 32 MG Tablet for Oral Suspension [Tracleer]. Step therapy: 0%. Quantity limits: 40%.

How much does Medicare spend on bosentan 32 MG Tablet for Oral Suspension [Tracleer]?

In 2023, total Medicare Part D spending on bosentan 32 MG Tablet for Oral Suspension [Tracleer] was $34,286,853, covering 715 beneficiaries. The average spend per beneficiary was $47,953.64.

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