bosentan 32 MG Tablet for Oral Suspension [Tracleer]
bosentan
RxCUI: 1989085
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 $34,313,416 and an average per-beneficiary annual cost of $47,990.79. 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
- $34,313,416
- Avg per beneficiary
- $47,990.79
Tier Distribution Across Plans
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 |
| 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 |
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 $34,313,416, covering 715 beneficiaries. The average spend per beneficiary was $47,990.79.
Read our methodology - how this data is sourced, computed, and verified.