brensocatib 25 MG Oral Tablet [Brinsupri]

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brensocatib

RxCUI: 2721895

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.
5%
Plan Coverage
255
Plans Covering
T4.3
Avg Tier
93.3%
Prior Auth Required

What the CMS Formulary Data Shows for brensocatib 25 MG Oral Tablet [Brinsupri]

Per the CMS 2026 Part D formulary file, brensocatib 25 MG Oral Tablet [Brinsupri] (RxNorm concept RXCUI 2721895, generic name brensocatib) appears on 30 distinct formulary files spanning 255 Medicare Part D plan offerings - 5% 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 4.3.

Real-world access to brensocatib 25 MG Oral Tablet [Brinsupri] depends on utilization management as much as tier placement: 93.3% of covering formularies require prior authorization. 0% require step therapy. 76.7% apply quantity limits.

Medicare Part D spending dashboard figures are not published for this drug. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry brensocatib 25 MG Oral Tablet [Brinsupri] today.

Coverage Details

Formularies covering
30
Plans covering
255
Coverage rate
5%
Tier range
Tier 1 – Tier 5
Average tier
Tier 4, Non-Preferred

Restrictions

Prior authorization required
93.3% of formularies
Step therapy required
0% of formularies
Quantity limits
76.7% of formularies

Tier Distribution Across Plans

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

Medicare Advantage Plans (MA-PD) Covering brensocatib 25 MG Oral Tablet [Brinsupri]

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

Plan Insurer Tier PA Premium States
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
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
CareAdvantage (HMO D-SNP) SAN MATEO HEALTH COMMISSION T2 Yes $0 CA
CalOptima Health OneCare Complete (HMO D-SNP) ORANGE COUNTY HEALTH AUTHORITY T2 Yes $0 CA
Community Blue Medicare HMO Signature (HMO) Highmark Western and Northeastern New York Inc. T5 Yes $0 NY
Community Blue Medicare HMO Merit (HMO) Highmark Western and Northeastern New York Inc. T5 Yes $0 NY
Community Blue Medicare PPO Signature (PPO) HIGHMARK SENIOR HEALTH COMPANY T5 Yes $0 PA
Complete Blue PPO Signature (PPO) HIGHMARK SENIOR HEALTH COMPANY T5 Yes $0 PA
Community Blue Medicare Plus PPO Signature (PPO) HIGHMARK SENIOR HEALTH COMPANY T5 Yes $0 PA
Complete Blue PPO Signature (PPO) HIGHMARK SENIOR HEALTH COMPANY T5 Yes $0 PA
Complete Blue PPO Merit (PPO) HIGHMARK SENIOR HEALTH COMPANY T5 Yes $0 PA
Complete Blue PPO Signature (PPO) HIGHMARK SENIOR HEALTH COMPANY T5 Yes $0 PA
Complete Blue PPO Distinct (PPO) HIGHMARK SENIOR HEALTH COMPANY T5 Yes $0 PA
Community Blue Medicare Plus PPO Signature (PPO) HIGHMARK SENIOR HEALTH COMPANY T5 Yes $0 PA
Complete Blue Plus PPO Merit (PPO) HIGHMARK SENIOR HEALTH COMPANY T5 Yes $0 PA
Community Blue Medicare PPO Signature (PPO) HIGHMARK SENIOR HEALTH COMPANY T5 Yes $0 PA
Complete Blue PPO Merit (PPO) HIGHMARK SENIOR HEALTH COMPANY T5 Yes $0 PA
Community Blue Medicare HMO Signature (HMO) HIGHMARK CHOICE COMPANY T5 Yes $0 PA
Security Blue HMO-POS ValueRx (HMO-POS) HIGHMARK CHOICE COMPANY T5 Yes $0 PA
Community Blue Medicare HMO Signature (HMO) HIGHMARK CHOICE COMPANY T5 Yes $0 PA
Together Blue Medicare HMO Signature (HMO) HIGHMARK CHOICE COMPANY T5 Yes $0 PA
Community Blue Medicare HMO Distinct (HMO) HIGHMARK CHOICE COMPANY T5 Yes $0 PA
Complete Blue HMO Distinct (HMO) HIGHMARK CHOICE COMPANY T5 Yes $0 PA
Complete Blue PPO Distinct (PPO) HIGHMARK SENIOR SOLUTIONS COMPANY T5 Yes $0 WV
Complete Blue PPO Signature (PPO) HIGHMARK SENIOR SOLUTIONS COMPANY T5 Yes $0 WV
Complete Blue PPO Signature (PPO) HIGHMARK SENIOR SOLUTIONS COMPANY T5 Yes $0 WV
Complete Blue PPO Merit (PPO) HIGHMARK SENIOR SOLUTIONS COMPANY T5 Yes $0 WV
Complete Blue PPO Signature (PPO) HIGHMARK BCBSD INC. T5 Yes $0 DE
Medicare BlueEssential (PPO) EXCELLUS HEALTH PLAN, INC. T5 Yes $0 NY
Medicare BlueActive (PPO) EXCELLUS HEALTH PLAN, INC. T5 Yes $0 NY
Medicare BlueVital (PPO) EXCELLUS HEALTH PLAN, INC. T5 Yes $0 NY
Univera SeniorChoice Basic (HMO) EXCELLUS HEALTH PLAN, INC. T5 Yes $0 NY
Univera SeniorChoice Extra (HMO) EXCELLUS HEALTH PLAN, INC. T5 Yes $0 NY
Medicare Blue Choice Core (HMO) EXCELLUS HEALTH PLAN, INC. T5 Yes $0 NY
Univera Medicare Dual (HMO D-SNP) EXCELLUS HEALTH PLAN COMMUNITY CARE LLC T5 Yes $0 NY
Medicare Blue Dual (HMO D-SNP) EXCELLUS HEALTH PLAN COMMUNITY CARE LLC T5 Yes $0 NY
Providence Medicare Extra Part B Only + Rx (HMO) PROVIDENCE HEALTH ASSURANCE T5 Yes $0 OR
Providence Medicare Prime + Rx (HMO) PROVIDENCE HEALTH ASSURANCE T5 Yes $0 OR
Providence Medicare Dual Plus (HMO D-SNP) PROVIDENCE HEALTH ASSURANCE T5 Yes $0 OR
Providence Medicare Timber + Rx (HMO) PROVIDENCE HEALTH ASSURANCE T5 Yes $0 OR, WA
Providence Medicare Pine + Rx (HMO) PROVIDENCE HEALTH ASSURANCE T5 Yes $0 WA
Providence Medicare Extra + Rx (HMO) PROVIDENCE HEALTH ASSURANCE T5 Yes $0 OR, WA
Providence Medicare Sycamore + Rx (HMO) PROVIDENCE HEALTH ASSURANCE T5 Yes $0 CA
UPMC for Life HMO Premier Rx (HMO) UPMC HEALTH PLAN, INC. T5 Yes $0 PA
UPMC for Life Complete Care (HMO D-SNP) UPMC FOR YOU, INC T5 Yes $0 PA
UPMC for Life Complete Care (HMO D-SNP) UPMC FOR YOU, INC T5 Yes $0 PA
UPMC for Life PPO Premier Rx (PPO) UPMC HEALTH NETWORK, INC. T5 Yes $0 PA

Frequently Asked Questions

Is brensocatib 25 MG Oral Tablet [Brinsupri] covered by Medicare Part D?

Yes, brensocatib 25 MG Oral Tablet [Brinsupri] is covered by 255 Medicare Part D plans (5% of all Part D formularies).

What tier is brensocatib 25 MG Oral Tablet [Brinsupri] on Medicare Part D plans?

brensocatib 25 MG Oral Tablet [Brinsupri] averages Tier 4.3 across Part D plans, ranging from Tier 1 to Tier 5.

Does brensocatib 25 MG Oral Tablet [Brinsupri] require prior authorization?

93.3% of Part D formularies require prior authorization for brensocatib 25 MG Oral Tablet [Brinsupri]. Step therapy: 0%. Quantity limits: 76.7%.

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