crinecerfont 50 MG Oral Capsule [Crenessity]

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crinecerfont

RxCUI: 2701405

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.
3.5%
Plan Coverage
175
Plans Covering
T4.1
Avg Tier
87.5%
Prior Auth Required

What the CMS Formulary Data Shows for crinecerfont 50 MG Oral Capsule [Crenessity]

Per the CMS 2026 Part D formulary file, crinecerfont 50 MG Oral Capsule [Crenessity] (RxNorm concept RXCUI 2701405, generic name crinecerfont) appears on 16 distinct formulary files spanning 175 Medicare Part D plan offerings - 3.5% 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 4.1.

Real-world access to crinecerfont 50 MG Oral Capsule [Crenessity] depends on utilization management as much as tier placement: 87.5% of covering formularies require prior authorization. 0% require step therapy. 62.5% 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 crinecerfont 50 MG Oral Capsule [Crenessity] today.

Coverage Details

Formularies covering
16
Plans covering
175
Coverage rate
3.5%
Tier range
Tier 1 – Tier 5
Average tier
Tier 4, Non-Preferred

Restrictions

Prior authorization required
87.5% of formularies
Step therapy required
0% of formularies
Quantity limits
62.5% of formularies

Tier Distribution Across Plans

3 plans
Tier 1, Preferred Generic
1 plans
Tier 2, Generic
96 plans
Tier 5, Specialty

Medicare Advantage Plans (MA-PD) Covering crinecerfont 50 MG Oral Capsule [Crenessity]

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

Plan Insurer Tier PA Premium States
NaviCare (HMO D-SNP) FALLON COMMUNITY HEALTH PLAN 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
CalOptima Health OneCare Complete (HMO D-SNP) ORANGE COUNTY HEALTH AUTHORITY T2 Yes $0 CA
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
Geisinger Gold Preferred Complete Rx (PPO) GEISINGER INDEMNITY INSURANCE COMPANY T5 Yes $0 PA
Geisinger Gold Secure Rx (HMO D-SNP) GEISINGER HEALTH PLAN T5 Yes $0 PA
Geisinger Gold Classic 360 Rx (HMO) GEISINGER HEALTH PLAN T5 Yes $0 PA
Geisinger Gold Classic Essential Rx (HMO) GEISINGER HEALTH PLAN T5 Yes $0 PA
Fallon Medicare Plus Orange (HMO) FALLON COMMUNITY HEALTH PLAN T5 Yes $0 MA
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
UPMC for Life PPO Premier Rx (PPO) UPMC HEALTH NETWORK, INC. T5 Yes $0 PA
UPMC for Life PPO Essential Care Rx (PPO) UPMC HEALTH NETWORK, INC. T5 Yes $0 PA
UPMC for Life Complete Care (HMO D-SNP) UPMC HEALTH COVERAGE, INC. T5 Yes $0 PA
Health First Rewards H1099-014 (HMO) HEALTH FIRST HEALTH PLANS T5 Yes $0 FL
Health First SunSaver H1099-016 (HMO) HEALTH FIRST HEALTH PLANS T5 Yes $0 FL
Health First Complete Care H1099-023 (HMO) HEALTH FIRST HEALTH PLANS T5 Yes $0 FL
Health First Emerald Plus H1099-024 (HMO) HEALTH FIRST HEALTH PLANS T5 Yes $0 FL
Health First Premier Access H1099-025 (HMO-POS) HEALTH FIRST HEALTH PLANS T5 Yes $0 FL
Health First Emerald Plus H1099-026 (HMO) HEALTH FIRST HEALTH PLANS T5 Yes $0 FL
Health First Premier Access H1099-027 (HMO-POS) HEALTH FIRST HEALTH PLANS T5 Yes $0 FL
Health First Emerald Plus H1099-028 (HMO) HEALTH FIRST HEALTH PLANS T5 Yes $0 FL
Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Senior Advantage Enhanced Solano (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Senior Advantage Inland Empire (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Sr Adv Enhanced Marin San Mateo (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Senior Advantage Ventura (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Senior Advantage Enhanced Kern (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Senior Advantage Basic Kern (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Senior Advantage San Diego (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Senior Advantage Enhanced Stanis (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Senior Advantage Basic Stanis (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Senior Advantage Basic SnJoaq (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Senior Advantage Basic Fresno (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Senior Advantage Santa Cruz (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Senior Advantage Basic Alameda (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Senior Advantage Basic SF (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Sr Adv Basic Contra Costa (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Sr Adv Basic Santa Clara (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA
Kaiser Permanente Senior Advantage Basic Solano (HMO) KAISER FOUNDATION HP, INC. T5 No $0 CA

Frequently Asked Questions

Is crinecerfont 50 MG Oral Capsule [Crenessity] covered by Medicare Part D?

Yes, crinecerfont 50 MG Oral Capsule [Crenessity] is covered by 175 Medicare Part D plans (3.5% of all Part D formularies).

What tier is crinecerfont 50 MG Oral Capsule [Crenessity] on Medicare Part D plans?

crinecerfont 50 MG Oral Capsule [Crenessity] averages Tier 4.1 across Part D plans, ranging from Tier 1 to Tier 5.

Does crinecerfont 50 MG Oral Capsule [Crenessity] require prior authorization?

87.5% of Part D formularies require prior authorization for crinecerfont 50 MG Oral Capsule [Crenessity]. Step therapy: 0%. Quantity limits: 62.5%.

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