Medicare Part D coverage · dasatinib · RxCUI 2691837
dasatinib 100 MG Oral Tablet [Phyrago]
Per the CMS 2026 Part D formulary file, dasatinib 100 MG Oral Tablet [Phyrago] is covered by 1,165 Medicare Part D plans (23.1% of enrollable products), averaging Tier 4.6, with prior authorization required on 96.2% of covering formularies.
- 23.1%
- Plan coverage
- 1,165
- Plans covering
- T4.6
- Avg tier
- 96.2%
- Prior auth required
What the CMS Formulary Data Shows for dasatinib 100 MG Oral Tablet [Phyrago]
Per the CMS 2026 Part D formulary file, dasatinib 100 MG Oral Tablet [Phyrago] (RxNorm concept RXCUI 2691837, generic name dasatinib) appears on 26 distinct formulary files spanning 1,165 Medicare Part D plan offerings - 23.1% 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 4.6.
Real-world access to dasatinib 100 MG Oral Tablet [Phyrago] depends on utilization management as much as tier placement: 96.2% of covering formularies require prior authorization. 0% require step therapy. 92.3% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 5,120 Part D beneficiaries filled dasatinib 100 MG Oral Tablet [Phyrago] in 2023, with total plan-and-beneficiary spending of $510,233,995 and an average per-beneficiary annual cost of $99,655.08. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry dasatinib 100 MG Oral Tablet [Phyrago] today.
Coverage Details
- Formularies covering
- 26
- Plans covering
- 1,165
- Coverage rate
- 23.1%
- Tier range
- Tier 1 – Tier 5
- Average tier
- Tier 5, Specialty
Restrictions
- Prior authorization required
- 96.2% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 92.3% of formularies
2023 Medicare Spending
- Beneficiaries
- 5,120
- Total spending
- $510,233,995
- Avg per beneficiary
- $99,655.08
Tier Distribution Across Plans
Standalone Drug Plans (PDP) Covering dasatinib 100 MG Oral Tablet [Phyrago]
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 dasatinib 100 MG Oral Tablet [Phyrago]
95 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Community Care's Partnership Program (HMO D-SNP) | Community Care Health Plan, Inc. | T1 | No | $0 | WI |
| CalOptima Health OneCare Complete (HMO D-SNP) | Orange County Health Authority | T2 | Yes | $0 | CA |
| Freedom VIP Care (HMO C-SNP) | Freedom Health, Inc. | T4 | Yes | $0 | FL |
| Freedom VIP Savings (HMO C-SNP) | Freedom Health, Inc. | T4 | Yes | $0 | FL |
| Freedom VIP Savings (HMO C-SNP) | Freedom Health, Inc. | T4 | Yes | $0 | FL |
| Freedom VIP Rewards (HMO C-SNP) | Freedom Health, Inc. | T4 | Yes | $0 | FL |
| Freedom VIP Rewards (HMO C-SNP) | Freedom Health, Inc. | T4 | Yes | $0 | FL |
| Optimum Diamond Rewards (HMO C-SNP) | Optimum Healthcare, Inc. | T4 | Yes | $0 | FL |
| Optimum Diamond Savings (HMO C-SNP) | Optimum Healthcare, Inc. | T4 | Yes | $0 | FL |
| Optimum Diamond Rewards (HMO C-SNP) | Optimum Healthcare, Inc. | T4 | Yes | $0 | FL |
| Optimum Diamond (HMO C-SNP) | Optimum Healthcare, Inc. | T4 | Yes | $0 | FL |
| Freedom Medi-Medi Partial (HMO D-SNP) | Freedom Health, Inc. | T4 | Yes | $0 | FL |
| Freedom Medi-Medi Full (HMO D-SNP) | Freedom Health, Inc. | T4 | Yes | $0 | FL |
| Optimum Emerald Partial (HMO D-SNP) | Optimum Healthcare, Inc. | T4 | Yes | $0 | FL |
| Optimum Emerald Full (HMO D-SNP) | Optimum Healthcare, Inc. | T4 | Yes | $0 | FL |
| Freedom Medicare Plan Rx (HMO) | Freedom Health, Inc. | T4 | Yes | $0 | FL |
| Freedom Medicare Plan Rx (HMO) | Freedom Health, Inc. | T4 | Yes | $0 | FL |
| Freedom VIP Savings COPD (HMO C-SNP) | Freedom Health, Inc. | T4 | Yes | $0 | FL |
| Freedom VIP Savings COPD (HMO C-SNP) | Freedom Health, Inc. | T4 | Yes | $0 | FL |
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T4 | Yes | $0 | FL |
Show the next 30 plans
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T4 | Yes | $0 | FL |
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T4 | Yes | $0 | FL |
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T4 | Yes | $0 | FL |
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T4 | Yes | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T4 | Yes | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T4 | Yes | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T4 | Yes | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T4 | Yes | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T4 | Yes | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T4 | Yes | $0 | FL |
| Freedom Máximo (HMO-POS) | Freedom Health, Inc. | T4 | Yes | $0 | FL |
| Freedom Máximo (HMO-POS) | Freedom Health, Inc. | T4 | Yes | $0 | FL |
| Optimum Gold Rewards Plan (HMO) | Optimum Healthcare, Inc. | T4 | Yes | $0 | FL |
| Optimum Platinum Plan (HMO) | Optimum Healthcare, Inc. | T4 | Yes | $0 | FL |
| Optimum Gold Plan (HMO) | Optimum Healthcare, Inc. | T4 | Yes | $0 | FL |
| Optimum Gold Rewards Plan (HMO) | Optimum Healthcare, Inc. | T4 | Yes | $0 | FL |
| Optimum Gold Rewards Plan (HMO) | Optimum Healthcare, Inc. | T4 | Yes | $0 | FL |
| Optimum Diamond Rewards COPD (HMO C-SNP) | Optimum Healthcare, Inc. | T4 | Yes | $0 | FL |
| Optimum Diamond Savings COPD (HMO C-SNP) | Optimum Healthcare, Inc. | T4 | Yes | $0 | FL |
| Optimum Gold Plus Plan (HMO) | Optimum Healthcare, Inc. | T4 | Yes | $0 | FL |
| Optimum Diamond Rewards COPD (HMO C-SNP) | Optimum Healthcare, Inc. | T4 | Yes | $0 | FL |
| UHC Dual Complete IA-S001 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T5 | Yes | $0 | IA |
| UHC Dual Complete MO-S001 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T5 | Yes | $0 | MO |
| UHC Dual Complete NE-S001 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T5 | Yes | $0 | NE |
| UHC Dual Complete KS-S001 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T5 | Yes | $0 | KS |
| UHC Dual Complete MO-S3 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T5 | Yes | $0 | MO |
| UHC Dual Complete KS-Q1 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T5 | Yes | $0 | KS |
| UHC Dual Complete TN-S001 (HMO-POS D-SNP) | Unitedhealthcare Plan OF THE River Valley, Inc. | T5 | Yes | $0 | TN |
| UHC Dual Complete TN-Y001 (HMO-POS D-SNP) | Unitedhealthcare Plan OF THE River Valley, Inc. | T5 | Yes | $0 | TN |
| UHC Dual Complete TN-Y2 (HMO-POS D-SNP) | Unitedhealthcare Plan OF THE River Valley, Inc. | T5 | Yes | $0 | TN |
Showing top 50 of 95 plans.
Frequently Asked Questions
Is dasatinib 100 MG Oral Tablet [Phyrago] covered by Medicare Part D?
Yes, dasatinib 100 MG Oral Tablet [Phyrago] is covered by 1,165 Medicare Part D plans (23.1% of all Part D formularies).
What tier is dasatinib 100 MG Oral Tablet [Phyrago] on Medicare Part D plans?
dasatinib 100 MG Oral Tablet [Phyrago] averages Tier 4.6 across Part D plans, ranging from Tier 1 to Tier 5.
Does dasatinib 100 MG Oral Tablet [Phyrago] require prior authorization?
96.2% of Part D formularies require prior authorization for dasatinib 100 MG Oral Tablet [Phyrago]. Step therapy: 0%. Quantity limits: 92.3%.
How much does Medicare spend on dasatinib 100 MG Oral Tablet [Phyrago]?
In 2023, total Medicare Part D spending on dasatinib 100 MG Oral Tablet [Phyrago] was $510,233,995, covering 5,120 beneficiaries. The average spend per beneficiary was $99,655.08.
Read our methodology - how this data is sourced, computed, and verified.
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.
Closest average formulary tier
- 28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Forteo] T4.6
- 1 ML lanadelumab-flyo 150 MG/ML Prefilled Syringe [Takhzyro] T4.6
- 1.7 ML denosumab 70 MG/ML Injection [Xgeva] T4.6
- 12 HR treprostinil 5 MG Extended Release Oral Tablet [Orenitram] T4.6
- cholic acid 250 MG Oral Capsule [Cholbam] T4.6
- berotralstat 150 MG Oral Capsule [Orladeyo] T4.6
Similar prior-authorization rate
- solriamfetol 75 MG Oral Tablet [Sunosi] 96.2% PA
- droxidopa 100 MG Oral Capsule 96.2% PA
- droxidopa 300 MG Oral Capsule 96.2% PA
- deflazacort 6 MG Oral Tablet 96.2% PA
- tolvaptan 15 MG Oral Tablet 96.3% PA
- sapropterin dihydrochloride 500 MG Powder for Oral Solution [Zelvysia] 96.1% PA