Medicare Part D coverage · deferiprone · RxCUI 389242
deferiprone 500 MG Oral Tablet
Per the CMS 2026 Part D formulary file, deferiprone 500 MG Oral Tablet is covered by 666 Medicare Part D plans (13.2% of enrollable products), averaging Tier 4.2, with prior authorization required on 90% of covering formularies.
- 13.2%
- Plan coverage
- 666
- Plans covering
- T4.2
- Avg tier
- 90%
- Prior auth required
What the CMS Formulary Data Shows for deferiprone 500 MG Oral Tablet
Per the CMS 2026 Part D formulary file, deferiprone 500 MG Oral Tablet (RxNorm concept RXCUI 389242, generic name deferiprone) appears on 80 distinct formulary files spanning 666 Medicare Part D plan offerings - 13.2% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 6, with a cross-plan average of Tier 4.2.
Real-world access to deferiprone 500 MG Oral Tablet depends on utilization management as much as tier placement: 90% of covering formularies require prior authorization. 0% require step therapy. 0% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 198 Part D beneficiaries filled deferiprone 500 MG Oral Tablet in 2023, with total plan-and-beneficiary spending of $7,507,356 and an average per-beneficiary annual cost of $37,915.94. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry deferiprone 500 MG Oral Tablet today.
Coverage Details
- Formularies covering
- 80
- Plans covering
- 666
- Coverage rate
- 13.2%
- Tier range
- Tier 1 – Tier 6
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 90% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 198
- Total spending
- $7,507,356
- Avg per beneficiary
- $37,915.94
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering deferiprone 500 MG Oral Tablet
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| ElderServe MAP (HMO D-SNP) | Elderserve Health, Inc. | T1 | Yes | $0 | NY |
| Cooperative Advantage (HMO D-SNP) | Group Health Cooperative OF EAU Claire | T1 | Yes | $0 | WI |
| Longevity Health Plan (PPO I-SNP) | Longevity Health Plan OF NEW Jersey Insurance Comp | T1 | Yes | $0 | NJ |
| Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP) | Upper Peninsula Health Plan, LLC | T1 | Yes | $0 | MI |
| CareSource Dual Advantage (HMO D-SNP) | Caresource Georgia Co. | T1 | Yes | $0 | GA |
| HAP CareSource MI Coordinated Health (HMO D-SNP) | HAP Caresource | T1 | Yes | $0 | MI |
| 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 |
| Community Care's Partnership Program (HMO D-SNP) | Community Care Health Plan, Inc. | T1 | No | $0 | WI |
| Platino Blindao (HMO D-SNP) | Triple S Advantage, Inc. | T1 | Yes | $0 | PR |
| Platino Enlace (HMO D-SNP) | Triple S Advantage, Inc. | T1 | Yes | $0 | PR |
| Platino Advance (HMO D-snp) | Triple S Advantage, Inc. | T1 | Yes | $0 | PR |
| Platino Plus (HMO D-snp) | Triple S Advantage, Inc. | T1 | Yes | $0 | PR |
| CalOptima Health OneCare Complete (HMO D-SNP) | Orange County Health Authority | 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 |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | Yes | $0 | PA |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | Yes | $0 | PA |
| Highmark Health Options Duals (HMO D-SNP) | Highmark Health Options West Virginia Inc. | T1 | Yes | $0 | WV |
Show the next 30 plans
| Highmark Health Options Duals (HMO D-SNP) | Highmark Bcbsd, Inc. | T1 | Yes | $0 | DE |
| Longevity Health Plan (HMO I-SNP) | Longevity Health Plan OF Florida, Inc. | T1 | Yes | $4.80 | FL |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | Gold Kidney OF Florida Inc | T1 | Yes | $4.80 | FL |
| Longevity Health Plan (HMO I-SNP) | Longevity Health Plan OF Michigan, Inc. | T1 | Yes | $8.80 | MI |
| Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | Yes | $13.10 | PA |
| Longevity Health Plan (HMO I-SNP) | Longevity Health Plan OF Illinois, Inc. | T1 | Yes | $15.20 | IL |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | Gold Kidney OF Arizona | T1 | Yes | $17.00 | AZ |
| Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | Yes | $17.60 | PA |
| WellSense Added Value (HMO) | Boston Medical Center Health Plan, Inc. | T1 | Yes | $21.70 | NH |
| Highmark Health Options Duals Select (HMO D-SNP) | Highmark Bcbsd, Inc. | T1 | Yes | $31.20 | DE |
| Longevity Health Plan (HMO I-SNP) | Longevity Health Plan OF Colorado, Inc. | T1 | Yes | $35.20 | CO |
| Longevity Health Plan (HMO I-SNP) | Longevity Health Plan OF North Carolina, Inc. | T1 | Yes | $36.20 | NC |
| Longevity Health Plan (PPO I-SNP) | Longevity Health Plan OF NEW Jersey Insurance Comp | T1 | Yes | $40.00 | NJ |
| ElderServe Star (HMO I-SNP) | Elderserve Health, Inc. | T1 | Yes | $58.80 | NY |
| Longevity Health Plan (HMO I-SNP) | Longevity Health Plan OF NEW York, Inc. | T1 | Yes | $58.80 | NY |
| PHP (HMO C-snp) | Aids Healthcare Foundation | T4 | Yes | $0 | CA |
| VNS Health Total (HMO D-SNP) | VNS Choice | T4 | Yes | $0 | NY |
| VNS Health EasyCare Plus (HMO D-SNP) | VNS Choice | T4 | Yes | $51.60 | NY |
| Select Health Medicare Essential (HMO) | Selecthealth, Inc. | T5 | No | $0 | UT |
| Select Health Medicare Essential (HMO) | Selecthealth, Inc. | T5 | No | $0 | NV |
| Select Health Medicare Dual (HMO D-SNP) | Selecthealth, Inc. | T5 | No | $0 | UT |
| Select Health Medicare Essential (HMO) | Selecthealth, Inc. | T5 | No | $0 | UT |
| Select Health Medicare + Kroger (HMO) | Selecthealth, Inc. | T5 | No | $0 | NV |
| Select Health Medicare + Kroger (HMO) | Selecthealth, Inc. | T5 | No | $0 | UT |
| Select Health Medicare Essential (HMO) | Selecthealth, Inc. | T5 | No | $0 | CO |
| Select Health Medicare Essential (HMO) | Selecthealth, Inc. | T5 | No | $0 | CO |
| Select Health Medicare + Kroger (HMO) | Selecthealth, Inc. | T5 | No | $0 | CO |
| Select Health Medicare Flex (HMO) | Selecthealth, Inc. | T5 | No | $0 | CO |
| Select Health Medicare + Kroger (HMO) | Selecthealth, Inc. | T5 | No | $0 | CO |
| Select Health Medicare Active (HMO) | Selecthealth, Inc. | T5 | No | $0 | CO |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is deferiprone 500 MG Oral Tablet covered by Medicare Part D?
Yes, deferiprone 500 MG Oral Tablet is covered by 666 Medicare Part D plans (13.2% of all Part D formularies).
What tier is deferiprone 500 MG Oral Tablet on Medicare Part D plans?
deferiprone 500 MG Oral Tablet averages Tier 4.2 across Part D plans, ranging from Tier 1 to Tier 6.
Does deferiprone 500 MG Oral Tablet require prior authorization?
90% of Part D formularies require prior authorization for deferiprone 500 MG Oral Tablet. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on deferiprone 500 MG Oral Tablet?
In 2023, total Medicare Part D spending on deferiprone 500 MG Oral Tablet was $7,507,356, covering 198 beneficiaries. The average spend per beneficiary was $37,915.94.
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
- 24 HR selegiline 0.25 MG/HR Transdermal System [Emsam] T4.2
- lotilaner 2.5 MG/ML Ophthalmic Solution [Xdemvy] T4.2
- glutamine 5000 MG Powder for Oral Solution T4.2
- 1.7 ML denosumab-bbdz 70 MG/ML Injection [Wyost] T4.2
- {4 (apremilast 10 MG Oral Tablet [Otezla]) / 51 (apremilast 20 MG Oral Tablet [Otezla]) } Pack [Otezla 28-Day 10/20 Starter Pack] T4.2
- apremilast 20 MG Oral Tablet [Otezla] T4.2
Similar prior-authorization rate
- 2500 MG testosterone 0.01 MG/MG Topical Gel 90% PA
- 5000 MG testosterone 0.01 MG/MG Topical Gel 90% PA
- berdazimer 0.103 MG/MG Topical Gel [Zelsuvmi] 90% PA
- 0.6 ML pegfilgrastim-fpgk 10 MG/ML Prefilled Syringe [Stimufend] 90% PA
- 60 ACTUAT testosterone 20.25 MG/ACTUAT Topical Gel 89.9% PA
- rifaximin 200 MG Oral Tablet [XIFAXAN] 89.9% PA