deferiprone 1000 MG Oral Tablet [Ferriprox]
deferiprone
RxCUI: 2180999
What the CMS Formulary Data Shows for deferiprone 1000 MG Oral Tablet [Ferriprox]
Per the CMS 2026 Part D formulary file, deferiprone 1000 MG Oral Tablet [Ferriprox] (RxNorm concept RXCUI 2180999, generic name deferiprone) appears on 8 distinct formulary files spanning 188 Medicare Part D plan offerings - 3.7% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 5 to Tier 5, with a cross-plan average of Tier 5.
Real-world access to deferiprone 1000 MG Oral Tablet [Ferriprox] depends on utilization management as much as tier placement: 62.5% 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 1000 MG Oral Tablet [Ferriprox] 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 1000 MG Oral Tablet [Ferriprox] today.
Coverage Details
- Formularies covering
- 8
- Plans covering
- 188
- Coverage rate
- 3.7%
- Tier range
- Tier 5, Specialty
- Average tier
- Tier 5, Specialty
Restrictions
- Prior authorization required
- 62.5% 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 1000 MG Oral Tablet [Ferriprox]
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Medicare BlueEssential (PPO) | EXCELLUS HEALTH PLAN, INC. | T5 | No | $0 | NY |
| Medicare BlueActive (PPO) | EXCELLUS HEALTH PLAN, INC. | T5 | No | $0 | NY |
| Medicare BlueVital (PPO) | EXCELLUS HEALTH PLAN, INC. | T5 | No | $0 | NY |
| Univera SeniorChoice Basic (HMO) | EXCELLUS HEALTH PLAN, INC. | T5 | No | $0 | NY |
| Univera SeniorChoice Extra (HMO) | EXCELLUS HEALTH PLAN, INC. | T5 | No | $0 | NY |
| Medicare Blue Choice Core (HMO) | EXCELLUS HEALTH PLAN, INC. | T5 | No | $0 | NY |
| Univera Medicare Dual (HMO D-SNP) | EXCELLUS HEALTH PLAN COMMUNITY CARE LLC | T5 | No | $0 | NY |
| Medicare Blue Dual (HMO D-SNP) | EXCELLUS HEALTH PLAN COMMUNITY CARE LLC | T5 | No | $0 | NY |
| HealthSpring Preferred (HMO) | BRAVO HEALTH PENNSYLVANIA, INC. | T5 | Yes | $0 | AZ |
| HealthSpring Alliance (HMO) | BRAVO HEALTH PENNSYLVANIA, INC. | T5 | Yes | $0 | AZ |
| HealthSpring Preferred Savings (HMO) | BRAVO HEALTH PENNSYLVANIA, INC. | T5 | Yes | $0 | AZ |
| HealthSpring Preferred Full Savings (HMO) | BRAVO HEALTH PENNSYLVANIA, INC. | T5 | Yes | $0 | AZ |
| HealthSpring Preferred GA (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T5 | Yes | $0 | GA |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T5 | Yes | $0 | GA |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T5 | Yes | $0 | GA |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T5 | Yes | $0 | GA |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T5 | Yes | $0 | GA |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T5 | Yes | $0 | GA |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T5 | Yes | $0 | GA |
| HealthSpring Preferred Savings (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T5 | Yes | $0 | GA |
| HealthSpring Preferred Savings (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T5 | Yes | $0 | GA |
| HealthSpring Preferred Savings (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T5 | Yes | $0 | GA |
| HealthSpring Preferred Savings (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T5 | Yes | $0 | GA |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T5 | Yes | $0 | MO |
| HealthSpring Preferred Savings (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T5 | Yes | $0 | MO |
| HealthSpring Premier (HMO-POS) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T5 | Yes | $0 | UT |
| HealthSpring Preferred (HMO) | CIGNA HEALTHCARE OF COLORADO, INC. | T5 | Yes | $0 | NM |
| HealthSpring Preferred (HMO) | CIGNA HEALTHCARE OF COLORADO, INC. | T5 | Yes | $0 | OH |
| HealthSpring Preferred (HMO) | CIGNA HEALTHCARE OF COLORADO, INC. | T5 | Yes | $0 | KY, OH |
| HealthSpring Preferred Savings (HMO) | CIGNA HEALTHCARE OF COLORADO, INC. | T5 | Yes | $0 | OH |
| HealthSpring Preferred Savings (HMO) | CIGNA HEALTHCARE OF COLORADO, INC. | T5 | Yes | $0 | KY, OH |
| HealthSpring Preferred (HMO) | CIGNA HEALTHCARE OF COLORADO, INC. | T5 | Yes | $0 | CO |
| HealthSpring Preferred (HMO) | BRAVO HEALTH MID-ATLANTIC, INC. | T5 | Yes | $0 | DC, DE |
| HealthSpring Preferred PA (HMO) | BRAVO HEALTH PENNSYLVANIA, INC. | T5 | Yes | $0 | PA |
| HealthSpring Preferred (HMO) | BRAVO HEALTH PENNSYLVANIA, INC. | T5 | Yes | $0 | PA |
| HealthSpring Preferred (HMO) | BRAVO HEALTH PENNSYLVANIA, INC. | T5 | Yes | $0 | PA |
| HealthSpring Preferred (HMO) | BRAVO HEALTH PENNSYLVANIA, INC. | T5 | Yes | $0 | PA |
| HealthSpring Preferred (HMO) | BRAVO HEALTH PENNSYLVANIA, INC. | T5 | Yes | $0 | PA |
| HealthSpring Preferred (HMO) | BRAVO HEALTH PENNSYLVANIA, INC. | T5 | Yes | $0 | PA |
| HealthSpring Preferred Savings (HMO) | BRAVO HEALTH PENNSYLVANIA, INC. | T5 | Yes | $0 | PA |
| HealthSpring Preferred (HMO) | BRAVO HEALTH PENNSYLVANIA, INC. | T5 | Yes | $0 | NJ |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T5 | Yes | $0 | MS |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T5 | Yes | $0 | WA |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T5 | Yes | $0 | OR, WA |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T5 | Yes | $0 | TX |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T5 | Yes | $0 | GA |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T5 | Yes | $0 | TN |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T5 | Yes | $0 | AR |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T5 | Yes | $0 | MS, TN |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T5 | Yes | $0 | AR |
Frequently Asked Questions
Is deferiprone 1000 MG Oral Tablet [Ferriprox] covered by Medicare Part D?
Yes, deferiprone 1000 MG Oral Tablet [Ferriprox] is covered by 188 Medicare Part D plans (3.7% of all Part D formularies).
What tier is deferiprone 1000 MG Oral Tablet [Ferriprox] on Medicare Part D plans?
deferiprone 1000 MG Oral Tablet [Ferriprox] averages Tier 5 across Part D plans, ranging from Tier 5 to Tier 5.
Does deferiprone 1000 MG Oral Tablet [Ferriprox] require prior authorization?
62.5% of Part D formularies require prior authorization for deferiprone 1000 MG Oral Tablet [Ferriprox]. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on deferiprone 1000 MG Oral Tablet [Ferriprox]?
In 2023, total Medicare Part D spending on deferiprone 1000 MG Oral Tablet [Ferriprox] 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.