deferiprone 100 MG/ML Oral Solution [Ferriprox]
deferiprone
RxCUI: 1716268
What the CMS Formulary Data Shows for deferiprone 100 MG/ML Oral Solution [Ferriprox]
Per the CMS 2026 Part D formulary file, deferiprone 100 MG/ML Oral Solution [Ferriprox] (RxNorm concept RXCUI 1716268, generic name deferiprone) appears on 27 distinct formulary files spanning 312 Medicare Part D plan offerings - 6.2% 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 4.5.
Real-world access to deferiprone 100 MG/ML Oral Solution [Ferriprox] depends on utilization management as much as tier placement: 77.8% of covering formularies require prior authorization. 0% require step therapy. 7.4% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 198 Part D beneficiaries filled deferiprone 100 MG/ML Oral Solution [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 100 MG/ML Oral Solution [Ferriprox] today.
Coverage Details
- Formularies covering
- 27
- Plans covering
- 312
- Coverage rate
- 6.2%
- Tier range
- Tier 1 – Tier 6
- Average tier
- Tier 5, Specialty
Restrictions
- Prior authorization required
- 77.8% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 7.4% 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 100 MG/ML Oral Solution [Ferriprox]
100 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 |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | GOLD KIDNEY OF FLORIDA INC | T1 | Yes | $4.80 | FL |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | GOLD KIDNEY OF ARIZONA | T1 | Yes | $17.00 | AZ |
| CalOptima Health OneCare Complete (HMO D-SNP) | ORANGE COUNTY HEALTH AUTHORITY | T2 | Yes | $0 | CA |
| PHP (HMO C-SNP) | AIDS HEALTHCARE FOUNDATION | T4 | Yes | $0 | CA |
| VNS Health Total (HMO D-SNP) | VNS CHOICE | T4 | Yes | $0 | NY |
| Leon MediExtra (HMO) | LEON HEALTH, INC. | T4 | Yes | $0 | FL |
| Leon MediDual (HMO D-SNP) | LEON HEALTH, INC. | T4 | Yes | $0 | FL |
| Leon MediMore (HMO) | LEON HEALTH, INC. | T4 | Yes | $0 | FL |
| Leon MediMax (HMO D-SNP) | LEON HEALTH, INC. | T4 | Yes | $0 | FL |
| 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 |
| Select Health Medicare Dual (HMO D-SNP) | SELECTHEALTH, INC. | T5 | No | $0 | NV |
| Select Health Medicare Wellness (HMO) | SELECTHEALTH, INC. | T5 | No | $0 | NV |
| Anthem I CareMore Medicare Advantage 2 (HMO-POS) | BLUE CROSS OF CALIFORNIA | T5 | Yes | $0 | CA |
| Anthem I CareMore Chronic Care (HMO-POS C-SNP) | BLUE CROSS OF CALIFORNIA | T5 | Yes | $0 | CA |
| Anthem I CareMore Home Care (HMO I-SNP) | BLUE CROSS OF CALIFORNIA | T5 | Yes | $0 | CA |
| Anthem I CareMore Chronic Care (HMO-POS C-SNP) | BLUE CROSS OF CALIFORNIA | T5 | Yes | $0 | CA |
| Anthem I CareMore Lung Care (HMO-POS C-SNP) | BLUE CROSS OF CALIFORNIA | T5 | Yes | $0 | CA |
| Anthem I CareMore Kidney Care (HMO-POS C-SNP) | BLUE CROSS OF CALIFORNIA | T5 | Yes | $0 | CA |
| Anthem I CareMore Lung Care (HMO-POS C-SNP) | BLUE CROSS OF CALIFORNIA | T5 | Yes | $0 | CA |
| Anthem I CareMore Kidney Care (HMO-POS C-SNP) | BLUE CROSS OF CALIFORNIA | T5 | Yes | $0 | CA |
| Wellpoint Lung Care (HMO-POS C-SNP) | WELLPOINT HEALTH PLANS, INC. | T5 | Yes | $0 | AZ |
| Wellpoint Chronic Care (HMO-POS C-SNP) | WELLPOINT HEALTH PLANS, INC. | T5 | Yes | $0 | AZ |
| Wellpoint Medicare Advantage 1 (HMO-POS) | WELLPOINT HEALTH PLANS, INC. | T5 | Yes | $0 | AZ |
| Wellpoint Premium Savings (HMO) | WELLPOINT HEALTH PLANS, INC. | T5 | Yes | $0 | AZ |
| Wellpoint I CareMore Home Care (HMO I-SNP) | WELLPOINT HEALTH PLANS, INC. | T5 | Yes | $0 | AZ |
| Wellpoint I CareMore Home Care (HMO I-SNP) | WELLPOINT HEALTH PLANS, INC. | T5 | Yes | $0 | AZ |
| Wellpoint Medicare Advantage 2 (HMO-POS) | WELLPOINT TEXAS, INC. | T5 | Yes | $0 | AZ |
| Wellpoint I CareMore Home Care 2 (HMO I-SNP) | WELLPOINT TEXAS, INC. | T5 | Yes | $0 | AZ |
| Wellpoint Lung Care 2 (HMO-POS C-SNP) | WELLPOINT TEXAS, INC. | T5 | Yes | $0 | AZ |
| Wellpoint Chronic Care 2 (HMO-POS C-SNP) | WELLPOINT TEXAS, INC. | T5 | Yes | $0 | AZ |
| Wellpoint I CareMore Kidney Care (HMO-POS C-SNP) | WELLPOINT TEXAS, INC. | T5 | Yes | $0 | AZ |
| Anthem Chronic Care (HMO-POS C-SNP) | HealthKeepers, Inc. | T5 | Yes | $0 | VA |
| Anthem I CareMore Medicare Advantage (HMO-POS) | BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. | T5 | Yes | $0 | CA |
| Anthem I CareMore Premium Savings (HMO-POS) | BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. | T5 | Yes | $0 | CA |
| Anthem I CareMore Medicare Advantage (HMO-POS) | BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. | T5 | Yes | $0 | CA |
| Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP) | BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. | T5 | Yes | $0 | CA |
| Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP) | BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. | T5 | Yes | $0 | CA |
Frequently Asked Questions
Is deferiprone 100 MG/ML Oral Solution [Ferriprox] covered by Medicare Part D?
Yes, deferiprone 100 MG/ML Oral Solution [Ferriprox] is covered by 312 Medicare Part D plans (6.2% of all Part D formularies).
What tier is deferiprone 100 MG/ML Oral Solution [Ferriprox] on Medicare Part D plans?
deferiprone 100 MG/ML Oral Solution [Ferriprox] averages Tier 4.5 across Part D plans, ranging from Tier 1 to Tier 6.
Does deferiprone 100 MG/ML Oral Solution [Ferriprox] require prior authorization?
77.8% of Part D formularies require prior authorization for deferiprone 100 MG/ML Oral Solution [Ferriprox]. Step therapy: 0%. Quantity limits: 7.4%.
How much does Medicare spend on deferiprone 100 MG/ML Oral Solution [Ferriprox]?
In 2023, total Medicare Part D spending on deferiprone 100 MG/ML Oral Solution [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.