Medicare Part D coverage · deferiprone · RxCUI 1716268
deferiprone 100 MG/ML Oral Solution [Ferriprox]
Per the CMS 2026 Part D formulary file, deferiprone 100 MG/ML Oral Solution [Ferriprox] is covered by 312 Medicare Part D plans (6.2% of enrollable products), averaging Tier 4.5, with prior authorization required on 77.8% of covering formularies.
- 6.2%
- Plan coverage
- 312
- Plans covering
- T4.5
- Avg tier
- 77.8%
- Prior auth required
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 |
Show the next 30 plans
| 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 |
Showing top 50 of 100 plans.
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.
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
- {56 (mitapivat 20 MG Oral Tablet [Pyrukynd]) } Pack [Pyrukynd 20 MG 4-Week] T4.5
- {7 (mitapivat 5 MG Oral Tablet [Pyrukynd]) } Pack [Pyrukynd 5 MG Taper] T4.5
- {28 (tolvaptan 30 MG Oral Tablet [Jynarque]) / 28 (tolvaptan 60 MG Oral Tablet [Jynarque]) } Pack [Jynarque 60/30 Carton] T4.5
- {56 (tolvaptan 15 MG Oral Tablet [Jynarque]) } Pack [Jynarque 15/15 Carton] T4.5
- phenoxybenzamine hydrochloride 10 MG Oral Capsule T4.5
- 0.6 ML pegfilgrastim-cbqv 10 MG/ML Prefilled Syringe [Udenyca] T4.5
Similar prior-authorization rate
- ruxolitinib 15 MG/ML Topical Cream [Opzelura] 77.8% PA
- {14 (dimethyl fumarate 120 MG Delayed Release Oral Capsule) / 46 (dimethyl fumarate 240 MG Delayed Release Oral Capsule) } Pack 77.7% PA
- vigabatrin 500 MG Powder for Oral Solution 77.7% PA
- 0.5 ML peginterferon beta-1a 0.25 MG/ML Prefilled Syringe [Plegridy] 77.5% PA
- 1.5 ML leuprolide acetate 7.5 MG/ML Prefilled Syringe [Lupron] 77.5% PA
- vigabatrin 500 MG Oral Tablet 77.4% PA