Medicare Part D coverage · delgocitinib · RxCUI 2721172

delgocitinib 20 MG/ML Topical Cream [Anzupgo]

Per the CMS 2026 Part D formulary file, delgocitinib 20 MG/ML Topical Cream [Anzupgo] is covered by 193 Medicare Part D plans (3.8% of enrollable products), averaging Tier 4.1, with prior authorization required on 85.7% of covering formularies.

3.8%
Plan coverage
193
Plans covering
T4.1
Avg tier
85.7%
Prior auth required

Verify with CMS →

Important: Drug coverage and costs vary by plan and location. Verify coverage directly with your Medicare plan before filling a prescription. This is informational data only and should not replace advice from your healthcare provider or pharmacist.

What the CMS Formulary Data Shows for delgocitinib 20 MG/ML Topical Cream [Anzupgo]

Per the CMS 2026 Part D formulary file, delgocitinib 20 MG/ML Topical Cream [Anzupgo] (RxNorm concept RXCUI 2721172, generic name delgocitinib) appears on 14 distinct formulary files spanning 193 Medicare Part D plan offerings - 3.8% 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 4.1.

Real-world access to delgocitinib 20 MG/ML Topical Cream [Anzupgo] depends on utilization management as much as tier placement: 85.7% of covering formularies require prior authorization. 0% require step therapy. 85.7% apply quantity limits.

Medicare Part D spending dashboard figures are not published for this drug. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry delgocitinib 20 MG/ML Topical Cream [Anzupgo] today.

Coverage Details

Formularies covering
14
Plans covering
193
Coverage rate
3.8%
Tier range
Tier 1 – Tier 5
Average tier
Tier 4, Non-Preferred

Restrictions

Prior authorization required
85.7% of formularies
Step therapy required
0% of formularies
Quantity limits
85.7% of formularies

Tier Distribution Across Plans

3 plans
Tier 1, Preferred Generic
97 plans
Tier 5, Specialty

Medicare Advantage Plans (MA-PD) Covering delgocitinib 20 MG/ML Topical Cream [Anzupgo]

100 Medicare Advantage plans with Part D drug coverage include this drug.

Plan Insurer Tier PA Premium States
NaviCare (HMO D-SNP) Fallon Community Health Plan T1 Yes $0 MA
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
Community Blue Medicare HMO Signature (HMO) Highmark Western and Northeastern New York Inc. T5 Yes $0 NY
Community Blue Medicare HMO Merit (HMO) Highmark Western and Northeastern New York Inc. T5 Yes $0 NY
Community Blue Medicare PPO Signature (PPO) Highmark Senior Health Company T5 Yes $0 PA
Complete Blue PPO Signature (PPO) Highmark Senior Health Company T5 Yes $0 PA
Community Blue Medicare Plus PPO Signature (PPO) Highmark Senior Health Company T5 Yes $0 PA
Complete Blue PPO Signature (PPO) Highmark Senior Health Company T5 Yes $0 PA
Complete Blue PPO Merit (PPO) Highmark Senior Health Company T5 Yes $0 PA
Complete Blue PPO Signature (PPO) Highmark Senior Health Company T5 Yes $0 PA
Complete Blue PPO Distinct (PPO) Highmark Senior Health Company T5 Yes $0 PA
Community Blue Medicare Plus PPO Signature (PPO) Highmark Senior Health Company T5 Yes $0 PA
Complete Blue Plus PPO Merit (PPO) Highmark Senior Health Company T5 Yes $0 PA
Community Blue Medicare PPO Signature (PPO) Highmark Senior Health Company T5 Yes $0 PA
Complete Blue PPO Merit (PPO) Highmark Senior Health Company T5 Yes $0 PA
Community Blue Medicare HMO Signature (HMO) Highmark Choice Company T5 Yes $0 PA
Security Blue HMO-POS ValueRx (HMO-POS) Highmark Choice Company T5 Yes $0 PA
Community Blue Medicare HMO Signature (HMO) Highmark Choice Company T5 Yes $0 PA
Together Blue Medicare HMO Signature (HMO) Highmark Choice Company T5 Yes $0 PA
Show the next 30 plans
Community Blue Medicare HMO Distinct (HMO) Highmark Choice Company T5 Yes $0 PA
Complete Blue HMO Distinct (HMO) Highmark Choice Company T5 Yes $0 PA
Complete Blue PPO Distinct (PPO) Highmark Senior Solutions Company T5 Yes $0 WV
Complete Blue PPO Signature (PPO) Highmark Senior Solutions Company T5 Yes $0 WV
Complete Blue PPO Signature (PPO) Highmark Senior Solutions Company T5 Yes $0 WV
Complete Blue PPO Merit (PPO) Highmark Senior Solutions Company T5 Yes $0 WV
Complete Blue PPO Signature (PPO) Highmark Bcbsd Inc. T5 Yes $0 DE
Fallon Medicare Plus Orange (HMO) Fallon Community Health Plan T5 Yes $0 MA
UPMC for Life HMO Premier Rx (HMO) Upmc Health Plan, Inc. T5 Yes $0 PA
UPMC for Life Complete Care (HMO D-SNP) Upmc FOR YOU, Inc T5 Yes $0 PA
UPMC for Life Complete Care (HMO D-SNP) Upmc FOR YOU, Inc T5 Yes $0 PA
UPMC for Life PPO Premier Rx (PPO) Upmc Health Network, Inc. T5 Yes $0 PA
UPMC for Life PPO Premier Rx (PPO) Upmc Health Network, Inc. T5 Yes $0 PA
UPMC for Life PPO Essential Care Rx (PPO) Upmc Health Network, Inc. T5 Yes $0 PA
UPMC for Life Complete Care (HMO D-SNP) Upmc Health Coverage, Inc. T5 Yes $0 PA
Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage Enhanced Solano (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage Inland Empire (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Sr Adv Enhanced Marin San Mateo (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage Ventura (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage Enhanced Kern (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage Basic Kern (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage San Diego (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage Enhanced Stanis (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage Basic Stanis (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage Basic SnJoaq (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage Basic Fresno (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage Santa Cruz (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA

Showing top 50 of 100 plans.

Frequently Asked Questions

Is delgocitinib 20 MG/ML Topical Cream [Anzupgo] covered by Medicare Part D?

Yes, delgocitinib 20 MG/ML Topical Cream [Anzupgo] is covered by 193 Medicare Part D plans (3.8% of all Part D formularies).

What tier is delgocitinib 20 MG/ML Topical Cream [Anzupgo] on Medicare Part D plans?

delgocitinib 20 MG/ML Topical Cream [Anzupgo] averages Tier 4.1 across Part D plans, ranging from Tier 1 to Tier 5.

Does delgocitinib 20 MG/ML Topical Cream [Anzupgo] require prior authorization?

85.7% of Part D formularies require prior authorization for delgocitinib 20 MG/ML Topical Cream [Anzupgo]. Step therapy: 0%. Quantity limits: 85.7%.

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.

Data sourced from the Centers for Medicare & Medicaid Services (CMS). See our methodology for details. Retrieved and formatted by PlainMedicare