Medicare Part D coverage · deutivacaftor · RxCUI 2701450

deutivacaftor 50 MG / tezacaftor 20 MG / vanzacaftor 4 MG Oral Tablet [Alyftrek]

Per the CMS 2026 Part D formulary file, deutivacaftor 50 MG / tezacaftor 20 MG / vanzacaftor 4 MG Oral Tablet [Alyftrek] is covered by 1,211 Medicare Part D plans (24% of enrollable products), averaging Tier 4, with prior authorization required on 99.4% of covering formularies.

24%
Plan coverage
1,211
Plans covering
T4
Avg tier
99.4%
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 deutivacaftor 50 MG / tezacaftor 20 MG / vanzacaftor 4 MG Oral Tablet [Alyftrek]

Per the CMS 2026 Part D formulary file, deutivacaftor 50 MG / tezacaftor 20 MG / vanzacaftor 4 MG Oral Tablet [Alyftrek] (RxNorm concept RXCUI 2701450, generic name deutivacaftor) appears on 157 distinct formulary files spanning 1,211 Medicare Part D plan offerings - 24% 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.

Real-world access to deutivacaftor 50 MG / tezacaftor 20 MG / vanzacaftor 4 MG Oral Tablet [Alyftrek] depends on utilization management as much as tier placement: 99.4% of covering formularies require prior authorization. 0% require step therapy. 98.7% 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 deutivacaftor 50 MG / tezacaftor 20 MG / vanzacaftor 4 MG Oral Tablet [Alyftrek] today.

Coverage Details

Formularies covering
157
Plans covering
1,211
Coverage rate
24%
Tier range
Tier 1 – Tier 5
Average tier
Tier 4, Non-Preferred

Restrictions

Prior authorization required
99.4% of formularies
Step therapy required
0% of formularies
Quantity limits
98.7% of formularies

Tier Distribution Across Plans

93 plans
Tier 1, Preferred Generic
1 plans
Tier 2, Generic
3 plans
Tier 4, Non-Preferred
3 plans
Tier 5, Specialty

Medicare Advantage Plans (MA-PD) Covering deutivacaftor 50 MG / tezacaftor 20 MG / vanzacaftor 4 MG Oral Tablet [Alyftrek]

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

Plan Insurer Tier PA Premium States
Florida Complete Care-Duals VIP (HMO-POS D-SNP) Hpmp OF Florida, Inc. T1 Yes $0 FL
Mercy Care Advantage (HMO D-SNP) Mercy Care T1 Yes $0 AZ
Mercy Care Advantage (HMO D-SNP) Mercy Care T1 Yes $0 AZ
Mercy Care Advantage (HMO D-SNP) Mercy Care T1 Yes $0 AZ
Elderplan Plus Long-Term Care (HMO-POS D-SNP) Elderplan, Inc. T1 Yes $0 NY
Health Choice Pathway (HMO D-SNP) Health Choice Arizona, Inc. T1 Yes $0 AZ
Healthfirst CompleteCare (HMO D-SNP) Healthfirst Health Plan, Inc. T1 Yes $0 NY
IMCare Classic (HMO D-SNP) Itasca Medical Care T1 Yes $0 MN
Johns Hopkins Advantage MD D-SNP (HMO D-SNP) Hopkins Health Advantage, Inc. T1 Yes $0 MD
MetroPlus UltraCare (HMO D-SNP) Metroplus Health Plan, Inc. T1 Yes $0 NY
Senior Whole Health SCO (HMO D-SNP) Senior Whole Health, LLC T1 Yes $0 MA
Senior Whole Health SCO NHC (HMO D-SNP) Senior Whole Health, LLC T1 Yes $0 MA
Molina One Care (HMO D-SNP) Senior Whole Health, LLC T1 Yes $0 MA
PruittHealth Premier D-SNP (HMO D-SNP) Pruitthealth Premier, Inc. T1 Yes $0 GA
Simpra Advantage Dual Care (PPO D-SNP) Simpra Advantage, Inc. T1 Yes $0 AL
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
CCA One Care (HMO D-SNP) Commonwealth Care Alliance, Inc. T1 Yes $0 MA
CCA Senior Care Options (HMO D-SNP) Commonwealth Care Alliance, Inc. T1 Yes $0 MA
Show the next 30 plans
Elevate Medicare Choice (HMO D-SNP) Denver Health Medical Plan, Inc. T1 Yes $0 CO
AllCare Advantage Redwood Rx (HMO D-SNP) Allcare Health Plan, Inc. T1 Yes $0 OR
PrimeWest Senior Health Complete (HMO D-SNP) Primewest Rural MN Health Care Access Initiative T1 Yes $0 MN
Prime Health Complete (HMO D-SNP) Primewest Rural MN Health Care Access Initiative T1 Yes $0 MN
Alterwood Advantage Dual Secure (HMO D-SNP) Alterwood Advantage, Inc. T1 Yes $0 MD
Nascentia Dual Advantage (HMO D-SNP) Visiting Nurse Association OF Central NEW York T1 Yes $0 NY
Abilis Health Community (HMO I-SNP) Signature Advantage, LLC T1 Yes $0 KY, TN
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
Highmark Health Options Duals (HMO D-SNP) Highmark Bcbsd, Inc. T1 Yes $0 DE
Florida Complete Care (HMO I-SNP) Hpmp OF Florida, Inc. T1 Yes $4.80 FL
Florida Complete Care- In The Community (HMO-POS I-SNP) Hpmp OF Florida, Inc. T1 Yes $4.80 FL
Senior Care (HMO I-SNP) Align Senior Care Florida, Inc. T1 Yes $4.80 FL
ProCare Advantage (HMO-POS I-SNP) Procare Advantage, LLC T1 Yes $4.80 TX
ProCare Advantage - Kidney Care (HMO-POS C-SNP) Procare Advantage, LLC T1 Yes $4.80 TX
American Health Advantage of Florida (HMO I-SNP) American Health Plan OF FL, Inc. T1 Yes $4.80 FL
SECUR Advantage (HMO I-SNP) Secur Inc T1 Yes $4.80 FL
SECUR Enhanced (HMO I-SNP) Secur Inc T1 Yes $4.80 FL
Gold Dialysis & Kidney Complete (HMO-POS C-SNP) Gold Kidney OF Florida Inc T1 Yes $4.80 FL
Texas Independence Health Plan, Inc. (HMO I-SNP) Texas Independence Health Plan, Inc. T1 Yes $4.80 TX
Texas Independence Community Plan (HMO I-SNP) Texas Independence Health Plan, Inc. T1 Yes $4.80 TX
Senior Care (HMO I-SNP) Align Senior Care MI, LLC T1 Yes $8.80 MI
AgeRight Advantage Health Plan (HMO I-SNP) Marquis Advantage, Inc. T1 Yes $10.50 OR, WA
ATRIO Special Needs Plan (HMO D-SNP) Atrio Health Plans T1 Yes $10.50 OR
ATRIO Special Needs Plan (HMO D-SNP) Atrio Health Plans T1 Yes $10.50 OR
Senior Care (HMO I-SNP) Align Senior Care California Inc. T1 Yes $12.00 CA
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) Gateway Health Plan, Inc. T1 Yes $13.10 PA

Showing top 50 of 100 plans.

Frequently Asked Questions

Is deutivacaftor 50 MG / tezacaftor 20 MG / vanzacaftor 4 MG Oral Tablet [Alyftrek] covered by Medicare Part D?

Yes, deutivacaftor 50 MG / tezacaftor 20 MG / vanzacaftor 4 MG Oral Tablet [Alyftrek] is covered by 1,211 Medicare Part D plans (24% of all Part D formularies).

What tier is deutivacaftor 50 MG / tezacaftor 20 MG / vanzacaftor 4 MG Oral Tablet [Alyftrek] on Medicare Part D plans?

deutivacaftor 50 MG / tezacaftor 20 MG / vanzacaftor 4 MG Oral Tablet [Alyftrek] averages Tier 4 across Part D plans, ranging from Tier 1 to Tier 5.

Does deutivacaftor 50 MG / tezacaftor 20 MG / vanzacaftor 4 MG Oral Tablet [Alyftrek] require prior authorization?

99.4% of Part D formularies require prior authorization for deutivacaftor 50 MG / tezacaftor 20 MG / vanzacaftor 4 MG Oral Tablet [Alyftrek]. Step therapy: 0%. Quantity limits: 98.7%.

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