glycerol phenylbutyrate 1100 MG/ML Oral Solution [Ravicti]

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glycerol phenylbutyrate

RxCUI: 1368459

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.
0.2%
Plan Coverage
10
Plans Covering
T3
Avg Tier
100%
Prior Auth Required

What the CMS Formulary Data Shows for glycerol phenylbutyrate 1100 MG/ML Oral Solution [Ravicti]

Per the CMS 2026 Part D formulary file, glycerol phenylbutyrate 1100 MG/ML Oral Solution [Ravicti] (RxNorm concept RXCUI 1368459, generic name glycerol phenylbutyrate) appears on 2 distinct formulary files spanning 10 Medicare Part D plan offerings - 0.2% 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 3.

Real-world access to glycerol phenylbutyrate 1100 MG/ML Oral Solution [Ravicti] depends on utilization management as much as tier placement: 100% 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 87 Part D beneficiaries filled glycerol phenylbutyrate 1100 MG/ML Oral Solution [Ravicti] in 2023, with total plan-and-beneficiary spending of $73,454,459 and an average per-beneficiary annual cost of $844,304.13. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry glycerol phenylbutyrate 1100 MG/ML Oral Solution [Ravicti] today.

Coverage Details

Formularies covering
2
Plans covering
10
Coverage rate
0.2%
Tier range
Tier 1 – Tier 5
Average tier
Tier 3, Preferred Brand

Restrictions

Prior authorization required
100% of formularies
Step therapy required
0% of formularies
Quantity limits
0% of formularies

2023 Medicare Spending

Beneficiaries
87
Total spending
$73,454,459
Avg per beneficiary
$844,304.13

Tier Distribution Across Plans

4 plans
Tier 1, Preferred Generic
6 plans
Tier 5, Specialty

Medicare Advantage Plans (MA-PD) Covering glycerol phenylbutyrate 1100 MG/ML Oral Solution [Ravicti]

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

Plan Insurer Tier PA Premium States
Platino Blindao (HMO D-SNP) TRIPLE S ADVANTAGE, INC. T1 Yes $0 PR
Platino Enlace (HMO D-SNP) TRIPLE S ADVANTAGE, INC. T1 Yes $0 PR
PLATINO ADVANCE (HMO D-SNP) TRIPLE S ADVANTAGE, INC. T1 Yes $0 PR
PLATINO PLUS (HMO D-SNP) TRIPLE S ADVANTAGE, INC. T1 Yes $0 PR
Óptimo Plus (PPO) TRIPLE S ADVANTAGE, INC. T5 Yes $0 PR
Contigo Plus (HMO C-SNP) TRIPLE S ADVANTAGE, INC. T5 Yes $0 PR
Brillante (HMO-POS) TRIPLE S ADVANTAGE, INC. T5 Yes $0 PR
Enlace Plus (HMO) TRIPLE S ADVANTAGE, INC. T5 Yes $0 PR
ContigoEnMente (HMO C-SNP) TRIPLE S ADVANTAGE, INC. T5 Yes $0 PR
Ahorro Plus (HMO) TRIPLE S ADVANTAGE, INC. T5 Yes $0 PR

Frequently Asked Questions

Is glycerol phenylbutyrate 1100 MG/ML Oral Solution [Ravicti] covered by Medicare Part D?

Yes, glycerol phenylbutyrate 1100 MG/ML Oral Solution [Ravicti] is covered by 10 Medicare Part D plans (0.2% of all Part D formularies).

What tier is glycerol phenylbutyrate 1100 MG/ML Oral Solution [Ravicti] on Medicare Part D plans?

glycerol phenylbutyrate 1100 MG/ML Oral Solution [Ravicti] averages Tier 3 across Part D plans, ranging from Tier 1 to Tier 5.

Does glycerol phenylbutyrate 1100 MG/ML Oral Solution [Ravicti] require prior authorization?

100% of Part D formularies require prior authorization for glycerol phenylbutyrate 1100 MG/ML Oral Solution [Ravicti]. Step therapy: 0%. Quantity limits: 0%.

How much does Medicare spend on glycerol phenylbutyrate 1100 MG/ML Oral Solution [Ravicti]?

In 2023, total Medicare Part D spending on glycerol phenylbutyrate 1100 MG/ML Oral Solution [Ravicti] was $73,454,459, covering 87 beneficiaries. The average spend per beneficiary was $844,304.13.

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