Medicare Part D coverage · lonafarnib · RxCUI 2467592

lonafarnib 75 MG Oral Capsule [Zokinvy]

Per the CMS 2026 Part D formulary file, lonafarnib 75 MG Oral Capsule [Zokinvy] is covered by 1,267 Medicare Part D plans (25.1% of enrollable products), averaging Tier 4.7, with prior authorization required on 100% of covering formularies.

25.1%
Plan coverage
1,267
Plans covering
T4.7
Avg tier
100%
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 lonafarnib 75 MG Oral Capsule [Zokinvy]

Per the CMS 2026 Part D formulary file, lonafarnib 75 MG Oral Capsule [Zokinvy] (RxNorm concept RXCUI 2467592, generic name lonafarnib) appears on 75 distinct formulary files spanning 1,267 Medicare Part D plan offerings - 25.1% 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 4.7.

Real-world access to lonafarnib 75 MG Oral Capsule [Zokinvy] depends on utilization management as much as tier placement: 100% of covering formularies require prior authorization. 0% require step therapy. 93.3% 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 lonafarnib 75 MG Oral Capsule [Zokinvy] today.

Coverage Details

Formularies covering
75
Plans covering
1,267
Coverage rate
25.1%
Tier range
Tier 1 – Tier 5
Average tier
Tier 5, Specialty

Restrictions

Prior authorization required
100% of formularies
Step therapy required
0% of formularies
Quantity limits
93.3% of formularies

Tier Distribution Across Plans

24 plans
Tier 1, Preferred Generic
76 plans
Tier 5, Specialty

Standalone Drug Plans (PDP) Covering lonafarnib 75 MG Oral Capsule [Zokinvy]

5 standalone prescription drug plans include this drug.

Plan Insurer Tier PA ST Premium States
AARP Medicare Rx Preferred from UHC (PDP) Unitedhealthcare INS. Co. & UHC INS. Co. OF NY T5 Yes No $0 -
AARP Medicare Rx Preferred from UHC (PDP) Unitedhealthcare INS. Co. & UHC INS. Co. OF NY T5 Yes No $0 -
AARP Medicare Rx Saver from UHC (PDP) Unitedhealthcare INS. Co. & UHC INS. Co. OF NY T5 Yes No $0 -
AARP Medicare Rx Saver from UHC (PDP) Unitedhealthcare INS. Co. & UHC INS. Co. OF NY T5 Yes No $0 -
AARP Medicare Rx Saver from UHC (PDP) Unitedhealthcare INS. Co. & UHC INS. Co. OF NY T5 Yes No $0 -

Medicare Advantage Plans (MA-PD) Covering lonafarnib 75 MG Oral Capsule [Zokinvy]

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

Plan Insurer Tier PA Premium States
Gold Coast Health Plan Total Care Advantage (HMO D-SNP) Ventura County Medi-Cal Managed Care Commission T1 Yes $0 CA
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) Health Care Service Corporation T1 Yes $0 NM
Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) Health Care Service Corporation T1 Yes $0 NM
Horizon NJ TotalCare (HMO D-SNP) Horizon Healthcare OF NEW Jersey, Inc. T1 Yes $0 NJ
SecureBlue (HMO D-SNP) HMO Minnesota T1 Yes $0 MN
Hamaspik Medicare Choice (HMO D-SNP) Hamaspik, Inc. T1 Yes $0 NY
Provider Partners Pennsylvania Community Plan (HMO I-SNP) Provider Partners Health Plan OF Pennsylvania, Inc T1 Yes $0 PA
Provider Partners North Carolina Community Plan (HMO I-SNP) Provider Partners Health Plan OF North Carolina T1 Yes $0 NC
Provider Partners Indiana Community Plan (HMO I-SNP) Provider Partners Health Plan OF Indiana T1 Yes $0 IN
Provider Partners Missouri Community Plan (HMO I-SNP) Provider Partners Health Plan OF Missouri, Inc. T1 Yes $0 MO
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) Hcsc Insurance Services Company T1 Yes $4.80 TX
Provider Partners Texas Advantage Plan (HMO I-SNP) Provider Partners Health Plan OF Texas, Inc. T1 Yes $4.80 TX
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) GHS Insurance Company T1 Yes $5.00 OK
Provider Partners Illinois Advantage Plan (HMO I-SNP) Provider Partners Health Plan OF Illinois T1 Yes $15.20 IL
Provider Partners Pennsylvania Advantage Plan (HMO I-SNP) Provider Partners Health Plan OF Pennsylvania, Inc T1 Yes $32.70 PA
Provider Partners Pennsylvania Essential Plan (HMO I-SNP) Provider Partners Health Plan OF Pennsylvania, Inc T1 Yes $32.70 PA
Hamaspik Medicare Select (HMO D-SNP) Hamaspik, Inc. T1 Yes $34.50 NY
Provider Partners North Carolina Advantage Plan (HMO I-SNP) Provider Partners Health Plan OF North Carolina T1 Yes $36.20 NC
Provider Partners North Carolina Essential Plan (HMO I-SNP) Provider Partners Health Plan OF North Carolina T1 Yes $36.20 NC
Provider Partners Indiana Advantage Plan (HMO I-SNP) Provider Partners Health Plan OF Indiana T1 Yes $38.40 IN
Show the next 30 plans
Provider Partners Indiana Essential Plan (HMO I-SNP) Provider Partners Health Plan OF Indiana T1 Yes $38.40 IN
Provider Partners Kentucky Advantage Plan (HMO I-SNP) Provider Partners Health Plan OF Kentucky T1 Yes $38.40 KY
Provider Partners Missouri Advantage Plan (HMO I-SNP) Provider Partners Health Plan OF Missouri, Inc. T1 Yes $43.00 MO
Provider Partners Missouri Essential Plan (HMO I-SNP) Provider Partners Health Plan OF Missouri, Inc. T1 Yes $43.00 MO
UHC Dual Complete IA-S001 (HMO-POS D-SNP) Unitedhealthcare OF Wisconsin, Inc. T5 Yes $0 IA
UHC Dual Complete MO-S001 (HMO-POS D-SNP) Unitedhealthcare OF Wisconsin, Inc. T5 Yes $0 MO
UHC Dual Complete NE-S001 (HMO-POS D-SNP) Unitedhealthcare OF Wisconsin, Inc. T5 Yes $0 NE
UHC Dual Complete KS-S001 (HMO-POS D-SNP) Unitedhealthcare OF Wisconsin, Inc. T5 Yes $0 KS
UHC Dual Complete MO-S3 (HMO-POS D-SNP) Unitedhealthcare OF Wisconsin, Inc. T5 Yes $0 MO
UHC Dual Complete KS-Q1 (HMO-POS D-SNP) Unitedhealthcare OF Wisconsin, Inc. T5 Yes $0 KS
UHC Dual Complete TN-S001 (HMO-POS D-SNP) Unitedhealthcare Plan OF THE River Valley, Inc. T5 Yes $0 TN
UHC Dual Complete TN-Y001 (HMO-POS D-SNP) Unitedhealthcare Plan OF THE River Valley, Inc. T5 Yes $0 TN
UHC Dual Complete TN-Y2 (HMO-POS D-SNP) Unitedhealthcare Plan OF THE River Valley, Inc. T5 Yes $0 TN
AARP Medicare Advantage from UHC MI-0001 (PPO) Unitedhealthcare Insurance Company T5 Yes $0 MI
UHC Dual Complete NM-Y1 (PPO D-SNP) Unitedhealthcare Insurance Company T5 Yes $0 NM
UHC Dual Complete NM-S1 (PPO D-SNP) Unitedhealthcare Insurance Company T5 Yes $0 NM
UHC Dual Complete NM-V1 (PPO D-SNP) Unitedhealthcare Insurance Company T5 Yes $0 NM
UHC Dual Complete AZ-S001 (HMO-POS D-SNP) Arizona Physicians IPA, Inc. T5 Yes $0 AZ
UHC Dual Complete AZ-Y001 (HMO-POS D-SNP) Arizona Physicians IPA, Inc. T5 Yes $0 AZ
UHC Dual Complete VA-Y4 (PPO D-SNP) Care Improvement Plus South Central Insurance Co. T5 Yes $0 VA
AARP Medicare Advantage from UHC AL-0001 (HMO-POS) Unitedhealthcare OF THE Midlands, Inc. T5 Yes $0 AL
AARP Medicare Advantage from UHC CA-0002 (HMO-POS) UHC OF California T5 Yes $0 CA
UHC Sharp Medicare Advantage CA-001P (HMO-POS) UHC OF California T5 Yes $0 CA
AARP Medicare Advantage from UHC CA-003P (HMO-POS) UHC OF California T5 Yes $0 CA
AARP Medicare Advantage from UHC CA-0012 (HMO-POS) UHC OF California T5 Yes $0 CA
AARP Medicare Advantage from UHC CA-004P (HMO-POS) UHC OF California T5 Yes $0 CA
AARP Medicare Advantage from UHC CA-005P (HMO-POS) UHC OF California T5 Yes $0 CA
AARP Medicare Advantage from UHC CA-006P (HMO-POS) UHC OF California T5 Yes $0 CA
AARP Medicare Advantage from UHC CA-10 (HMO-POS) UHC OF California T5 Yes $0 CA
UHC Sharp Medicare Advantage ValueRx CA-12P (HMO-POS) UHC OF California T5 Yes $0 CA

Showing top 50 of 95 plans.

Frequently Asked Questions

Is lonafarnib 75 MG Oral Capsule [Zokinvy] covered by Medicare Part D?

Yes, lonafarnib 75 MG Oral Capsule [Zokinvy] is covered by 1,267 Medicare Part D plans (25.1% of all Part D formularies).

What tier is lonafarnib 75 MG Oral Capsule [Zokinvy] on Medicare Part D plans?

lonafarnib 75 MG Oral Capsule [Zokinvy] averages Tier 4.7 across Part D plans, ranging from Tier 1 to Tier 5.

Does lonafarnib 75 MG Oral Capsule [Zokinvy] require prior authorization?

100% of Part D formularies require prior authorization for lonafarnib 75 MG Oral Capsule [Zokinvy]. Step therapy: 0%. Quantity limits: 93.3%.

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