Medicare Part D coverage · nafarelin · RxCUI 1797880
nafarelin 0.2 MG/ACTUAT Metered Dose Nasal Spray [Synarel]
Per the CMS 2026 Part D formulary file, nafarelin 0.2 MG/ACTUAT Metered Dose Nasal Spray [Synarel] is covered by 2,603 Medicare Part D plans (51.5% of enrollable products), averaging Tier 4.3, with prior authorization required on 50.8% of covering formularies.
- 51.5%
- Plan coverage
- 2,603
- Plans covering
- T4.3
- Avg tier
- 50.8%
- Prior auth required
What the CMS Formulary Data Shows for nafarelin 0.2 MG/ACTUAT Metered Dose Nasal Spray [Synarel]
Per the CMS 2026 Part D formulary file, nafarelin 0.2 MG/ACTUAT Metered Dose Nasal Spray [Synarel] (RxNorm concept RXCUI 1797880, generic name nafarelin) appears on 187 distinct formulary files spanning 2,603 Medicare Part D plan offerings - 51.5% of enrollable Part D products, mid-range placement; shopping across contracts changes access. Tier placement ranges from Tier 1 to Tier 6, with a cross-plan average of Tier 4.3.
Real-world access to nafarelin 0.2 MG/ACTUAT Metered Dose Nasal Spray [Synarel] depends on utilization management as much as tier placement: 50.8% 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 15 Part D beneficiaries filled nafarelin 0.2 MG/ACTUAT Metered Dose Nasal Spray [Synarel] in 2023, with total plan-and-beneficiary spending of $203,562 and an average per-beneficiary annual cost of $13,570.79. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry nafarelin 0.2 MG/ACTUAT Metered Dose Nasal Spray [Synarel] today.
Coverage Details
- Formularies covering
- 187
- Plans covering
- 2,603
- Coverage rate
- 51.5%
- Tier range
- Tier 1 – Tier 6
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 50.8% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 15
- Total spending
- $203,562
- Avg per beneficiary
- $13,570.79
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering nafarelin 0.2 MG/ACTUAT Metered Dose Nasal Spray [Synarel]
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Sentara Community Complete Select (HMO D-SNP) | Sentara Health Plans | T1 | Yes | $0 | VA |
| Sentara Community Complete (HMO D-SNP) | Sentara Health Plans | T1 | Yes | $0 | VA |
| 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 |
| Gold Coast Health Plan Total Care Advantage (HMO D-SNP) | Ventura County Medi-Cal Managed Care Commission | T1 | No | $0 | CA |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | Health Care Service Corporation | T1 | No | $0 | NM |
| Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) | Health Care Service Corporation | T1 | No | $0 | NM |
| Horizon NJ TotalCare (HMO D-SNP) | Horizon Healthcare OF NEW Jersey, Inc. | T1 | No | $0 | NJ |
| SecureBlue (HMO D-SNP) | HMO Minnesota | T1 | No | $0 | MN |
Show the next 30 plans
| NaviCare (HMO D-SNP) | Fallon Community Health Plan | T1 | No | $0 | MA |
| Hamaspik Medicare Choice (HMO D-SNP) | Hamaspik, Inc. | T1 | No | $0 | NY |
| 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 |
| Community Care's Partnership Program (HMO D-SNP) | Community Care Health Plan, Inc. | T1 | No | $0 | WI |
| Platino Blindao (HMO D-SNP) | Triple S Advantage, Inc. | T1 | No | $0 | PR |
| Platino Enlace (HMO D-SNP) | Triple S Advantage, Inc. | T1 | No | $0 | PR |
| Platino Advance (HMO D-snp) | Triple S Advantage, Inc. | T1 | No | $0 | PR |
| Platino Plus (HMO D-snp) | Triple S Advantage, Inc. | T1 | No | $0 | PR |
| Mass General Brigham SCO (HMO D-SNP) | Mass General Brigham Health Plan, Inc | T1 | No | $0 | MA |
| Mass General Brigham One Care (HMO D-SNP) | Mass General Brigham Health Plan, Inc | T1 | No | $0 | MA |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | No | $0 | PA |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | No | $0 | PA |
| Highmark Health Options Duals (HMO D-SNP) | Highmark Health Options West Virginia Inc. | T1 | No | $0 | WV |
| Highmark Health Options Duals (HMO D-SNP) | Highmark Bcbsd, Inc. | T1 | No | $0 | DE |
| Tufts Health One Care (HMO D-SNP) | Tufts Health Public Plans, Inc. | T1 | No | $0 | MA |
| Tufts Health One Care CW (HMO D-SNP) | Tufts Health Public Plans, Inc. | T1 | No | $0 | MA |
| Tufts Health Plan Senior Care Options (HMO D-SNP) | Tufts Associated Health Maintenance Organization | T1 | No | $0 | MA |
| Tufts Health Plan Senior Care Options CW (HMO D-SNP) | Tufts Associated Health Maintenance Organization | T1 | No | $0 | MA |
| 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 |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | Hcsc Insurance Services Company | T1 | No | $4.80 | TX |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | Gold Kidney OF Florida Inc | T1 | Yes | $4.80 | FL |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | GHS Insurance Company | T1 | No | $5.00 | OK |
| Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | No | $13.10 | PA |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | Gold Kidney OF Arizona | T1 | Yes | $17.00 | AZ |
| Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | No | $17.60 | PA |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is nafarelin 0.2 MG/ACTUAT Metered Dose Nasal Spray [Synarel] covered by Medicare Part D?
Yes, nafarelin 0.2 MG/ACTUAT Metered Dose Nasal Spray [Synarel] is covered by 2,603 Medicare Part D plans (51.5% of all Part D formularies).
What tier is nafarelin 0.2 MG/ACTUAT Metered Dose Nasal Spray [Synarel] on Medicare Part D plans?
nafarelin 0.2 MG/ACTUAT Metered Dose Nasal Spray [Synarel] averages Tier 4.3 across Part D plans, ranging from Tier 1 to Tier 6.
Does nafarelin 0.2 MG/ACTUAT Metered Dose Nasal Spray [Synarel] require prior authorization?
50.8% of Part D formularies require prior authorization for nafarelin 0.2 MG/ACTUAT Metered Dose Nasal Spray [Synarel]. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on nafarelin 0.2 MG/ACTUAT Metered Dose Nasal Spray [Synarel]?
In 2023, total Medicare Part D spending on nafarelin 0.2 MG/ACTUAT Metered Dose Nasal Spray [Synarel] was $203,562, covering 15 beneficiaries. The average spend per beneficiary was $13,570.79.
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
- nitisinone 2 MG Oral Capsule T4.3
- Pediatric 1.5 ML leuprolide acetate 7.5 MG/ML Prefilled Syringe [Lupron] T4.3
- 10 ML immunoglobulin G, human 100 MG/ML Injection [Gammaked] T4.3
- C1 esterase inhibitor (human) 500 UNT Injection [Berinert] T4.3
- 0.6 ML risperidone 150 MG/ML Prefilled Syringe [Perseris] T4.3
- 0.8 ML risperidone 150 MG/ML Prefilled Syringe [Perseris] T4.3
Similar prior-authorization rate
- {224 (tobramycin 28 MG Inhalation Powder [Tobi]) } Pack [TOBI Podhaler Kit] 50.5% PA
- temazepam 7.5 MG Oral Capsule 51.3% PA
- 24 HR memantine hydrochloride 14 MG Extended Release Oral Capsule 50.2% PA
- memantine hydrochloride 10 MG Oral Tablet 50% PA
- acetaminophen 325 MG / butalbital 50 MG Oral Tablet [Tencon] 50% PA
- methylprednisolone 8 MG Oral Tablet [Medrol] 50% PA