Medicare Part D coverage · nemolizumab-ilto · RxCUI 2691328
nemolizumab-ilto 30 MG Auto-Injector [Nemluvio]
Per the CMS 2026 Part D formulary file, nemolizumab-ilto 30 MG Auto-Injector [Nemluvio] is covered by 350 Medicare Part D plans (6.9% of enrollable products), averaging Tier 3.6, with prior authorization required on 98.3% of covering formularies.
- 6.9%
- Plan coverage
- 350
- Plans covering
- T3.6
- Avg tier
- 98.3%
- Prior auth required
What the CMS Formulary Data Shows for nemolizumab-ilto 30 MG Auto-Injector [Nemluvio]
Per the CMS 2026 Part D formulary file, nemolizumab-ilto 30 MG Auto-Injector [Nemluvio] (RxNorm concept RXCUI 2691328, generic name nemolizumab-ilto) appears on 58 distinct formulary files spanning 350 Medicare Part D plan offerings - 6.9% 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 3.6.
Real-world access to nemolizumab-ilto 30 MG Auto-Injector [Nemluvio] depends on utilization management as much as tier placement: 98.3% of covering formularies require prior authorization. 0% require step therapy. 96.6% 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 nemolizumab-ilto 30 MG Auto-Injector [Nemluvio] today.
Coverage Details
- Formularies covering
- 58
- Plans covering
- 350
- Coverage rate
- 6.9%
- Tier range
- Tier 1 – Tier 5
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 98.3% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 96.6% of formularies
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering nemolizumab-ilto 30 MG Auto-Injector [Nemluvio]
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| ElderServe MAP (HMO D-SNP) | Elderserve Health, Inc. | T1 | Yes | $0 | NY |
| Cooperative Advantage (HMO D-SNP) | Group Health Cooperative OF EAU Claire | T1 | Yes | $0 | WI |
| Longevity Health Plan (PPO I-SNP) | Longevity Health Plan OF NEW Jersey Insurance Comp | T1 | Yes | $0 | NJ |
| Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP) | Upper Peninsula Health Plan, LLC | T1 | Yes | $0 | MI |
| CareSource Dual Advantage (HMO D-SNP) | Caresource Georgia Co. | T1 | Yes | $0 | GA |
| HAP CareSource MI Coordinated Health (HMO D-SNP) | HAP Caresource | T1 | Yes | $0 | MI |
| 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 |
| NaviCare (HMO D-SNP) | Fallon Community Health Plan | T1 | Yes | $0 | MA |
| Longevity Health Plan (HMO I-SNP) | Longevity Health Plan 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 |
| Longevity Health Plan (HMO I-SNP) | Longevity Health Plan OF Michigan, Inc. | T1 | Yes | $8.80 | MI |
| 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 |
| Senior Care (HMO I-SNP) | Align Senior Care California Inc. | T1 | Yes | $12.00 | CA |
Show the next 30 plans
| Liberty Medicare Dual Plan (HMO D-SNP) | Liberty Advantage, LLC | T1 | Yes | $14.70 | NC |
| Longevity Health Plan (HMO I-SNP) | Longevity Health Plan OF Illinois, Inc. | T1 | Yes | $15.20 | IL |
| WellSense Added Value (HMO) | Boston Medical Center Health Plan, Inc. | T1 | Yes | $21.70 | NH |
| KeyCare Advantage (HMO I-SNP) | Isnp Ventures, LLC | T1 | Yes | $23.20 | MD |
| American Health Advantage of Mississippi (HMO I-SNP) | American Health Plan OF MS, Inc. | T1 | Yes | $23.80 | MS |
| Senior Care (HMO I-SNP) | Lifeworks Advantage, LLC | T1 | Yes | $24.60 | VA |
| PruittHealth Premier (HMO I-SNP) | Pruitthealth Premier, Inc. | T1 | Yes | $25.40 | GA |
| Georgia Health Advantage (HMO I-SNP) | Georgia Assurance, Inc. | T1 | Yes | $25.40 | GA |
| Georgia Health Advantage Choice (HMO I-SNP) | Georgia Assurance, Inc. | T1 | Yes | $25.40 | GA |
| American Health Advantage of Tennessee (HMO I-SNP) | American Health Plan, Inc. | T1 | Yes | $27.70 | TN |
| Simpra Advantage Nursing Home Plan (PPO I-SNP) | Simpra Advantage, Inc. | T1 | Yes | $27.70 | AL |
| American Health Advantage of Oklahoma (HMO I-SNP) | Oklahoma Superior Select, Inc. | T1 | Yes | $28.20 | OK |
| NHC Advantage (HMO I-SNP) | NHC Advantage, LLC | T1 | Yes | $31.00 | MO, NC, SC, TN |
| Perennial Advantage Strive (HMO I-SNP) | Perennial Advantage OF Ohio, Inc. | T1 | Yes | $31.40 | OH |
| Perennial Advantage Strive (HMO I-SNP) | Perennial Advantage OF Colorado, Inc. | T1 | Yes | $32.70 | PA |
| American Health Advantage of Pennsylvania (HMO I-SNP) | American Health Plan OF Pennsylvania Inc | T1 | Yes | $32.70 | PA |
| Lagniappe Advantage (PPO I-SNP) | Lagniappe Advantage Insurance Company | T1 | Yes | $32.90 | LA |
| American Health Advantage of Louisiana (HMO I-SNP) | Dignity Care Corporation | T1 | Yes | $32.90 | LA |
| Longevity Health Plan (HMO I-SNP) | Longevity Health Plan OF Colorado, Inc. | T1 | Yes | $35.20 | CO |
| Perennial Advantage Strive (HMO I-SNP) | Perennial Advantage OF Colorado, Inc. | T1 | Yes | $35.20 | CO |
| PruittHealth Premier (HMO I-SNP) | Pruitthealth Premier North Carolina, LLC | T1 | Yes | $35.70 | SC |
| Longevity Health Plan (HMO I-SNP) | Longevity Health Plan OF North Carolina, Inc. | T1 | Yes | $36.20 | NC |
| PruittHealth Premier (HMO I-SNP) | Pruitthealth Premier North Carolina, LLC | T1 | Yes | $36.20 | NC |
| Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP) | Liberty Advantage, LLC | T1 | Yes | $36.20 | NC |
| American Health Advantage of Utah (HMO I-SNP) | American Health Plan OF UT, Inc. | T1 | Yes | $37.60 | UT |
| American Health Advantage of Idaho (HMO I-SNP) | American Health Plan OF UT, Inc. | T1 | Yes | $37.60 | ID |
| American Health Advantage of Indiana (HMO I-SNP) | American Health Plan OF Indiana Inc | T1 | Yes | $38.40 | IN |
| Longevity Health Plan (PPO I-SNP) | Longevity Health Plan OF NEW Jersey Insurance Comp | T1 | Yes | $40.00 | NJ |
| Iowa Health Advantage (HMO I-SNP) | American Health Plan OF Iowa Inc | T1 | Yes | $41.50 | IA |
| Iowa Health Advantage Choice (HMO I-SNP) | American Health Plan OF Iowa Inc | T1 | Yes | $41.50 | IA |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is nemolizumab-ilto 30 MG Auto-Injector [Nemluvio] covered by Medicare Part D?
Yes, nemolizumab-ilto 30 MG Auto-Injector [Nemluvio] is covered by 350 Medicare Part D plans (6.9% of all Part D formularies).
What tier is nemolizumab-ilto 30 MG Auto-Injector [Nemluvio] on Medicare Part D plans?
nemolizumab-ilto 30 MG Auto-Injector [Nemluvio] averages Tier 3.6 across Part D plans, ranging from Tier 1 to Tier 5.
Does nemolizumab-ilto 30 MG Auto-Injector [Nemluvio] require prior authorization?
98.3% of Part D formularies require prior authorization for nemolizumab-ilto 30 MG Auto-Injector [Nemluvio]. Step therapy: 0%. Quantity limits: 96.6%.
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
- lopinavir 80 MG/ML / ritonavir 20 MG/ML Oral Solution [Kaletra] T3.6
- toremifene 60 MG Oral Tablet T3.6
- voriconazole 200 MG Injection T3.6
- 84 HR estradiol 0.00208 MG/HR / norethindrone acetate 0.00583 MG/HR Transdermal System [Combipatch] T3.6
- olanzapine 10 MG Injection [Zyprexa] T3.6
- ceftolozane 1000 MG / tazobactam 500 MG Injection [Zerbaxa] T3.6
Similar prior-authorization rate
- 20 ML immunoglobulin G, human 50 MG/ML Injection [Octagam] 98.3% PA
- bosentan 32 MG Tablet for Oral Suspension 98.3% PA
- 0.5 ML ustekinumab 90 MG/ML Prefilled Syringe 98.2% PA
- relugolix 120 MG Oral Tablet [Orgovyx] 98.2% PA
- fecal microbiota spores, live-brpk 30000000 UNT Oral Capsule [Vowst] 98.2% PA
- rimegepant 75 MG Disintegrating Oral Tablet [Nurtec] 98.2% PA