nifurtimox 30 MG Oral Tablet [Lampit]
nifurtimox
RxCUI: 2397991
What the CMS Formulary Data Shows for nifurtimox 30 MG Oral Tablet [Lampit]
Per the CMS 2026 Part D formulary file, nifurtimox 30 MG Oral Tablet [Lampit] (RxNorm concept RXCUI 2397991, generic name nifurtimox) appears on 56 distinct formulary files spanning 1,135 Medicare Part D plan offerings - 22.4% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 3.7.
Real-world access to nifurtimox 30 MG Oral Tablet [Lampit] depends on utilization management as much as tier placement: 5.4% of covering formularies require prior authorization. 0% require step therapy. 0% 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 nifurtimox 30 MG Oral Tablet [Lampit] today.
Coverage Details
- Formularies covering
- 56
- Plans covering
- 1,135
- Coverage rate
- 22.4%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 5.4% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering nifurtimox 30 MG Oral Tablet [Lampit]
100 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 | 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 |
| Hamaspik Medicare Choice (HMO D-SNP) | HAMASPIK, INC. | T1 | No | $0 | NY |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | HCSC INSURANCE SERVICES COMPANY | T1 | No | $4.80 | TX |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | GHS INSURANCE COMPANY | T1 | No | $5.00 | OK |
| Hamaspik Medicare Select (HMO D-SNP) | HAMASPIK, INC. | T1 | No | $34.50 | NY |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T4 | Yes | $0 | UT |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T4 | Yes | $0 | NV |
| Select Health Medicare Dual (HMO D-SNP) | SELECTHEALTH, INC. | T4 | Yes | $0 | UT |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T4 | Yes | $0 | UT |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T4 | Yes | $0 | NV |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T4 | Yes | $0 | UT |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T4 | Yes | $0 | CO |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T4 | Yes | $0 | CO |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T4 | Yes | $0 | CO |
| Select Health Medicare Flex (HMO) | SELECTHEALTH, INC. | T4 | Yes | $0 | CO |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T4 | Yes | $0 | CO |
| Select Health Medicare Active (HMO) | SELECTHEALTH, INC. | T4 | Yes | $0 | CO |
| Select Health Medicare Dual (HMO D-SNP) | SELECTHEALTH, INC. | T4 | Yes | $0 | NV |
| Select Health Medicare Wellness (HMO) | SELECTHEALTH, INC. | T4 | Yes | $0 | NV |
| Network Health Select (PPO) | NETWORK HEALTH INSURANCE CORPORATION | T4 | No | $0 | WI |
| Network Health Go (PPO) | NETWORK HEALTH INSURANCE CORPORATION | T4 | No | $0 | WI |
| Network Health Anywhere (PPO) | NETWORK HEALTH INSURANCE CORPORATION | T4 | No | $0 | WI |
| Network Health Choice (PPO) | NETWORK HEALTH INSURANCE CORPORATION | T4 | No | $0 | WI |
| Network Health Zero (PPO) | NETWORK HEALTH INSURANCE CORPORATION | T4 | No | $0 | WI |
| Blue Medicare Essential Plus (HMO-POS) | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | T4 | No | $0 | NC |
| Blue Medicare Choice (HMO) | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | T4 | No | $0 | NC |
| Blue Medicare Essential (HMO) | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | T4 | No | $0 | NC |
| Experience Health Medicare Advantage (HMO) | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | T4 | No | $0 | NC |
| Healthy Blue + Medicare (HMO-POS D-SNP) | BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH | T4 | No | $0 | NC |
| Blue Advantage Choice (PPO) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | T4 | No | $0 | AL |
| Blue Advantage Plus (PPO) | PATRIUS HEALTH, INC. | T4 | No | $0 | MS |
| Blue Advantage Capital (PPO) | PATRIUS HEALTH, INC. | T4 | No | $0 | MS |
| Blue Advantage Magnolia (PPO) | PATRIUS HEALTH, INC. | T4 | No | $0 | MS |
| Blue Advantage Complete (PPO) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | T4 | No | $0 | AL |
| EmblemHealth VIP Value (HMO-POS) | HEALTH INSURANCE PLAN OF GREATER NEW YORK | T4 | No | $0 | NY |
| EmblemHealth VIP Dual Reserve (HMO D-SNP) | HEALTH INSURANCE PLAN OF GREATER NEW YORK | T4 | No | $0 | NY |
| EmblemHealth VIP Dual (HMO D-SNP) | HEALTH INSURANCE PLAN OF GREATER NEW YORK | T4 | No | $0 | NY |
| EmblemHealth VIP Dual Enhanced (HMO D-SNP) | HEALTH INSURANCE PLAN OF GREATER NEW YORK | T4 | No | $0 | NY |
| Alignment Health the ONE + Walgreens (HMO) | ALIGNMENT HEALTH PLAN OF ARIZONA, INC. | T4 | No | $0 | AZ |
| Alignment Health the ONE + Walgreens (HMO) | ALIGNMENT HEALTH PLAN OF ARIZONA, INC. | T4 | No | $0 | AZ |
| Alignment Health Heart & Diabetes (HMO C-SNP) | ALIGNMENT HEALTH PLAN OF ARIZONA, INC. | T4 | No | $0 | AZ |
| Alignment Health smartHMO (HMO) | ALIGNMENT HEALTH PLAN OF ARIZONA, INC. | T4 | No | $0 | AZ |
| Alignment Health My Choice (HMO) | ALIGNMENT HEALTH PLAN | T4 | No | $0 | CA |
| Alignment Health Platinum + Instacart (HMO) | ALIGNMENT HEALTH PLAN | T4 | No | $0 | CA |
| Alignment Health Heart & Diabetes (HMO C-SNP) | ALIGNMENT HEALTH PLAN | T4 | No | $0 | CA |
| Alignment Health AllCare Preferred (HMO) | ALIGNMENT HEALTH PLAN | T4 | No | $0 | CA |
Frequently Asked Questions
Is nifurtimox 30 MG Oral Tablet [Lampit] covered by Medicare Part D?
Yes, nifurtimox 30 MG Oral Tablet [Lampit] is covered by 1,135 Medicare Part D plans (22.4% of all Part D formularies).
What tier is nifurtimox 30 MG Oral Tablet [Lampit] on Medicare Part D plans?
nifurtimox 30 MG Oral Tablet [Lampit] averages Tier 3.7 across Part D plans, ranging from Tier 1 to Tier 4.
Does nifurtimox 30 MG Oral Tablet [Lampit] require prior authorization?
5.4% of Part D formularies require prior authorization for nifurtimox 30 MG Oral Tablet [Lampit]. Step therapy: 0%. Quantity limits: 0%.
Read our methodology - how this data is sourced, computed, and verified.