odevixibat 0.6 MG Oral Pellet [Bylvay]
odevixibat
RxCUI: 2563993
What the CMS Formulary Data Shows for odevixibat 0.6 MG Oral Pellet [Bylvay]
Per the CMS 2026 Part D formulary file, odevixibat 0.6 MG Oral Pellet [Bylvay] (RxNorm concept RXCUI 2563993, generic name odevixibat) appears on 13 distinct formulary files spanning 843 Medicare Part D plan offerings - 16.6% 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 4.1.
Real-world access to odevixibat 0.6 MG Oral Pellet [Bylvay] depends on utilization management as much as tier placement: 100% of covering formularies require prior authorization. 0% require step therapy. 7.7% 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 odevixibat 0.6 MG Oral Pellet [Bylvay] today.
Coverage Details
- Formularies covering
- 13
- Plans covering
- 843
- Coverage rate
- 16.6%
- Tier range
- Tier 1 – Tier 5
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 100% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 7.7% of formularies
Tier Distribution Across Plans
Standalone Drug Plans (PDP) Covering odevixibat 0.6 MG Oral Pellet [Bylvay]
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 odevixibat 0.6 MG Oral Pellet [Bylvay]
95 Medicare Advantage plans with Part D drug coverage include this drug.
Frequently Asked Questions
Is odevixibat 0.6 MG Oral Pellet [Bylvay] covered by Medicare Part D?
Yes, odevixibat 0.6 MG Oral Pellet [Bylvay] is covered by 843 Medicare Part D plans (16.6% of all Part D formularies).
What tier is odevixibat 0.6 MG Oral Pellet [Bylvay] on Medicare Part D plans?
odevixibat 0.6 MG Oral Pellet [Bylvay] averages Tier 4.1 across Part D plans, ranging from Tier 1 to Tier 5.
Does odevixibat 0.6 MG Oral Pellet [Bylvay] require prior authorization?
100% of Part D formularies require prior authorization for odevixibat 0.6 MG Oral Pellet [Bylvay]. Step therapy: 0%. Quantity limits: 7.7%.
Read our methodology - how this data is sourced, computed, and verified.