Medicare Part D coverage · posaconazole · RxCUI 665019
posaconazole 40 MG/ML Oral Suspension
Per the CMS 2026 Part D formulary file, posaconazole 40 MG/ML Oral Suspension is covered by 2,807 Medicare Part D plans (55.6% of enrollable products), averaging Tier 4, with prior authorization required on 88% of covering formularies.
- 55.6%
- Plan coverage
- 2,807
- Plans covering
- T4
- Avg tier
- 88%
- Prior auth required
What the CMS Formulary Data Shows for posaconazole 40 MG/ML Oral Suspension
Per the CMS 2026 Part D formulary file, posaconazole 40 MG/ML Oral Suspension (RxNorm concept RXCUI 665019, generic name posaconazole) appears on 184 distinct formulary files spanning 2,807 Medicare Part D plan offerings - 55.6% 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.
Real-world access to posaconazole 40 MG/ML Oral Suspension depends on utilization management as much as tier placement: 88% of covering formularies require prior authorization. 0% require step therapy. 39.1% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 8,353 Part D beneficiaries filled posaconazole 40 MG/ML Oral Suspension in 2023, with total plan-and-beneficiary spending of $79,723,895 and an average per-beneficiary annual cost of $9,544.34. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry posaconazole 40 MG/ML Oral Suspension today.
Coverage Details
- Formularies covering
- 184
- Plans covering
- 2,807
- Coverage rate
- 55.6%
- Tier range
- Tier 1 – Tier 6
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 88% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 39.1% of formularies
2023 Medicare Spending
- Beneficiaries
- 8,353
- Total spending
- $79,723,895
- Avg per beneficiary
- $9,544.34
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering posaconazole 40 MG/ML Oral Suspension
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| 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 |
| CareAdvantage (HMO D-SNP) | SAN Mateo Health Commission | T1 | No | $0 | CA |
| 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 |
| NaviCare (HMO D-SNP) | Fallon Community Health Plan | T1 | Yes | $0 | MA |
| Hamaspik Medicare Choice (HMO D-SNP) | Hamaspik, Inc. | T1 | Yes | $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 |
| 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 |
| 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 | Yes | $0 | PR |
| Platino Enlace (HMO D-SNP) | Triple S Advantage, Inc. | T1 | Yes | $0 | PR |
Show the next 30 plans
| Platino Advance (HMO D-snp) | Triple S Advantage, Inc. | T1 | Yes | $0 | PR |
| Platino Plus (HMO D-snp) | Triple S Advantage, Inc. | T1 | Yes | $0 | PR |
| CalOptima Health OneCare Complete (HMO D-SNP) | Orange County Health Authority | T1 | Yes | $0 | CA |
| Mass General Brigham SCO (HMO D-SNP) | Mass General Brigham Health Plan, Inc | T1 | Yes | $0 | MA |
| Mass General Brigham One Care (HMO D-SNP) | Mass General Brigham Health Plan, Inc | T1 | Yes | $0 | MA |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | Yes | $0 | PA |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | Yes | $0 | PA |
| Highmark Health Options Duals (HMO D-SNP) | Highmark Health Options West Virginia Inc. | T1 | Yes | $0 | WV |
| Highmark Health Options Duals (HMO D-SNP) | Highmark Bcbsd, Inc. | T1 | Yes | $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 |
| 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 |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | Hcsc Insurance Services Company | T1 | Yes | $4.80 | TX |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | Gold Kidney OF Florida Inc | T1 | Yes | $4.80 | FL |
| 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 |
| 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 |
| Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | Yes | $13.10 | PA |
| Liberty Medicare Dual Plan (HMO D-SNP) | Liberty Advantage, LLC | T1 | Yes | $14.70 | NC |
| Provider Partners Illinois Advantage Plan (HMO I-SNP) | Provider Partners Health Plan OF Illinois | T1 | Yes | $15.20 | IL |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | Gold Kidney OF Arizona | T1 | Yes | $17.00 | AZ |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is posaconazole 40 MG/ML Oral Suspension covered by Medicare Part D?
Yes, posaconazole 40 MG/ML Oral Suspension is covered by 2,807 Medicare Part D plans (55.6% of all Part D formularies).
What tier is posaconazole 40 MG/ML Oral Suspension on Medicare Part D plans?
posaconazole 40 MG/ML Oral Suspension averages Tier 4 across Part D plans, ranging from Tier 1 to Tier 6.
Does posaconazole 40 MG/ML Oral Suspension require prior authorization?
88% of Part D formularies require prior authorization for posaconazole 40 MG/ML Oral Suspension. Step therapy: 0%. Quantity limits: 39.1%.
How much does Medicare spend on posaconazole 40 MG/ML Oral Suspension?
In 2023, total Medicare Part D spending on posaconazole 40 MG/ML Oral Suspension was $79,723,895, covering 8,353 beneficiaries. The average spend per beneficiary was $9,544.34.
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
- lomustine 100 MG Oral Capsule T4
- 1 ML glatiramer acetate 40 MG/ML Prefilled Syringe T4
- 1 ML glatiramer acetate 20 MG/ML Prefilled Syringe T4
- 1 ML glatiramer acetate 20 MG/ML Prefilled Syringe [Glatopa] T4
- 24 HR tacrolimus 5 MG Extended Release Oral Capsule [Astagraf] T4
- 0.6 ML pegfilgrastim-bmez 10 MG/ML Prefilled Syringe [Ziextenzo] T4
Similar prior-authorization rate
- 3 ML apomorphine hydrochloride 10 MG/ML Cartridge 88% PA
- 1 ML infliximab-dyyb 120 MG/ML Pen Injector [Zymfentra] 88% PA
- tetrabenazine 12.5 MG Oral Tablet 87.8% PA
- 24 HR amantadine 137 MG Extended Release Oral Capsule [Gocovri] 88.2% PA
- lotilaner 2.5 MG/ML Ophthalmic Solution [Xdemvy] 87.8% PA
- tetrabenazine 25 MG Oral Tablet 87.8% PA