prasterone 6.5 MG Vaginal Insert [Intrarosa]

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prasterone

RxCUI: 1927693

Important: Drug coverage and costs vary by plan and location. Verify coverage directly with your Medicare plan before filling a prescription. This is informational data only and should not replace advice from your healthcare provider or pharmacist.
0.8%
Plan Coverage
39
Plans Covering
T3.3
Avg Tier
42.9%
Prior Auth Required

What the CMS Formulary Data Shows for prasterone 6.5 MG Vaginal Insert [Intrarosa]

Per the CMS 2026 Part D formulary file, prasterone 6.5 MG Vaginal Insert [Intrarosa] (RxNorm concept RXCUI 1927693, generic name prasterone) appears on 7 distinct formulary files spanning 39 Medicare Part D plan offerings - 0.8% 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 3.3.

Real-world access to prasterone 6.5 MG Vaginal Insert [Intrarosa] depends on utilization management as much as tier placement: 42.9% of covering formularies require prior authorization. 0% require step therapy. 28.6% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 3,100 Part D beneficiaries filled prasterone 6.5 MG Vaginal Insert [Intrarosa] in 2023, with total plan-and-beneficiary spending of $3,782,382 and an average per-beneficiary annual cost of $1,220.12. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry prasterone 6.5 MG Vaginal Insert [Intrarosa] today.

Coverage Details

Formularies covering
7
Plans covering
39
Coverage rate
0.8%
Tier range
Tier 1 – Tier 4
Average tier
Tier 3, Preferred Brand

Restrictions

Prior authorization required
42.9% of formularies
Step therapy required
0% of formularies
Quantity limits
28.6% of formularies

2023 Medicare Spending

Beneficiaries
3,100
Total spending
$3,782,382
Avg per beneficiary
$1,220.12

Tier Distribution Across Plans

7 plans
Tier 1, Preferred Generic
1 plans
Tier 2, Generic
31 plans
Tier 4, Non-Preferred

Medicare Advantage Plans (MA-PD) Covering prasterone 6.5 MG Vaginal Insert [Intrarosa]

39 Medicare Advantage plans with Part D drug coverage include this drug.

Plan Insurer Tier PA Premium States
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
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) GATEWAY HEALTH PLAN, INC. T1 No $13.10 PA
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) GATEWAY HEALTH PLAN, INC. T1 No $17.60 PA
Highmark Health Options Duals Select (HMO D-SNP) HIGHMARK BCBSD, INC. T1 No $31.20 DE
CalOptima Health OneCare Complete (HMO D-SNP) ORANGE COUNTY HEALTH AUTHORITY T2 Yes $0 CA
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T4 No $0 UT
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T4 No $0 NV
Select Health Medicare Dual (HMO D-SNP) SELECTHEALTH, INC. T4 No $0 UT
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T4 No $0 UT
Select Health Medicare + Kroger (HMO) SELECTHEALTH, INC. T4 No $0 NV
Select Health Medicare + Kroger (HMO) SELECTHEALTH, INC. T4 No $0 UT
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T4 No $0 CO
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T4 No $0 CO
Select Health Medicare + Kroger (HMO) SELECTHEALTH, INC. T4 No $0 CO
Select Health Medicare Flex (HMO) SELECTHEALTH, INC. T4 No $0 CO
Select Health Medicare + Kroger (HMO) SELECTHEALTH, INC. T4 No $0 CO
Select Health Medicare Active (HMO) SELECTHEALTH, INC. T4 No $0 CO
Select Health Medicare Dual (HMO D-SNP) SELECTHEALTH, INC. T4 No $0 NV
Select Health Medicare Wellness (HMO) SELECTHEALTH, INC. T4 No $0 NV
Network Health Select (PPO) NETWORK HEALTH INSURANCE CORPORATION T4 Yes $0 WI
Network Health Go (PPO) NETWORK HEALTH INSURANCE CORPORATION T4 Yes $0 WI
Network Health Anywhere (PPO) NETWORK HEALTH INSURANCE CORPORATION T4 Yes $0 WI
Network Health Choice (PPO) NETWORK HEALTH INSURANCE CORPORATION T4 Yes $0 WI
Network Health Zero (PPO) NETWORK HEALTH INSURANCE CORPORATION T4 Yes $0 WI
Healthy Mississippi Premier Advantage (HMO-POS) Healthy Mississippi, Inc. T4 No $0 MS
FHCP Medicare Classic (HMO) FLORIDA BLUE MEDICARE, INC. T4 No $0 FL
Network Health Cares (PPO D-SNP) NETWORK HEALTH INSURANCE CORPORATION T4 Yes $21.10 WI
Network Health PlusRx (PPO) NETWORK HEALTH INSURANCE CORPORATION T4 Yes $38.60 WI
Keystone 65 Select Rx (HMO) KEYSTONE HEALTH PLAN EAST, INC. T4 Yes $47.00 PA
FHCP Medicare Rx Plus (HMO-POS) FLORIDA BLUE MEDICARE, INC. T4 No $49.00 FL
Keystone 65 Preferred Rx (HMO) KEYSTONE HEALTH PLAN EAST, INC. T4 Yes $59.70 PA
Keystone 65 Select Rx (HMO) KEYSTONE HEALTH PLAN EAST, INC. T4 Yes $63.50 PA
Keystone 65 Preferred Rx (HMO) KEYSTONE HEALTH PLAN EAST, INC. T4 Yes $79.70 PA
Network Health PremierRx (PPO) NETWORK HEALTH INSURANCE CORPORATION T4 Yes $92.80 WI
Personal Choice 65 Rx (PPO) QCC INSURANCE COMPANY T4 Yes $102.20 PA
Personal Choice 65 Rx (PPO) QCC INSURANCE COMPANY T4 Yes $112.70 PA

Frequently Asked Questions

Is prasterone 6.5 MG Vaginal Insert [Intrarosa] covered by Medicare Part D?

Yes, prasterone 6.5 MG Vaginal Insert [Intrarosa] is covered by 39 Medicare Part D plans (0.8% of all Part D formularies).

What tier is prasterone 6.5 MG Vaginal Insert [Intrarosa] on Medicare Part D plans?

prasterone 6.5 MG Vaginal Insert [Intrarosa] averages Tier 3.3 across Part D plans, ranging from Tier 1 to Tier 4.

Does prasterone 6.5 MG Vaginal Insert [Intrarosa] require prior authorization?

42.9% of Part D formularies require prior authorization for prasterone 6.5 MG Vaginal Insert [Intrarosa]. Step therapy: 0%. Quantity limits: 28.6%.

How much does Medicare spend on prasterone 6.5 MG Vaginal Insert [Intrarosa]?

In 2023, total Medicare Part D spending on prasterone 6.5 MG Vaginal Insert [Intrarosa] was $3,782,382, covering 3,100 beneficiaries. The average spend per beneficiary was $1,220.12.

Data sourced from the Centers for Medicare & Medicaid Services (CMS). See our methodology for details. Retrieved and formatted by PlainMedicare Editorial