Medicare Part D coverage · pretomanid · RxCUI 2198370
pretomanid 200 MG Oral Tablet
Per the CMS 2026 Part D formulary file, pretomanid 200 MG Oral Tablet is covered by 1,134 Medicare Part D plans (22.4% of enrollable products), averaging Tier 3.5, with prior authorization required on 33.3% of covering formularies.
- 22.4%
- Plan coverage
- 1,134
- Plans covering
- T3.5
- Avg tier
- 33.3%
- Prior auth required
What the CMS Formulary Data Shows for pretomanid 200 MG Oral Tablet
Per the CMS 2026 Part D formulary file, pretomanid 200 MG Oral Tablet (RxNorm concept RXCUI 2198370, generic name pretomanid) appears on 81 distinct formulary files spanning 1,134 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 3.5.
Real-world access to pretomanid 200 MG Oral Tablet depends on utilization management as much as tier placement: 33.3% of covering formularies require prior authorization. 0% require step therapy. 19.8% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 18 Part D beneficiaries filled pretomanid 200 MG Oral Tablet in 2023, with total plan-and-beneficiary spending of $55,772 and an average per-beneficiary annual cost of $3,098.43. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry pretomanid 200 MG Oral Tablet today.
Coverage Details
- Formularies covering
- 81
- Plans covering
- 1,134
- Coverage rate
- 22.4%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 33.3% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 19.8% of formularies
2023 Medicare Spending
- Beneficiaries
- 18
- Total spending
- $55,772
- Avg per beneficiary
- $3,098.43
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering pretomanid 200 MG Oral Tablet
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Sentara Community Complete Select (HMO D-SNP) | Sentara Health Plans | T1 | Yes | $0 | VA |
| Sentara Community Complete (HMO D-SNP) | Sentara Health Plans | T1 | Yes | $0 | VA |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| Óptimo Plus (PPO) | Triple S Advantage, Inc. | T2 | Yes | $0 | PR |
Show the next 30 plans
Showing top 50 of 100 plans.
Frequently Asked Questions
Is pretomanid 200 MG Oral Tablet covered by Medicare Part D?
Yes, pretomanid 200 MG Oral Tablet is covered by 1,134 Medicare Part D plans (22.4% of all Part D formularies).
What tier is pretomanid 200 MG Oral Tablet on Medicare Part D plans?
pretomanid 200 MG Oral Tablet averages Tier 3.5 across Part D plans, ranging from Tier 1 to Tier 4.
Does pretomanid 200 MG Oral Tablet require prior authorization?
33.3% of Part D formularies require prior authorization for pretomanid 200 MG Oral Tablet. Step therapy: 0%. Quantity limits: 19.8%.
How much does Medicare spend on pretomanid 200 MG Oral Tablet?
In 2023, total Medicare Part D spending on pretomanid 200 MG Oral Tablet was $55,772, covering 18 beneficiaries. The average spend per beneficiary was $3,098.43.
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
Similar prior-authorization rate
- meperidine hydrochloride 50 MG Oral Tablet 33.3% PA
- chlordiazepoxide hydrochloride 5 MG / clidinium bromide 2.5 MG Oral Capsule 33.3% PA
- sevelamer carbonate 800 MG Oral Tablet 33.3% PA
- promethazine hydrochloride 25 MG Rectal Suppository 33.3% PA
- aspirin 325 MG / butalbital 50 MG / caffeine 40 MG / codeine phosphate 30 MG Oral Capsule [Ascomp] 33.3% PA
- 2 ML methotrexate 25 MG/ML Injection 33.2% PA