Medicare Part D coverage · Pulmonary Hypertension tadalafil · RxCUI 2110455
Pulmonary Hypertension tadalafil 20 MG Oral Tablet [Alyq]
Per the CMS 2026 Part D formulary file, Pulmonary Hypertension tadalafil 20 MG Oral Tablet [Alyq] is covered by 3,308 Medicare Part D plans (65.5% of enrollable products), averaging Tier 3.1, with prior authorization required on 100% of covering formularies.
- 65.5%
- Plan coverage
- 3,308
- Plans covering
- T3.1
- Avg tier
- 100%
- Prior auth required
What the CMS Formulary Data Shows for Pulmonary Hypertension tadalafil 20 MG Oral Tablet [Alyq]
Per the CMS 2026 Part D formulary file, Pulmonary Hypertension tadalafil 20 MG Oral Tablet [Alyq] (RxNorm concept RXCUI 2110455, generic name Pulmonary Hypertension tadalafil) appears on 231 distinct formulary files spanning 3,308 Medicare Part D plan offerings - 65.5% 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 3.1.
Real-world access to Pulmonary Hypertension tadalafil 20 MG Oral Tablet [Alyq] depends on utilization management as much as tier placement: 100% of covering formularies require prior authorization. 0% require step therapy. 97% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 419 Part D beneficiaries filled Pulmonary Hypertension tadalafil 20 MG Oral Tablet [Alyq] in 2023, with total plan-and-beneficiary spending of $1,599,603 and an average per-beneficiary annual cost of $3,817.67. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry Pulmonary Hypertension tadalafil 20 MG Oral Tablet [Alyq] today.
Coverage Details
- Formularies covering
- 231
- Plans covering
- 3,308
- Coverage rate
- 65.5%
- Tier range
- Tier 1 – Tier 6
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 100% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 97% of formularies
2023 Medicare Spending
- Beneficiaries
- 419
- Total spending
- $1,599,603
- Avg per beneficiary
- $3,817.67
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering Pulmonary Hypertension tadalafil 20 MG Oral Tablet [Alyq]
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Florida Complete Care-Duals VIP (HMO-POS D-SNP) | Hpmp OF Florida, Inc. | T1 | Yes | $0 | FL |
| ElderServe MAP (HMO D-SNP) | Elderserve Health, Inc. | T1 | Yes | $0 | NY |
| Cooperative Advantage (HMO D-SNP) | Group Health Cooperative OF EAU Claire | T1 | Yes | $0 | WI |
| Longevity Health Plan (PPO I-SNP) | Longevity Health Plan OF NEW Jersey Insurance Comp | T1 | Yes | $0 | NJ |
| Mercy Care Advantage (HMO D-SNP) | Mercy Care | T1 | Yes | $0 | AZ |
| Mercy Care Advantage (HMO D-SNP) | Mercy Care | T1 | Yes | $0 | AZ |
| Mercy Care Advantage (HMO D-SNP) | Mercy Care | T1 | Yes | $0 | AZ |
| Elderplan Plus Long-Term Care (HMO-POS D-SNP) | Elderplan, Inc. | T1 | Yes | $0 | NY |
| Health Choice Pathway (HMO D-SNP) | Health Choice Arizona, Inc. | T1 | Yes | $0 | AZ |
| Healthfirst CompleteCare (HMO D-SNP) | Healthfirst Health Plan, Inc. | T1 | Yes | $0 | NY |
| IMCare Classic (HMO D-SNP) | Itasca Medical Care | T1 | Yes | $0 | MN |
| Johns Hopkins Advantage MD D-SNP (HMO D-SNP) | Hopkins Health Advantage, Inc. | T1 | Yes | $0 | MD |
| MetroPlus UltraCare (HMO D-SNP) | Metroplus Health Plan, Inc. | T1 | Yes | $0 | NY |
| Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP) | Upper Peninsula Health Plan, LLC | T1 | Yes | $0 | MI |
| CareSource Dual Advantage (HMO D-SNP) | Caresource Georgia Co. | T1 | Yes | $0 | GA |
| Senior Whole Health SCO (HMO D-SNP) | Senior Whole Health, LLC | T1 | Yes | $0 | MA |
| Senior Whole Health SCO NHC (HMO D-SNP) | Senior Whole Health, LLC | T1 | Yes | $0 | MA |
| Molina One Care (HMO D-SNP) | Senior Whole Health, LLC | T1 | Yes | $0 | MA |
| HAP CareSource MI Coordinated Health (HMO D-SNP) | HAP Caresource | T1 | Yes | $0 | MI |
| PruittHealth Premier D-SNP (HMO D-SNP) | Pruitthealth Premier, Inc. | T1 | Yes | $0 | GA |
Show the next 30 plans
| Simpra Advantage Dual Care (PPO D-SNP) | Simpra Advantage, Inc. | T1 | Yes | $0 | AL |
| CareAdvantage (HMO D-SNP) | SAN Mateo Health Commission | T1 | Yes | $0 | CA |
| NaviCare (HMO D-SNP) | Fallon Community Health Plan | T1 | Yes | $0 | MA |
| PHP (HMO C-snp) | Aids Healthcare Foundation | T1 | Yes | $0 | CA |
| CCA One Care (HMO D-SNP) | Commonwealth Care Alliance, Inc. | T1 | Yes | $0 | MA |
| CCA Senior Care Options (HMO D-SNP) | Commonwealth Care Alliance, Inc. | T1 | Yes | $0 | MA |
| Elevate Medicare Choice (HMO D-SNP) | Denver Health Medical Plan, Inc. | T1 | Yes | $0 | CO |
| AllCare Advantage Redwood Rx (HMO D-SNP) | Allcare Health Plan, Inc. | T1 | Yes | $0 | OR |
| PrimeWest Senior Health Complete (HMO D-SNP) | Primewest Rural MN Health Care Access Initiative | T1 | Yes | $0 | MN |
| Prime Health Complete (HMO D-SNP) | Primewest Rural MN Health Care Access Initiative | T1 | Yes | $0 | MN |
| DualConnect (HMO D-SNP) | Santa Clara County Health Authority | T1 | Yes | $0 | CA |
| VNS Health Total (HMO D-SNP) | VNS Choice | T1 | Yes | $0 | NY |
| Alterwood Advantage Dual Secure (HMO D-SNP) | Alterwood Advantage, Inc. | T1 | Yes | $0 | MD |
| Generations Classic Rewards (HMO) | Globalhealth, Inc. | T1 | Yes | $0 | OK |
| Generations Classic Plus (HMO) | Globalhealth, Inc. | T1 | Yes | $0 | OK |
| Generations Chronic Care (HMO C-SNP) | Globalhealth, Inc. | T1 | Yes | $0 | OK |
| Generations Chronic Care Savings (HMO C-SNP) | Globalhealth, Inc. | T1 | Yes | $0 | OK |
| Generations Dual Support (HMO D-SNP) | Globalhealth, Inc. | T1 | Yes | $0 | OK |
| Generations Dual Premier (HMO D-SNP) | Globalhealth, Inc. | T1 | Yes | $0 | OK |
| Nascentia Dual Advantage (HMO D-SNP) | Visiting Nurse Association OF Central NEW York | T1 | Yes | $0 | NY |
| 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 |
| Abilis Health Community (HMO I-SNP) | Signature Advantage, LLC | T1 | Yes | $0 | KY, TN |
| Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) | Arkansas Superior Select, Inc. | T1 | Yes | $0 | AR |
| 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 |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is Pulmonary Hypertension tadalafil 20 MG Oral Tablet [Alyq] covered by Medicare Part D?
Yes, Pulmonary Hypertension tadalafil 20 MG Oral Tablet [Alyq] is covered by 3,308 Medicare Part D plans (65.5% of all Part D formularies).
What tier is Pulmonary Hypertension tadalafil 20 MG Oral Tablet [Alyq] on Medicare Part D plans?
Pulmonary Hypertension tadalafil 20 MG Oral Tablet [Alyq] averages Tier 3.1 across Part D plans, ranging from Tier 1 to Tier 6.
Does Pulmonary Hypertension tadalafil 20 MG Oral Tablet [Alyq] require prior authorization?
100% of Part D formularies require prior authorization for Pulmonary Hypertension tadalafil 20 MG Oral Tablet [Alyq]. Step therapy: 0%. Quantity limits: 97%.
How much does Medicare spend on Pulmonary Hypertension tadalafil 20 MG Oral Tablet [Alyq]?
In 2023, total Medicare Part D spending on Pulmonary Hypertension tadalafil 20 MG Oral Tablet [Alyq] was $1,599,603, covering 419 beneficiaries. The average spend per beneficiary was $3,817.67.
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
- aripiprazole 15 MG Disintegrating Oral Tablet T3.1
- isotretinoin 30 MG Oral Capsule [Amnesteem] T3.1
- 1250 MG testosterone 0.0162 MG/MG Topical Gel T3.1
- dextroamphetamine sulfate 5 MG Extended Release Oral Capsule T3.1
- 24 HR pramipexole dihydrochloride 1.5 MG Extended Release Oral Tablet T3.1
- clindamycin 10 MG/ML Topical Foam T3.1
Similar prior-authorization rate
- sodium phenylbutyrate 0.483 MG/MG Oral Pellet [Pheburane] 100% PA
- formoterol fumarate 0.01 MG/ML Inhalation Solution [Perforomist] 100% PA
- lusutrombopag 3 MG Oral Tablet [Mulpleta] 100% PA
- 12 HR tapentadol 100 MG Extended Release Oral Tablet [Nucynta] 100% PA
- {14 (24 HR lamotrigine 100 MG Extended Release Oral Tablet [Lamictal]) / 7 (24 HR lamotrigine 200 MG Extended Release Oral Tablet [Lamictal]) / 14 (24 HR lamotrigine 50 MG Extended Release Oral Tablet [Lamictal]) } Pack [Lamictal XR Green Patient Titration Kit (for Patients Taking Carbamazepine, Phenytoin, Phenobarbital, or Primidone, and Not Taking Valproate)] 100% PA
- eltrombopag 25 MG Oral Tablet [Promacta] 100% PA