rilzabrutinib 400 MG Oral Tablet [Wayrilz]
rilzabrutinib
RxCUI: 2722409
What the CMS Formulary Data Shows for rilzabrutinib 400 MG Oral Tablet [Wayrilz]
Per the CMS 2026 Part D formulary file, rilzabrutinib 400 MG Oral Tablet [Wayrilz] (RxNorm concept RXCUI 2722409, generic name rilzabrutinib) appears on 1 distinct formulary file spanning 10 Medicare Part D plan offerings - 0.2% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 5 to Tier 5, with a cross-plan average of Tier 5.
Real-world access to rilzabrutinib 400 MG Oral Tablet [Wayrilz] depends on utilization management as much as tier placement: 100% of covering formularies require prior authorization. 0% require step therapy. 0% 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 rilzabrutinib 400 MG Oral Tablet [Wayrilz] today.
Coverage Details
- Formularies covering
- 1
- Plans covering
- 10
- Coverage rate
- 0.2%
- Tier range
- Tier 5, Specialty
- Average tier
- Tier 5, Specialty
Restrictions
- Prior authorization required
- 100% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering rilzabrutinib 400 MG Oral Tablet [Wayrilz]
10 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Health First Rewards H1099-014 (HMO) | HEALTH FIRST HEALTH PLANS | T5 | Yes | $0 | FL |
| Health First SunSaver H1099-016 (HMO) | HEALTH FIRST HEALTH PLANS | T5 | Yes | $0 | FL |
| Health First Complete Care H1099-023 (HMO) | HEALTH FIRST HEALTH PLANS | T5 | Yes | $0 | FL |
| Health First Emerald Plus H1099-024 (HMO) | HEALTH FIRST HEALTH PLANS | T5 | Yes | $0 | FL |
| Health First Premier Access H1099-025 (HMO-POS) | HEALTH FIRST HEALTH PLANS | T5 | Yes | $0 | FL |
| Health First Emerald Plus H1099-026 (HMO) | HEALTH FIRST HEALTH PLANS | T5 | Yes | $0 | FL |
| Health First Premier Access H1099-027 (HMO-POS) | HEALTH FIRST HEALTH PLANS | T5 | Yes | $0 | FL |
| Health First Emerald Plus H1099-028 (HMO) | HEALTH FIRST HEALTH PLANS | T5 | Yes | $0 | FL |
| Health First Value H1099-006 (HMO) | HEALTH FIRST HEALTH PLANS | T5 | Yes | $15.00 | FL |
| Health First Classic H1099-001 (HMO-POS) | HEALTH FIRST HEALTH PLANS | T5 | Yes | $49.40 | FL |
Frequently Asked Questions
Is rilzabrutinib 400 MG Oral Tablet [Wayrilz] covered by Medicare Part D?
Yes, rilzabrutinib 400 MG Oral Tablet [Wayrilz] is covered by 10 Medicare Part D plans (0.2% of all Part D formularies).
What tier is rilzabrutinib 400 MG Oral Tablet [Wayrilz] on Medicare Part D plans?
rilzabrutinib 400 MG Oral Tablet [Wayrilz] averages Tier 5 across Part D plans, ranging from Tier 5 to Tier 5.
Does rilzabrutinib 400 MG Oral Tablet [Wayrilz] require prior authorization?
100% of Part D formularies require prior authorization for rilzabrutinib 400 MG Oral Tablet [Wayrilz]. Step therapy: 0%. Quantity limits: 0%.
Read our methodology - how this data is sourced, computed, and verified.