Medicare Part D coverage · tolvaptan · RxCUI 2044357
tolvaptan 30 MG Oral Tablet [Jynarque]
Per the CMS 2026 Part D formulary file, tolvaptan 30 MG Oral Tablet [Jynarque] is covered by 1,191 Medicare Part D plans (23.6% of enrollable products), averaging Tier 4.1, with prior authorization required on 98.8% of covering formularies.
- 23.6%
- Plan coverage
- 1,191
- Plans covering
- T4.1
- Avg tier
- 98.8%
- Prior auth required
What the CMS Formulary Data Shows for tolvaptan 30 MG Oral Tablet [Jynarque]
Per the CMS 2026 Part D formulary file, tolvaptan 30 MG Oral Tablet [Jynarque] (RxNorm concept RXCUI 2044357, generic name tolvaptan) appears on 84 distinct formulary files spanning 1,191 Medicare Part D plan offerings - 23.6% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 5, with a cross-plan average of Tier 4.1.
Real-world access to tolvaptan 30 MG Oral Tablet [Jynarque] depends on utilization management as much as tier placement: 98.8% of covering formularies require prior authorization. 0% require step therapy. 92.9% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 1,228 Part D beneficiaries filled tolvaptan 30 MG Oral Tablet [Jynarque] in 2023, with total plan-and-beneficiary spending of $35,698,400 and an average per-beneficiary annual cost of $29,070.36. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry tolvaptan 30 MG Oral Tablet [Jynarque] today.
Coverage Details
- Formularies covering
- 84
- Plans covering
- 1,191
- Coverage rate
- 23.6%
- Tier range
- Tier 1 – Tier 5
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 98.8% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 92.9% of formularies
2023 Medicare Spending
- Beneficiaries
- 1,228
- Total spending
- $35,698,400
- Avg per beneficiary
- $29,070.36
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering tolvaptan 30 MG Oral Tablet [Jynarque]
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| NaviCare (HMO D-SNP) | Fallon Community Health Plan | T1 | Yes | $0 | MA |
| Hamaspik Medicare Choice (HMO D-SNP) | Hamaspik, Inc. | T1 | Yes | $0 | NY |
| 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 |
| Alterwood Advantage Dual Secure (HMO D-SNP) | Alterwood Advantage, Inc. | T1 | Yes | $0 | MD |
| 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 |
| Tufts Health One Care (HMO D-SNP) | Tufts Health Public Plans, Inc. | T1 | Yes | $0 | MA |
| Tufts Health One Care CW (HMO D-SNP) | Tufts Health Public Plans, Inc. | T1 | Yes | $0 | MA |
| Tufts Health Plan Senior Care Options (HMO D-SNP) | Tufts Associated Health Maintenance Organization | T1 | Yes | $0 | MA |
| Tufts Health Plan Senior Care Options CW (HMO D-SNP) | Tufts Associated Health Maintenance Organization | T1 | Yes | $0 | MA |
| 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 |
Show the next 30 plans
| Texas Independence Health Plan, Inc. (HMO I-SNP) | Texas Independence Health Plan, Inc. | T1 | Yes | $4.80 | TX |
| Texas Independence Community Plan (HMO I-SNP) | Texas Independence Health Plan, Inc. | T1 | Yes | $4.80 | TX |
| Tribute Select (HMO-POS I-SNP) | Arkansas Superior Select, Inc. | T1 | Yes | $8.90 | AR |
| ATRIO Special Needs Plan (HMO D-SNP) | Atrio Health Plans | T1 | Yes | $10.50 | OR |
| ATRIO Special Needs Plan (HMO D-SNP) | Atrio Health Plans | T1 | Yes | $10.50 | OR |
| 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 |
| Alterwood Advantage Dual Value (HMO D-SNP) | Alterwood Advantage, Inc. | T1 | Yes | $31.20 | MD |
| Valor Health Plan (HMO I-SNP) | TSG Guard, Inc. | T1 | Yes | $31.40 | OH |
| Provider Partners Pennsylvania Advantage Plan (HMO I-SNP) | Provider Partners Health Plan OF Pennsylvania, Inc | T1 | Yes | $32.70 | PA |
| Provider Partners Pennsylvania Essential Plan (HMO I-SNP) | Provider Partners Health Plan OF Pennsylvania, Inc | T1 | Yes | $32.70 | PA |
| WV Senior Advantage (HMO I-SNP) | West Virginia Senior Advantage, Inc. | T1 | Yes | $32.70 | WV |
| Hamaspik Medicare Select (HMO D-SNP) | Hamaspik, Inc. | T1 | Yes | $34.50 | NY |
| Abilis Health (HMO I-SNP) | Signature Advantage, LLC | T1 | Yes | $35.90 | KY, TN |
| Provider Partners North Carolina Advantage Plan (HMO I-SNP) | Provider Partners Health Plan OF North Carolina | T1 | Yes | $36.20 | NC |
| Provider Partners North Carolina Essential Plan (HMO I-SNP) | Provider Partners Health Plan OF North Carolina | T1 | Yes | $36.20 | NC |
| CommuniCare Advantage ISNP (HMO I-SNP) | OH CHS SNP Inc. | T1 | Yes | $38.40 | IN, MD, OH |
| Provider Partners Indiana Advantage Plan (HMO I-SNP) | Provider Partners Health Plan OF Indiana | T1 | Yes | $38.40 | IN |
| Provider Partners Indiana Essential Plan (HMO I-SNP) | Provider Partners Health Plan OF Indiana | T1 | Yes | $38.40 | IN |
| Provider Partners Kentucky Advantage Plan (HMO I-SNP) | Provider Partners Health Plan OF Kentucky | T1 | Yes | $38.40 | KY |
| Provider Partners Missouri Advantage Plan (HMO I-SNP) | Provider Partners Health Plan OF Missouri, Inc. | T1 | Yes | $43.00 | MO |
| Provider Partners Missouri Essential Plan (HMO I-SNP) | Provider Partners Health Plan OF Missouri, Inc. | T1 | Yes | $43.00 | MO |
| Nascentia Skilled Nursing Facility (HMO I-SNP) | Visiting Nurse Association OF Central NEW York | T1 | Yes | $58.80 | NY |
| PHP (HMO C-snp) | Aids Healthcare Foundation | T4 | Yes | $0 | CA |
| VNS Health Total (HMO D-SNP) | VNS Choice | T4 | Yes | $0 | NY |
| Health First Rewards H1099-014 (HMO) | Health First Health Plans | T4 | No | $0 | FL |
| Health First SunSaver H1099-016 (HMO) | Health First Health Plans | T4 | No | $0 | FL |
| Health First Complete Care H1099-023 (HMO) | Health First Health Plans | T4 | No | $0 | FL |
| Health First Emerald Plus H1099-024 (HMO) | Health First Health Plans | T4 | No | $0 | FL |
| Health First Premier Access H1099-025 (HMO-POS) | Health First Health Plans | T4 | No | $0 | FL |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is tolvaptan 30 MG Oral Tablet [Jynarque] covered by Medicare Part D?
Yes, tolvaptan 30 MG Oral Tablet [Jynarque] is covered by 1,191 Medicare Part D plans (23.6% of all Part D formularies).
What tier is tolvaptan 30 MG Oral Tablet [Jynarque] on Medicare Part D plans?
tolvaptan 30 MG Oral Tablet [Jynarque] averages Tier 4.1 across Part D plans, ranging from Tier 1 to Tier 5.
Does tolvaptan 30 MG Oral Tablet [Jynarque] require prior authorization?
98.8% of Part D formularies require prior authorization for tolvaptan 30 MG Oral Tablet [Jynarque]. Step therapy: 0%. Quantity limits: 92.9%.
How much does Medicare spend on tolvaptan 30 MG Oral Tablet [Jynarque]?
In 2023, total Medicare Part D spending on tolvaptan 30 MG Oral Tablet [Jynarque] was $35,698,400, covering 1,228 beneficiaries. The average spend per beneficiary was $29,070.36.
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
- brivaracetam 10 MG Oral Tablet [Briviact] T4.1
- rifaximin 550 MG Oral Tablet [XIFAXAN] T4.1
- tenofovir disoproxil fumarate 200 MG Oral Tablet [Viread] T4.1
- pomalidomide 1 MG Oral Capsule T4.1
- 1 ML benralizumab 30 MG/ML Prefilled Syringe [Fasenra] T4.1
- deferasirox 250 MG Tablet for Oral Suspension T4.1
Similar prior-authorization rate
- amphotericin B 50 MG Injection 98.8% PA
- alanine 27.6 MG/ML / arginine 19.6 MG/ML / aspartate 6 MG/ML / glutamate 10.2 MG/ML / glycine 20.6 MG/ML / histidine 11.8 MG/ML / isoleucine 10.8 MG/ML / leucine 10.8 MG/ML / lysine 13.5 MG/ML / methionine 7.6 MG/ML / phenylalanine 10 MG/ML / proline 13.4 MG/ML / serine 10.2 MG/ML / threonine 9.8 MG/ML / tryptophan 3.2 MG/ML / tyrosine 0.5 MG/ML / valine 14.4 MG/ML Injectable Solution [Prosol] 98.8% PA
- 28 ACTUAT teriparatide 0.02 MG/ACTUAT Pen Injector [Bonsity] 98.8% PA
- 0.5 ML ustekinumab 90 MG/ML Prefilled Syringe [Stelara] 98.8% PA
- 1 ML ustekinumab 90 MG/ML Prefilled Syringe [Stelara] 98.8% PA
- sapropterin dihydrochloride 500 MG Powder for Oral Solution [Javygtor] 98.8% PA