Medicare Part D coverage · trientine hydrochloride · RxCUI 2619912
trientine hydrochloride 500 MG Oral Capsule
Per the CMS 2026 Part D formulary file, trientine hydrochloride 500 MG Oral Capsule is covered by 2,699 Medicare Part D plans (53.4% of enrollable products), averaging Tier 4.5, with prior authorization required on 62.5% of covering formularies.
- 53.4%
- Plan coverage
- 2,699
- Plans covering
- T4.5
- Avg tier
- 62.5%
- Prior auth required
What the CMS Formulary Data Shows for trientine hydrochloride 500 MG Oral Capsule
Per the CMS 2026 Part D formulary file, trientine hydrochloride 500 MG Oral Capsule (RxNorm concept RXCUI 2619912, generic name trientine hydrochloride) appears on 56 distinct formulary files spanning 2,699 Medicare Part D plan offerings - 53.4% of enrollable Part D products, mid-range placement; shopping across contracts changes access. Tier placement ranges from Tier 1 to Tier 5, with a cross-plan average of Tier 4.5.
Real-world access to trientine hydrochloride 500 MG Oral Capsule depends on utilization management as much as tier placement: 62.5% of covering formularies require prior authorization. 5.4% require step therapy. 46.4% 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 trientine hydrochloride 500 MG Oral Capsule today.
Coverage Details
- Formularies covering
- 56
- Plans covering
- 2,699
- Coverage rate
- 53.4%
- Tier range
- Tier 1 – Tier 5
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 62.5% of formularies
- Step therapy required
- 5.4% of formularies
- Quantity limits
- 46.4% of formularies
Tier Distribution Across Plans
Standalone Drug Plans (PDP) Covering trientine hydrochloride 500 MG Oral Capsule
5 standalone prescription drug plans include this drug.
| Plan | Insurer | Tier | PA | ST | Premium | States |
|---|---|---|---|---|---|---|
| AARP Medicare Rx Preferred from UHC (PDP) | Unitedhealthcare INS. Co. & UHC INS. Co. OF NY | T4 | Yes | No | $0 | - |
| AARP Medicare Rx Preferred from UHC (PDP) | Unitedhealthcare INS. Co. & UHC INS. Co. OF NY | T4 | Yes | No | $0 | - |
| AARP Medicare Rx Saver from UHC (PDP) | Unitedhealthcare INS. Co. & UHC INS. Co. OF NY | T4 | Yes | No | $0 | - |
| AARP Medicare Rx Saver from UHC (PDP) | Unitedhealthcare INS. Co. & UHC INS. Co. OF NY | T4 | Yes | No | $0 | - |
| AARP Medicare Rx Saver from UHC (PDP) | Unitedhealthcare INS. Co. & UHC INS. Co. OF NY | T4 | Yes | No | $0 | - |
Medicare Advantage Plans (MA-PD) Covering trientine hydrochloride 500 MG Oral Capsule
95 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Community Care's Partnership Program (HMO D-SNP) | Community Care Health Plan, Inc. | T1 | No | $0 | WI |
| Mass General Brigham SCO (HMO D-SNP) | Mass General Brigham Health Plan, Inc | T1 | No | $0 | MA |
| Mass General Brigham One Care (HMO D-SNP) | Mass General Brigham Health Plan, Inc | T1 | No | $0 | MA |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | Yes | $0 | PA |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | Yes | $0 | PA |
| Highmark Health Options Duals (HMO D-SNP) | Highmark Health Options West Virginia Inc. | T1 | Yes | $0 | WV |
| Highmark Health Options Duals (HMO D-SNP) | Highmark Bcbsd, Inc. | T1 | Yes | $0 | DE |
| Tufts Health One Care (HMO D-SNP) | Tufts Health Public Plans, Inc. | T1 | No | $0 | MA |
| Tufts Health One Care CW (HMO D-SNP) | Tufts Health Public Plans, Inc. | T1 | No | $0 | MA |
| Tufts Health Plan Senior Care Options (HMO D-SNP) | Tufts Associated Health Maintenance Organization | T1 | No | $0 | MA |
| Tufts Health Plan Senior Care Options CW (HMO D-SNP) | Tufts Associated Health Maintenance Organization | T1 | No | $0 | MA |
| Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | Yes | $13.10 | PA |
| Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | Yes | $17.60 | PA |
| Highmark Health Options Duals Select (HMO D-SNP) | Highmark Bcbsd, Inc. | T1 | Yes | $31.20 | DE |
| UHC Dual Complete IA-S001 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T4 | Yes | $0 | IA |
| UHC Dual Complete MO-S001 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T4 | Yes | $0 | MO |
| UHC Dual Complete NE-S001 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T4 | Yes | $0 | NE |
| UHC Dual Complete KS-S001 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T4 | Yes | $0 | KS |
| UHC Dual Complete MO-S3 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T4 | Yes | $0 | MO |
| UHC Dual Complete KS-Q1 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T4 | Yes | $0 | KS |
Show the next 30 plans
Showing top 50 of 95 plans.
Frequently Asked Questions
Is trientine hydrochloride 500 MG Oral Capsule covered by Medicare Part D?
Yes, trientine hydrochloride 500 MG Oral Capsule is covered by 2,699 Medicare Part D plans (53.4% of all Part D formularies).
What tier is trientine hydrochloride 500 MG Oral Capsule on Medicare Part D plans?
trientine hydrochloride 500 MG Oral Capsule averages Tier 4.5 across Part D plans, ranging from Tier 1 to Tier 5.
Does trientine hydrochloride 500 MG Oral Capsule require prior authorization?
62.5% of Part D formularies require prior authorization for trientine hydrochloride 500 MG Oral Capsule. Step therapy: 5.4%. Quantity limits: 46.4%.
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
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