Medicare Part D coverage · trientine tetrahydrochloride · RxCUI 2611550

trientine tetrahydrochloride 300 MG Oral Tablet [Cuvrior]

Per the CMS 2026 Part D formulary file, trientine tetrahydrochloride 300 MG Oral Tablet [Cuvrior] is covered by 275 Medicare Part D plans (5.4% of enrollable products), averaging Tier 4.4, with prior authorization required on 100% of covering formularies.

5.4%
Plan coverage
275
Plans covering
T4.4
Avg tier
100%
Prior auth required

Verify with CMS →

Important: Drug coverage and costs vary by plan and location. Verify coverage directly with your Medicare plan before filling a prescription. This is informational data only and should not replace advice from your healthcare provider or pharmacist.

What the CMS Formulary Data Shows for trientine tetrahydrochloride 300 MG Oral Tablet [Cuvrior]

Per the CMS 2026 Part D formulary file, trientine tetrahydrochloride 300 MG Oral Tablet [Cuvrior] (RxNorm concept RXCUI 2611550, generic name trientine tetrahydrochloride) appears on 26 distinct formulary files spanning 275 Medicare Part D plan offerings - 5.4% 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 4.4.

Real-world access to trientine tetrahydrochloride 300 MG Oral Tablet [Cuvrior] depends on utilization management as much as tier placement: 100% of covering formularies require prior authorization. 0% require step therapy. 34.6% 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 tetrahydrochloride 300 MG Oral Tablet [Cuvrior] today.

Coverage Details

Formularies covering
26
Plans covering
275
Coverage rate
5.4%
Tier range
Tier 1 – Tier 5
Average tier
Tier 4, Non-Preferred

Restrictions

Prior authorization required
100% of formularies
Step therapy required
0% of formularies
Quantity limits
34.6% of formularies

Tier Distribution Across Plans

5 plans
Tier 1, Preferred Generic
95 plans
Tier 5, Specialty

Standalone Drug Plans (PDP) Covering trientine tetrahydrochloride 300 MG Oral Tablet [Cuvrior]

9 standalone prescription drug plans include this drug.

Plan Insurer Tier PA ST Premium States
HealthSpring Assurance Rx (PDP) Medco Containment Life AND Medco Containment NY T5 Yes No $0 -
HealthSpring Assurance Rx (PDP) Medco Containment Life AND Medco Containment NY T5 Yes No $0 -
HealthSpring Assurance Rx (PDP) Medco Containment Life AND Medco Containment NY T5 Yes No $0 -
HealthSpring Assurance Rx (PDP) Medco Containment Life AND Medco Containment NY T5 Yes No $0 -
HealthSpring Assurance Rx (PDP) Medco Containment Life AND Medco Containment NY T5 Yes No $0 -
HealthSpring Assurance Rx (PDP) Medco Containment Life AND Medco Containment NY T5 Yes No $0 -
HealthSpring Assurance Rx (PDP) Medco Containment Life AND Medco Containment NY T5 Yes No $0 -
HealthSpring Assurance Rx (PDP) Medco Containment Life AND Medco Containment NY T5 Yes No $0 -
HealthSpring Assurance Rx (PDP) Medco Containment Life AND Medco Containment NY T5 Yes No $0 -

Medicare Advantage Plans (MA-PD) Covering trientine tetrahydrochloride 300 MG Oral Tablet [Cuvrior]

91 Medicare Advantage plans with Part D drug coverage include this drug.

Plan Insurer Tier PA Premium States
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
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
Medicare BlueEssential (PPO) Excellus Health Plan, Inc. T5 Yes $0 NY
Medicare BlueActive (PPO) Excellus Health Plan, Inc. T5 Yes $0 NY
Medicare BlueVital (PPO) Excellus Health Plan, Inc. T5 Yes $0 NY
Univera SeniorChoice Basic (HMO) Excellus Health Plan, Inc. T5 Yes $0 NY
Univera SeniorChoice Extra (HMO) Excellus Health Plan, Inc. T5 Yes $0 NY
Medicare Blue Choice Core (HMO) Excellus Health Plan, Inc. T5 Yes $0 NY
Univera Medicare Dual (HMO D-SNP) Excellus Health Plan Community Care LLC T5 Yes $0 NY
Medicare Blue Dual (HMO D-SNP) Excellus Health Plan Community Care LLC T5 Yes $0 NY
HealthSpring Preferred (HMO) Bravo Health Pennsylvania, Inc. T5 Yes $0 AZ
HealthSpring Alliance (HMO) Bravo Health Pennsylvania, Inc. T5 Yes $0 AZ
HealthSpring Preferred Savings (HMO) Bravo Health Pennsylvania, Inc. T5 Yes $0 AZ
HealthSpring Preferred Full Savings (HMO) Bravo Health Pennsylvania, Inc. T5 Yes $0 AZ
HealthSpring Preferred GA (HMO) Healthspring Life & Health Insurance Company, Inc. T5 Yes $0 GA
HealthSpring Preferred (HMO) Healthspring Life & Health Insurance Company, Inc. T5 Yes $0 GA
HealthSpring Preferred (HMO) Healthspring Life & Health Insurance Company, Inc. T5 Yes $0 GA
Show the next 30 plans
HealthSpring Preferred (HMO) Healthspring Life & Health Insurance Company, Inc. T5 Yes $0 GA
HealthSpring Preferred (HMO) Healthspring Life & Health Insurance Company, Inc. T5 Yes $0 GA
HealthSpring Preferred (HMO) Healthspring Life & Health Insurance Company, Inc. T5 Yes $0 GA
HealthSpring Preferred (HMO) Healthspring Life & Health Insurance Company, Inc. T5 Yes $0 GA
HealthSpring Preferred Savings (HMO) Healthspring Life & Health Insurance Company, Inc. T5 Yes $0 GA
HealthSpring Preferred Savings (HMO) Healthspring Life & Health Insurance Company, Inc. T5 Yes $0 GA
HealthSpring Preferred Savings (HMO) Healthspring Life & Health Insurance Company, Inc. T5 Yes $0 GA
HealthSpring Preferred Savings (HMO) Healthspring Life & Health Insurance Company, Inc. T5 Yes $0 GA
HealthSpring Preferred (HMO) Healthspring Life & Health Insurance Company, Inc. T5 Yes $0 MO
HealthSpring Preferred Savings (HMO) Healthspring Life & Health Insurance Company, Inc. T5 Yes $0 MO
HealthSpring Premier (HMO-POS) Healthspring Life & Health Insurance Company, Inc. T5 Yes $0 UT
HealthSpring Preferred (HMO) Healthspring Healthcare OF Colorado, Inc. T5 Yes $0 NM
HealthSpring Preferred (HMO) Healthspring Healthcare OF Colorado, Inc. T5 Yes $0 OH
HealthSpring Preferred (HMO) Healthspring Healthcare OF Colorado, Inc. T5 Yes $0 KY, OH
HealthSpring Preferred Savings (HMO) Healthspring Healthcare OF Colorado, Inc. T5 Yes $0 OH
HealthSpring Preferred Savings (HMO) Healthspring Healthcare OF Colorado, Inc. T5 Yes $0 KY, OH
HealthSpring Preferred (HMO) Healthspring Healthcare OF Colorado, Inc. T5 Yes $0 CO
HealthSpring Preferred (HMO) Bravo Health Mid-atlantic, Inc. T5 Yes $0 DC, DE
HealthSpring Preferred PA (HMO) Bravo Health Pennsylvania, Inc. T5 Yes $0 PA
HealthSpring Preferred (HMO) Bravo Health Pennsylvania, Inc. T5 Yes $0 PA
HealthSpring Preferred (HMO) Bravo Health Pennsylvania, Inc. T5 Yes $0 PA
HealthSpring Preferred (HMO) Bravo Health Pennsylvania, Inc. T5 Yes $0 PA
HealthSpring Preferred (HMO) Bravo Health Pennsylvania, Inc. T5 Yes $0 PA
HealthSpring Preferred (HMO) Bravo Health Pennsylvania, Inc. T5 Yes $0 PA
HealthSpring Preferred Savings (HMO) Bravo Health Pennsylvania, Inc. T5 Yes $0 PA
HealthSpring Preferred (HMO) Bravo Health Pennsylvania, Inc. T5 Yes $0 NJ
HealthSpring Preferred (HMO) Healthspring Life & Health Insurance Company, Inc. T5 Yes $0 MS
HealthSpring Preferred (HMO) Healthspring Life & Health Insurance Company, Inc. T5 Yes $0 WA
HealthSpring Preferred (HMO) Healthspring Life & Health Insurance Company, Inc. T5 Yes $0 OR, WA
HealthSpring Preferred (HMO) Healthspring Life & Health Insurance Company, Inc. T5 Yes $0 TX

Showing top 50 of 91 plans.

Frequently Asked Questions

Is trientine tetrahydrochloride 300 MG Oral Tablet [Cuvrior] covered by Medicare Part D?

Yes, trientine tetrahydrochloride 300 MG Oral Tablet [Cuvrior] is covered by 275 Medicare Part D plans (5.4% of all Part D formularies).

What tier is trientine tetrahydrochloride 300 MG Oral Tablet [Cuvrior] on Medicare Part D plans?

trientine tetrahydrochloride 300 MG Oral Tablet [Cuvrior] averages Tier 4.4 across Part D plans, ranging from Tier 1 to Tier 5.

Does trientine tetrahydrochloride 300 MG Oral Tablet [Cuvrior] require prior authorization?

100% of Part D formularies require prior authorization for trientine tetrahydrochloride 300 MG Oral Tablet [Cuvrior]. Step therapy: 0%. Quantity limits: 34.6%.

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.

Data sourced from the Centers for Medicare & Medicaid Services (CMS). See our methodology for details. Retrieved and formatted by PlainMedicare