trientine tetrahydrochloride 300 MG Oral Tablet [Cuvrior]

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trientine tetrahydrochloride

RxCUI: 2611550

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.
5.4%
Plan Coverage
276
Plans Covering
T4.4
Avg Tier
100%
Prior Auth Required

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 276 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
276
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
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) CIGNA HEALTHCARE OF COLORADO, INC. T5 Yes $0 NM
HealthSpring Preferred (HMO) CIGNA HEALTHCARE OF COLORADO, INC. T5 Yes $0 OH
HealthSpring Preferred (HMO) CIGNA HEALTHCARE OF COLORADO, INC. T5 Yes $0 KY, OH
HealthSpring Preferred Savings (HMO) CIGNA HEALTHCARE OF COLORADO, INC. T5 Yes $0 OH
HealthSpring Preferred Savings (HMO) CIGNA HEALTHCARE OF COLORADO, INC. T5 Yes $0 KY, OH
HealthSpring Preferred (HMO) CIGNA 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

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 276 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%.

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