Twice-Daily deferiprone 1000 MG Oral Tablet [Ferriprox]

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Twice-Daily deferiprone

RxCUI: 2685015

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.
3.9%
Plan Coverage
196
Plans Covering
T4.9
Avg Tier
70%
Prior Auth Required

What the CMS Formulary Data Shows for Twice-Daily deferiprone 1000 MG Oral Tablet [Ferriprox]

Per the CMS 2026 Part D formulary file, Twice-Daily deferiprone 1000 MG Oral Tablet [Ferriprox] (RxNorm concept RXCUI 2685015, generic name Twice-Daily deferiprone) appears on 10 distinct formulary files spanning 196 Medicare Part D plan offerings - 3.9% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 4 to Tier 5, with a cross-plan average of Tier 4.9.

Real-world access to Twice-Daily deferiprone 1000 MG Oral Tablet [Ferriprox] depends on utilization management as much as tier placement: 70% of covering formularies require prior authorization. 0% require step therapy. 0% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 40 Part D beneficiaries filled Twice-Daily deferiprone 1000 MG Oral Tablet [Ferriprox] in 2023, with total plan-and-beneficiary spending of $3,680,026 and an average per-beneficiary annual cost of $92,000.66. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry Twice-Daily deferiprone 1000 MG Oral Tablet [Ferriprox] today.

Coverage Details

Formularies covering
10
Plans covering
196
Coverage rate
3.9%
Tier range
Tier 4 – Tier 5
Average tier
Tier 5, Specialty

Restrictions

Prior authorization required
70% of formularies
Step therapy required
0% of formularies
Quantity limits
0% of formularies

2023 Medicare Spending

Beneficiaries
40
Total spending
$3,680,026
Avg per beneficiary
$92,000.66

Tier Distribution Across Plans

4 plans
Tier 4, Non-Preferred
96 plans
Tier 5, Specialty

Medicare Advantage Plans (MA-PD) Covering Twice-Daily deferiprone 1000 MG Oral Tablet [Ferriprox]

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

Plan Insurer Tier PA Premium States
Leon MediExtra (HMO) LEON HEALTH, INC. T4 Yes $0 FL
Leon MediDual (HMO D-SNP) LEON HEALTH, INC. T4 Yes $0 FL
Leon MediMore (HMO) LEON HEALTH, INC. T4 Yes $0 FL
Leon MediMax (HMO D-SNP) LEON HEALTH, INC. T4 Yes $0 FL
Medicare BlueEssential (PPO) EXCELLUS HEALTH PLAN, INC. T5 No $0 NY
Medicare BlueActive (PPO) EXCELLUS HEALTH PLAN, INC. T5 No $0 NY
Medicare BlueVital (PPO) EXCELLUS HEALTH PLAN, INC. T5 No $0 NY
Univera SeniorChoice Basic (HMO) EXCELLUS HEALTH PLAN, INC. T5 No $0 NY
Univera SeniorChoice Extra (HMO) EXCELLUS HEALTH PLAN, INC. T5 No $0 NY
Medicare Blue Choice Core (HMO) EXCELLUS HEALTH PLAN, INC. T5 No $0 NY
Univera Medicare Dual (HMO D-SNP) EXCELLUS HEALTH PLAN COMMUNITY CARE LLC T5 No $0 NY
Medicare Blue Dual (HMO D-SNP) EXCELLUS HEALTH PLAN COMMUNITY CARE LLC T5 No $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
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T5 Yes $0 GA

Frequently Asked Questions

Is Twice-Daily deferiprone 1000 MG Oral Tablet [Ferriprox] covered by Medicare Part D?

Yes, Twice-Daily deferiprone 1000 MG Oral Tablet [Ferriprox] is covered by 196 Medicare Part D plans (3.9% of all Part D formularies).

What tier is Twice-Daily deferiprone 1000 MG Oral Tablet [Ferriprox] on Medicare Part D plans?

Twice-Daily deferiprone 1000 MG Oral Tablet [Ferriprox] averages Tier 4.9 across Part D plans, ranging from Tier 4 to Tier 5.

Does Twice-Daily deferiprone 1000 MG Oral Tablet [Ferriprox] require prior authorization?

70% of Part D formularies require prior authorization for Twice-Daily deferiprone 1000 MG Oral Tablet [Ferriprox]. Step therapy: 0%. Quantity limits: 0%.

How much does Medicare spend on Twice-Daily deferiprone 1000 MG Oral Tablet [Ferriprox]?

In 2023, total Medicare Part D spending on Twice-Daily deferiprone 1000 MG Oral Tablet [Ferriprox] was $3,680,026, covering 40 beneficiaries. The average spend per beneficiary was $92,000.66.

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