vamorolone 40 MG/ML Oral Suspension [Agamree]
vamorolone
RxCUI: 2669810
What the CMS Formulary Data Shows for vamorolone 40 MG/ML Oral Suspension [Agamree]
Per the CMS 2026 Part D formulary file, vamorolone 40 MG/ML Oral Suspension [Agamree] (RxNorm concept RXCUI 2669810, generic name vamorolone) appears on 8 distinct formulary files spanning 21 Medicare Part D plan offerings - 0.4% 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 3.5.
Real-world access to vamorolone 40 MG/ML Oral Suspension [Agamree] depends on utilization management as much as tier placement: 100% of covering formularies require prior authorization. 0% require step therapy. 37.5% 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 vamorolone 40 MG/ML Oral Suspension [Agamree] today.
Coverage Details
- Formularies covering
- 8
- Plans covering
- 21
- Coverage rate
- 0.4%
- 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
- 37.5% of formularies
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering vamorolone 40 MG/ML Oral Suspension [Agamree]
21 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 |
| 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 |
| Fallon Medicare Plus Orange (HMO) | FALLON COMMUNITY HEALTH PLAN | T5 | Yes | $0 | MA |
| Health First Rewards H1099-014 (HMO) | HEALTH FIRST HEALTH PLANS | T5 | Yes | $0 | FL |
| Health First SunSaver H1099-016 (HMO) | HEALTH FIRST HEALTH PLANS | T5 | Yes | $0 | FL |
| Health First Complete Care H1099-023 (HMO) | HEALTH FIRST HEALTH PLANS | T5 | Yes | $0 | FL |
| Health First Emerald Plus H1099-024 (HMO) | HEALTH FIRST HEALTH PLANS | T5 | Yes | $0 | FL |
| Health First Premier Access H1099-025 (HMO-POS) | HEALTH FIRST HEALTH PLANS | T5 | Yes | $0 | FL |
| Health First Emerald Plus H1099-026 (HMO) | HEALTH FIRST HEALTH PLANS | T5 | Yes | $0 | FL |
| Health First Premier Access H1099-027 (HMO-POS) | HEALTH FIRST HEALTH PLANS | T5 | Yes | $0 | FL |
| Health First Emerald Plus H1099-028 (HMO) | HEALTH FIRST HEALTH PLANS | T5 | Yes | $0 | FL |
| Mass General Brigham Advantage (PPO) | Mass General Brigham Health Plan, Inc. | T5 | Yes | $0 | MA |
| CareOregon Advantage Plus (HMO D-SNP) | HEALTH PLAN OF CAREOREGON, INC. | T5 | Yes | $0 | OR |
| Health First Value H1099-006 (HMO) | HEALTH FIRST HEALTH PLANS | T5 | Yes | $15.00 | FL |
| Health First Classic H1099-001 (HMO-POS) | HEALTH FIRST HEALTH PLANS | T5 | Yes | $49.40 | FL |
| Fallon Medicare Plus Green (HMO) | FALLON COMMUNITY HEALTH PLAN | T5 | Yes | $56.40 | MA |
| Mass General Brigham Advantage Secure (HMO-POS) | Mass General Brigham Health Plan, Inc. | T5 | Yes | $62.00 | MA |
| Fallon Medicare Plus Blue (HMO) | FALLON COMMUNITY HEALTH PLAN | T5 | Yes | $72.10 | MA |
| Mass General Brigham Advantage Premier (PPO) | Mass General Brigham Health Plan, Inc. | T5 | Yes | $79.70 | MA |
| Mass General Brigham Advantage Signature (PPO) | Mass General Brigham Health Plan, Inc. | T5 | Yes | $147.20 | MA |
Frequently Asked Questions
Is vamorolone 40 MG/ML Oral Suspension [Agamree] covered by Medicare Part D?
Yes, vamorolone 40 MG/ML Oral Suspension [Agamree] is covered by 21 Medicare Part D plans (0.4% of all Part D formularies).
What tier is vamorolone 40 MG/ML Oral Suspension [Agamree] on Medicare Part D plans?
vamorolone 40 MG/ML Oral Suspension [Agamree] averages Tier 3.5 across Part D plans, ranging from Tier 1 to Tier 5.
Does vamorolone 40 MG/ML Oral Suspension [Agamree] require prior authorization?
100% of Part D formularies require prior authorization for vamorolone 40 MG/ML Oral Suspension [Agamree]. Step therapy: 0%. Quantity limits: 37.5%.
Read our methodology - how this data is sourced, computed, and verified.