Medicare Part D coverage · varenicline · RxCUI 2572371

varenicline 0.03 MG/ACTUAT Nasal Spray [Tyrvaya]

Per the CMS 2026 Part D formulary file, varenicline 0.03 MG/ACTUAT Nasal Spray [Tyrvaya] is covered by 972 Medicare Part D plans (19.2% of enrollable products), averaging Tier 3.6, with prior authorization required on 2.6% of covering formularies.

19.2%
Plan coverage
972
Plans covering
T3.6
Avg tier
2.6%
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 varenicline 0.03 MG/ACTUAT Nasal Spray [Tyrvaya]

Per the CMS 2026 Part D formulary file, varenicline 0.03 MG/ACTUAT Nasal Spray [Tyrvaya] (RxNorm concept RXCUI 2572371, generic name varenicline) appears on 38 distinct formulary files spanning 972 Medicare Part D plan offerings - 19.2% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 3.6.

Real-world access to varenicline 0.03 MG/ACTUAT Nasal Spray [Tyrvaya] depends on utilization management as much as tier placement: 2.6% of covering formularies require prior authorization. 7.9% require step therapy. 81.6% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 197,586 Part D beneficiaries filled varenicline 0.03 MG/ACTUAT Nasal Spray [Tyrvaya] in 2023, with total plan-and-beneficiary spending of $189,563,599 and an average per-beneficiary annual cost of $959.40. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry varenicline 0.03 MG/ACTUAT Nasal Spray [Tyrvaya] today.

Coverage Details

Formularies covering
38
Plans covering
972
Coverage rate
19.2%
Tier range
Tier 1 – Tier 4
Average tier
Tier 4, Non-Preferred

Restrictions

Prior authorization required
2.6% of formularies
Step therapy required
7.9% of formularies
Quantity limits
81.6% of formularies

2023 Medicare Spending

Beneficiaries
197,586
Total spending
$189,563,599
Avg per beneficiary
$959.40

Tier Distribution Across Plans

21 plans
Tier 1, Preferred Generic
1 plans
Tier 2, Generic
15 plans
Tier 3, Preferred Brand
63 plans
Tier 4, Non-Preferred

Standalone Drug Plans (PDP) Covering varenicline 0.03 MG/ACTUAT Nasal Spray [Tyrvaya]

2 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 No No $0 -
AARP Medicare Rx Preferred from UHC (PDP) Unitedhealthcare INS. Co. & UHC INS. Co. OF NY T4 No No $0 -

Medicare Advantage Plans (MA-PD) Covering varenicline 0.03 MG/ACTUAT Nasal Spray [Tyrvaya]

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

Plan Insurer Tier PA Premium States
Provider Partners Pennsylvania Community Plan (HMO I-SNP) Provider Partners Health Plan OF Pennsylvania, Inc T1 No $0 PA
Provider Partners North Carolina Community Plan (HMO I-SNP) Provider Partners Health Plan OF North Carolina T1 No $0 NC
Provider Partners Indiana Community Plan (HMO I-SNP) Provider Partners Health Plan OF Indiana T1 No $0 IN
Provider Partners Missouri Community Plan (HMO I-SNP) Provider Partners Health Plan OF Missouri, Inc. T1 No $0 MO
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
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
Provider Partners Texas Advantage Plan (HMO I-SNP) Provider Partners Health Plan OF Texas, Inc. T1 No $4.80 TX
Provider Partners Illinois Advantage Plan (HMO I-SNP) Provider Partners Health Plan OF Illinois T1 No $15.20 IL
Provider Partners Pennsylvania Advantage Plan (HMO I-SNP) Provider Partners Health Plan OF Pennsylvania, Inc T1 No $32.70 PA
Provider Partners Pennsylvania Essential Plan (HMO I-SNP) Provider Partners Health Plan OF Pennsylvania, Inc T1 No $32.70 PA
Provider Partners North Carolina Advantage Plan (HMO I-SNP) Provider Partners Health Plan OF North Carolina T1 No $36.20 NC
Provider Partners North Carolina Essential Plan (HMO I-SNP) Provider Partners Health Plan OF North Carolina T1 No $36.20 NC
Provider Partners Indiana Advantage Plan (HMO I-SNP) Provider Partners Health Plan OF Indiana T1 No $38.40 IN
Provider Partners Indiana Essential Plan (HMO I-SNP) Provider Partners Health Plan OF Indiana T1 No $38.40 IN
Provider Partners Kentucky Advantage Plan (HMO I-SNP) Provider Partners Health Plan OF Kentucky T1 No $38.40 KY
Provider Partners Missouri Advantage Plan (HMO I-SNP) Provider Partners Health Plan OF Missouri, Inc. T1 No $43.00 MO
Show the next 30 plans
Provider Partners Missouri Essential Plan (HMO I-SNP) Provider Partners Health Plan OF Missouri, Inc. T1 No $43.00 MO
CalOptima Health OneCare Complete (HMO D-SNP) Orange County Health Authority T2 Yes $0 CA
Select Health Medicare Essential (HMO) Selecthealth, Inc. T3 No $0 UT
Select Health Medicare Essential (HMO) Selecthealth, Inc. T3 No $0 NV
Select Health Medicare Dual (HMO D-SNP) Selecthealth, Inc. T3 No $0 UT
Select Health Medicare Essential (HMO) Selecthealth, Inc. T3 No $0 UT
Select Health Medicare + Kroger (HMO) Selecthealth, Inc. T3 No $0 NV
Select Health Medicare + Kroger (HMO) Selecthealth, Inc. T3 No $0 UT
Select Health Medicare Essential (HMO) Selecthealth, Inc. T3 No $0 CO
Select Health Medicare Essential (HMO) Selecthealth, Inc. T3 No $0 CO
Select Health Medicare + Kroger (HMO) Selecthealth, Inc. T3 No $0 CO
Select Health Medicare Flex (HMO) Selecthealth, Inc. T3 No $0 CO
Select Health Medicare + Kroger (HMO) Selecthealth, Inc. T3 No $0 CO
Select Health Medicare Active (HMO) Selecthealth, Inc. T3 No $0 CO
Select Health Medicare Dual (HMO D-SNP) Selecthealth, Inc. T3 No $0 NV
Select Health Medicare Wellness (HMO) Selecthealth, Inc. T3 No $0 NV
Healthy Mississippi Premier Advantage (HMO-POS) Healthy Mississippi, Inc. T3 No $0 MS
UHC Dual Complete IA-S001 (HMO-POS D-SNP) Unitedhealthcare OF Wisconsin, Inc. T4 No $0 IA
UHC Dual Complete MO-S001 (HMO-POS D-SNP) Unitedhealthcare OF Wisconsin, Inc. T4 No $0 MO
UHC Dual Complete NE-S001 (HMO-POS D-SNP) Unitedhealthcare OF Wisconsin, Inc. T4 No $0 NE
UHC Dual Complete KS-S001 (HMO-POS D-SNP) Unitedhealthcare OF Wisconsin, Inc. T4 No $0 KS
UHC Dual Complete MO-S3 (HMO-POS D-SNP) Unitedhealthcare OF Wisconsin, Inc. T4 No $0 MO
UHC Dual Complete KS-Q1 (HMO-POS D-SNP) Unitedhealthcare OF Wisconsin, Inc. T4 No $0 KS
UHC Dual Complete TN-S001 (HMO-POS D-SNP) Unitedhealthcare Plan OF THE River Valley, Inc. T4 No $0 TN
UHC Dual Complete TN-Y001 (HMO-POS D-SNP) Unitedhealthcare Plan OF THE River Valley, Inc. T4 No $0 TN
UHC Dual Complete TN-Y2 (HMO-POS D-SNP) Unitedhealthcare Plan OF THE River Valley, Inc. T4 No $0 TN
AARP Medicare Advantage from UHC MI-0001 (PPO) Unitedhealthcare Insurance Company T4 No $0 MI
UHC Dual Complete NM-Y1 (PPO D-SNP) Unitedhealthcare Insurance Company T4 No $0 NM
UHC Dual Complete NM-S1 (PPO D-SNP) Unitedhealthcare Insurance Company T4 No $0 NM
UHC Dual Complete NM-V1 (PPO D-SNP) Unitedhealthcare Insurance Company T4 No $0 NM

Showing top 50 of 98 plans.

Frequently Asked Questions

Is varenicline 0.03 MG/ACTUAT Nasal Spray [Tyrvaya] covered by Medicare Part D?

Yes, varenicline 0.03 MG/ACTUAT Nasal Spray [Tyrvaya] is covered by 972 Medicare Part D plans (19.2% of all Part D formularies).

What tier is varenicline 0.03 MG/ACTUAT Nasal Spray [Tyrvaya] on Medicare Part D plans?

varenicline 0.03 MG/ACTUAT Nasal Spray [Tyrvaya] averages Tier 3.6 across Part D plans, ranging from Tier 1 to Tier 4.

Does varenicline 0.03 MG/ACTUAT Nasal Spray [Tyrvaya] require prior authorization?

2.6% of Part D formularies require prior authorization for varenicline 0.03 MG/ACTUAT Nasal Spray [Tyrvaya]. Step therapy: 7.9%. Quantity limits: 81.6%.

How much does Medicare spend on varenicline 0.03 MG/ACTUAT Nasal Spray [Tyrvaya]?

In 2023, total Medicare Part D spending on varenicline 0.03 MG/ACTUAT Nasal Spray [Tyrvaya] was $189,563,599, covering 197,586 beneficiaries. The average spend per beneficiary was $959.40.

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