voclosporin 7.9 MG Oral Capsule [Lupkynis]

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voclosporin

RxCUI: 2475406

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.
1.2%
Plan Coverage
59
Plans Covering
T4.1
Avg Tier
100%
Prior Auth Required

What the CMS Formulary Data Shows for voclosporin 7.9 MG Oral Capsule [Lupkynis]

Per the CMS 2026 Part D formulary file, voclosporin 7.9 MG Oral Capsule [Lupkynis] (RxNorm concept RXCUI 2475406, generic name voclosporin) appears on 22 distinct formulary files spanning 59 Medicare Part D plan offerings - 1.2% 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 4.1.

Real-world access to voclosporin 7.9 MG Oral Capsule [Lupkynis] depends on utilization management as much as tier placement: 100% of covering formularies require prior authorization. 0% require step therapy. 50% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 299 Part D beneficiaries filled voclosporin 7.9 MG Oral Capsule [Lupkynis] in 2023, with total plan-and-beneficiary spending of $20,169,855 and an average per-beneficiary annual cost of $67,457.71. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry voclosporin 7.9 MG Oral Capsule [Lupkynis] today.

Coverage Details

Formularies covering
22
Plans covering
59
Coverage rate
1.2%
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
50% of formularies

2023 Medicare Spending

Beneficiaries
299
Total spending
$20,169,855
Avg per beneficiary
$67,457.71

Tier Distribution Across Plans

5 plans
Tier 1, Preferred Generic
1 plans
Tier 2, Generic
53 plans
Tier 5, Specialty

Medicare Advantage Plans (MA-PD) Covering voclosporin 7.9 MG Oral Capsule [Lupkynis]

59 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
CalOptima Health OneCare Complete (HMO D-SNP) ORANGE COUNTY HEALTH AUTHORITY T2 Yes $0 CA
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T5 Yes $0 UT
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T5 Yes $0 NV
Select Health Medicare Dual (HMO D-SNP) SELECTHEALTH, INC. T5 Yes $0 UT
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T5 Yes $0 UT
Select Health Medicare + Kroger (HMO) SELECTHEALTH, INC. T5 Yes $0 NV
Select Health Medicare + Kroger (HMO) SELECTHEALTH, INC. T5 Yes $0 UT
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T5 Yes $0 CO
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T5 Yes $0 CO
Select Health Medicare + Kroger (HMO) SELECTHEALTH, INC. T5 Yes $0 CO
Select Health Medicare Flex (HMO) SELECTHEALTH, INC. T5 Yes $0 CO
Select Health Medicare + Kroger (HMO) SELECTHEALTH, INC. T5 Yes $0 CO
Select Health Medicare Active (HMO) SELECTHEALTH, INC. T5 Yes $0 CO
Select Health Medicare Dual (HMO D-SNP) SELECTHEALTH, INC. T5 Yes $0 NV
Select Health Medicare Wellness (HMO) SELECTHEALTH, INC. T5 Yes $0 NV
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
Troy Medicare (HMO) TROY HEALTH, INC. T5 Yes $0 NC
Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) TROY HEALTH, INC. T5 Yes $0 NC
Contra Costa Health Care Plus (HMO D-SNP) CONTRA COSTA COUNTY MEDICAL SERVICE DBA CONTRA COSTA HEALTH T5 Yes $0 CA
Keystone First VIP Choice (HMO D-SNP) VISTA HEALTH PLAN, INC. T5 Yes $0 PA
AmeriHealth Caritas VIP Care (HMO D-SNP) VISTA HEALTH PLAN, INC. T5 Yes $0 PA
First Choice VIP Care (HMO D-SNP) SELECT HEALTH OF SOUTH CAROLINA, INC. T5 Yes $0 SC
AmeriHealth Caritas VIP Care (HMO D-SNP) AmeriHealth Caritas VIP Next, Inc. T5 Yes $0 DE
AmeriHealth Caritas VIP Care Choice (HMO D-SNP) AmeriHealth Caritas VIP Next, Inc. T5 Yes $0 DE
AmeriHealth Caritas VIP Care (HMO D-SNP) AMERIHEALTH CARITAS FLORIDA INC T5 Yes $0 FL
AmeriHealth Caritas VIP Care (HMO D-SNP) AMERIHEALTH CARITAS LOUISIANA, INC. T5 Yes $0 LA
AmeriHealth Caritas VIP Care (HMO D-SNP) AMERIHEALTH CARITAS NORTH CAROLINA, INC. T5 Yes $0 NC
AmeriHealth Caritas VIP Care (HMO D-SNP) AMERIHEALTH MICHIGAN, INC. T5 Yes $0 MI
Healthy Mississippi Premier Advantage (HMO-POS) Healthy Mississippi, Inc. T5 Yes $0 MS
CDPHP $0 Medicare Rx (HMO) CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC. T5 Yes $0 NY
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
Univera SeniorChoice Core (PPO) EXCELLUS HEALTH PLAN, INC. T5 Yes $33.00 NY
Univera SeniorChoice Advanced (HMO-POS) EXCELLUS HEALTH PLAN, INC. T5 Yes $36.90 NY
Medicare BlueClassic (PPO) EXCELLUS HEALTH PLAN, INC. T5 Yes $51.00 NY
Univera SeniorChoice Secure (HMO-POS) EXCELLUS HEALTH PLAN, INC. T5 Yes $54.90 NY
Medicare BlueBalanced (PPO) EXCELLUS HEALTH PLAN, INC. T5 Yes $55.00 NY
Medicare Blue Choice Prime (HMO) EXCELLUS HEALTH PLAN, INC. T5 Yes $55.00 NY

Frequently Asked Questions

Is voclosporin 7.9 MG Oral Capsule [Lupkynis] covered by Medicare Part D?

Yes, voclosporin 7.9 MG Oral Capsule [Lupkynis] is covered by 59 Medicare Part D plans (1.2% of all Part D formularies).

What tier is voclosporin 7.9 MG Oral Capsule [Lupkynis] on Medicare Part D plans?

voclosporin 7.9 MG Oral Capsule [Lupkynis] averages Tier 4.1 across Part D plans, ranging from Tier 1 to Tier 5.

Does voclosporin 7.9 MG Oral Capsule [Lupkynis] require prior authorization?

100% of Part D formularies require prior authorization for voclosporin 7.9 MG Oral Capsule [Lupkynis]. Step therapy: 0%. Quantity limits: 50%.

How much does Medicare spend on voclosporin 7.9 MG Oral Capsule [Lupkynis]?

In 2023, total Medicare Part D spending on voclosporin 7.9 MG Oral Capsule [Lupkynis] was $20,169,855, covering 299 beneficiaries. The average spend per beneficiary was $67,457.71.

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