Drug Coverage Lookup
See how a prescription drug is placed across Medicare Part D plan formularies — tier, prior authorization, step therapy, and quantity limits, counted per unique plan.
Attruby (Acoramidis)
Found on the formularies of 814 of 5499 Medicare Part D plans in this dataset · Tiers 1–5 · prior authorization on 699 plans (86%) · quantity limits on 628 (77%), counting a plan when at least one form/strength carries the flag.
This is dataset-wide formulary placement (data current through 2026-08-31) — check your specific plan for its current coverage and restrictions.
| Plan | Tier | Prior Auth | Step Therapy | Qty Limit |
|---|---|---|---|---|
| Hamaspik Medicare Choice (HMO D-SNP) (H0034-002) (NY) | Tier 1 | Yes | No | 112 per 28 days |
| Mass General Brigham SCO (HMO D-SNP) (H0777-001) (MA) | Tier 1 | Yes | No | 112 per 28 days |
| Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) (H1587-001) (AR) | Tier 1 | Yes | No | 112 per 28 days |
| Mass General Brigham One Care (HMO D-SNP) (H1611-001) (MA) | Tier 1 | Yes | No | 112 per 28 days |
| Abilis Health Community (HMO I-SNP) (H2400-002) (KY,TN) | Tier 1 | Yes | No | 112 per 28 days |
| PrimeWest Senior Health Complete (HMO D-SNP) (H2416-001) (MN) | Tier 1 | Yes | No | 112 per 28 days |
| SecureBlue (HMO D-SNP) (H2425-001) (MN) | Tier 1 | Yes | No | 112 per 28 days |
| Prime Health Complete (HMO D-SNP) (H2926-001) (MN) | Tier 1 | Yes | No | 112 per 28 days |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) (H3251-029) (NM) | Tier 1 | Yes | No | 112 per 28 days |
| PruittHealth Premier D-SNP (HMO D-SNP) (H3291-002) (GA) | Tier 1 | Yes | No | 112 per 28 days |
| AllCare Advantage Redwood Rx (HMO D-SNP) (H3810-023) (OR) | Tier 1 | Yes | No | 112 per 28 days |
| Simpra Advantage Dual Care (PPO D-SNP) (H4091-002) (AL) | Tier 1 | Yes | No | 112 per 28 days |
| Elevate Medicare Choice (HMO D-SNP) (H5608-001) (CO) | Tier 1 | Yes | No | 112 per 28 days |
| Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) (H8634-009) (NM) | Tier 1 | Yes | No | 112 per 28 days |
| Nascentia Dual Advantage (HMO D-SNP) (H9066-003) (NY) | Tier 1 | Yes | No | 112 per 28 days |
| Alterwood Advantage Dual Secure (HMO D-SNP) (H9306-004) (MD) | Tier 1 | Yes | No | 112 per 28 days |
| Gold Coast Health Plan Total Care Advantage (HMO D-SNP) (H9623-001) (CA) | Tier 1 | Yes | No | 112 per 28 days |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) (H1526-004) (FL) | Tier 1 | Yes | No | 112 per 28 days |
| SECUR Advantage (HMO I-SNP) (H3048-001) (FL) | Tier 1 | Yes | No | 112 per 28 days |
| SECUR Enhanced (HMO I-SNP) (H3048-002) (FL) | Tier 1 | Yes | No | 112 per 28 days |
| ProCare Advantage (HMO-POS I-SNP) (H3467-001) (TX) | Tier 1 | Yes | No | 112 per 28 days |
| ProCare Advantage - Kidney Care (HMO-POS C-SNP) (H3467-002) (TX) | Tier 1 | Yes | No | 112 per 28 days |
| Texas Independence Health Plan, Inc. (HMO I-SNP) (H5015-001) (TX) | Tier 1 | Yes | No | 112 per 28 days |
| Texas Independence Community Plan (HMO I-SNP) (H5015-002) (TX) | Tier 1 | Yes | No | 112 per 28 days |
| American Health Advantage of Florida (HMO I-SNP) (H6652-001) (FL) | Tier 1 | Yes | No | 112 per 28 days |
One row per plan — showing 25 of 814 plans; a Yes means the flag applies to at least one form/strength on that plan.
Source: CMS Monthly Prescription Drug Plan Formulary and Pharmacy Network Information — data current through 2026-08-31 (CMS release 2026-08-26, refreshed monthly). Dataset-wide plan-year formulary placement, not a guarantee of your individual benefit — confirm with your plan or pharmacist.
Data: CMS Monthly Part D formulary files · FDA/RxNorm drug identity · CMS NADAC pricing — CMS Part D formulary data current through 2026-08-31 · source
GET https://insurewith.ai/tools/drug-coverage/data.json?drug=acoramidis