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.

MYQORZO (Aficamten)

On Part D plan formularies — with restrictions

Found on the formularies of 43 of 5499 Medicare Part D plans in this dataset · Tiers 1–5 · prior authorization on 43 plans (100%) · quantity limits on 43 (100%), 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.

Found on the formularies of 43 of 5499 Medicare Part D plans in this dataset, but prior authorization appears on 43 of those 43 plans (for at least one form/strength). Check your specific plan for its current rules, and learn what your prescriber needs to submit.
How prior authorization works →
PlanTierPrior AuthStep TherapyQty Limit
Mass General Brigham SCO (HMO D-SNP) (H0777-001) (MA) Tier 1 Yes No 30 per 30 days
Mass General Brigham One Care (HMO D-SNP) (H1611-001) (MA) Tier 1 Yes No 30 per 30 days
Alameda Alliance Wellness (HMO D-SNP) (H2035-001) (CA) Tier 1 Yes No 30 per 30 days
SeniorCare Complete (HMO D-SNP) (H2419-001) (MN) Tier 1 Yes No 30 per 30 days
AbilityCare (HMO D-SNP) (H5703-001) (MN) Tier 1 Yes No 30 per 30 days
NaviCare (HMO D-SNP) (H8928-001) (MA) Tier 1 Yes No 30 per 30 days
CalOptima Health OneCare Complete (HMO D-SNP) (H5433-001) (CA) Tier 2 Yes No 30 per 30 days
HAP Medicare Explore (PPO) (H2322-011) (MI) Tier 4 Yes No 30 per 30 days
HAP Medicare Prime (PPO) (H2322-016) (MI) Tier 4 Yes No 30 per 30 days
HAP Medicare Connect (HMO) (H2354-015) (MI) Tier 4 Yes No 30 per 30 days
HAP Medicare Complete Duals (HMO D-SNP) (H2354-025) (MI) Tier 4 Yes No 30 per 30 days
HAP Medicare Superior (HMO) (H2354-028) (MI) Tier 4 Yes No 30 per 30 days
Henry Ford Select (HMO) (H2354-029) (MI) Tier 4 Yes No 30 per 30 days
HAP Member Assist (PPO) (H2322-017) (MI) Tier 4 Yes No 30 per 30 days
HAP Medicare Complete Assist (PPO D-SNP) (H2322-020) (MI) Tier 4 Yes No 30 per 30 days
HAP Medicare Diabetes and Heart (HMO C-SNP) (H2354-030) (MI) Tier 4 Yes No 30 per 30 days
HAP Senior Plus Henry Ford Tiered Access (HMO) (H2354-018) (MI) Tier 4 Yes No 30 per 30 days
HAP Senior Plus (HMO-POS) (H2354-021) (MI) Tier 4 Yes No 30 per 30 days
HAP Senior Plus (PPO) (H2322-008) (MI) Tier 4 Yes No 30 per 30 days
AmeriHealth Caritas VIP Care (HMO D-SNP) (H0738-001) (DE) Tier 5 Yes No 30 per 30 days
AmeriHealth Caritas VIP Care Choice (HMO D-SNP) (H0738-002) (DE) Tier 5 Yes No 30 per 30 days
AmeriHealth Caritas VIP Care (HMO D-SNP) (H2564-001) (LA) Tier 5 Yes No 30 per 30 days
Keystone First VIP Choice (HMO D-SNP) (H4227-001) (PA) Tier 5 Yes No 30 per 30 days
AmeriHealth Caritas VIP Care (HMO D-SNP) (H4227-002) (PA) Tier 5 Yes No 30 per 30 days
Troy Medicare (HMO) (H4676-001) (NC) Tier 5 Yes No 30 per 30 days

One row per plan — showing 25 of 43 plans; a Yes means the flag applies to at least one form/strength on that plan.

For benefits professionals
Plan sponsors and advisors: formulary-placement and utilization analysis across plans.
For benefits teams: plan formulary analysis →

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

Machine access — this tool is available as structured data for AI assistants and agents:
GET https://insurewith.ai/tools/drug-coverage/data.json?drug=aficamten
InsureWith Assistant
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