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.
DESCOVY (Emtricitabine and Tenofovir Alafenamide)
Human Immunodeficiency Virus Nucleoside Analog Reverse Transcriptase Inhibitor
Found on the formularies of 5499 of 5499 Medicare Part D plans in this dataset · Tiers 1–6 · quantity limits on 3763 (68%), 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 | No | No | 30 per 30 days |
| MetroPlus UltraCare (HMO D-SNP) (H0423-007) (NY) | Tier 1 | No | No | None |
| Mass General Brigham SCO (HMO D-SNP) (H0777-001) (MA) | Tier 1 | No | No | 30 per 30 days |
| Johns Hopkins Advantage MD D-SNP (HMO D-SNP) (H1225-003) (MD) | Tier 1 | No | No | None |
| CCA One Care (HMO D-SNP) (H1486-001) (MA) | Tier 1 | No | No | None |
| Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) (H1587-001) (AR) | Tier 1 | No | No | 30 per 30 days |
| Mass General Brigham One Care (HMO D-SNP) (H1611-001) (MA) | Tier 1 | No | No | 30 per 30 days |
| Community Care's Partnership Program (HMO D-SNP) (H2034-001) (WI) | Tier 1 | No | No | None |
| Alameda Alliance Wellness (HMO D-SNP) (H2035-001) (CA) | Tier 1 | No | No | 30 per 30 days |
| Senior Whole Health SCO (HMO D-SNP) (H2224-001) (MA) | Tier 1 | No | No | None |
| Senior Whole Health SCO NHC (HMO D-SNP) (H2224-003) (MA) | Tier 1 | No | No | None |
| CCA Senior Care Options (HMO D-SNP) (H2225-001) (MA) | Tier 1 | No | No | None |
| Abilis Health Community (HMO I-SNP) (H2400-002) (KY,TN) | Tier 1 | No | No | 30 per 30 days |
| PrimeWest Senior Health Complete (HMO D-SNP) (H2416-001) (MN) | Tier 1 | No | No | 30 per 30 days |
| IMCare Classic (HMO D-SNP) (H2417-001) (MN) | Tier 1 | No | No | None |
| SeniorCare Complete (HMO D-SNP) (H2419-001) (MN) | Tier 1 | No | No | 30 per 30 days |
| SecureBlue (HMO D-SNP) (H2425-001) (MN) | Tier 1 | No | No | 30 per 30 days |
| Sentara Community Complete Select (HMO D-SNP) (H2563-020) (VA) | Tier 1 | No | No | None |
| Prime Health Complete (HMO D-SNP) (H2926-001) (MN) | Tier 1 | No | No | 30 per 30 days |
| Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP) (H3127-001) (MI) | Tier 1 | No | No | None |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) (H3251-029) (NM) | Tier 1 | No | No | 30 per 30 days |
| PruittHealth Premier D-SNP (HMO D-SNP) (H3291-002) (GA) | Tier 1 | No | No | 30 per 30 days |
| Elderplan Plus Long-Term Care (HMO-POS D-SNP) (H3347-007) (NY) | Tier 1 | No | No | None |
| Healthfirst CompleteCare (HMO D-SNP) (H3359-034) (NY) | Tier 1 | No | No | None |
| AllCare Advantage Redwood Rx (HMO D-SNP) (H3810-023) (OR) | Tier 1 | No | No | 30 per 30 days |
One row per plan — showing 25 of 5499 plans; a Yes means the flag applies to at least one form/strength on that plan.
Acquisition cost (NADAC): $74.85402/unit — price effective 06/29/2026
Source: CMS Monthly Prescription Drug Plan Formulary and Pharmacy Network Information — data current through 2026-08-31 (CMS release 2026-08-26, refreshed monthly) · NADAC price effective 06/29/2026 (per-NDC last change, not a data-staleness date). 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=emtricitabine-and-tenofovir-alafenamide