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.

Ohtuvayre (Ensifentrine)

Phosphodiesterase 3 Inhibitor

On Part D plan formularies — with restrictions

Found on the formularies of 448 of 5499 Medicare Part D plans in this dataset · Tiers 1–5 · prior authorization on 448 plans (100%) · quantity limits on 259 (58%), 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 448 of 5499 Medicare Part D plans in this dataset, but prior authorization appears on 448 of those 448 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 →

Plan	Tier	Prior Auth	Step Therapy	Qty Limit
Mass General Brigham SCO (HMO D-SNP) (H0777-001) (MA)	Tier 1	Yes	No	150 per 30 days
Mass General Brigham One Care (HMO D-SNP) (H1611-001) (MA)	Tier 1	Yes	No	150 per 30 days
NaviCare (HMO D-SNP) (H8928-001) (MA)	Tier 1	Yes	No	150 per 30 days
HealthSpring Preferred (HMO) (H0354-001) (AZ)	Tier 5	Yes	No	150 per 30 days
HealthSpring Achieve (HMO C-SNP) (H0354-027) (AZ)	Tier 5	Yes	No	150 per 30 days
HealthSpring Alliance (HMO) (H0354-028) (AZ)	Tier 5	Yes	No	150 per 30 days
HealthSpring Preferred Savings (HMO) (H0354-029) (AZ)	Tier 5	Yes	No	150 per 30 days
HealthSpring Preferred Full Savings (HMO) (H0354-030) (AZ)	Tier 5	Yes	No	150 per 30 days
HealthSpring Preferred GA (HMO) (H0439-003) (segment 1) (GA)	Tier 5	Yes	No	150 per 30 days
HealthSpring Preferred (HMO) (H0439-008) (GA)	Tier 5	Yes	No	150 per 30 days
HealthSpring Preferred (HMO) (H0439-009) (GA)	Tier 5	Yes	No	150 per 30 days
HealthSpring Preferred (HMO) (H0439-010) (GA)	Tier 5	Yes	No	150 per 30 days
HealthSpring Preferred (HMO) (H0439-011) (GA)	Tier 5	Yes	No	150 per 30 days
HealthSpring TotalCare Plus (HMO D-SNP) (H0439-012) (GA)	Tier 5	Yes	No	150 per 30 days
HealthSpring Preferred (HMO) (H0439-013) (GA)	Tier 5	Yes	No	150 per 30 days
HealthSpring Preferred (HMO) (H0439-015) (segment 1) (GA)	Tier 5	Yes	No	150 per 30 days
HealthSpring Preferred (HMO) (H0439-015) (segment 2) (GA)	Tier 5	Yes	No	150 per 30 days
HealthSpring Preferred Savings (HMO) (H0439-016) (GA)	Tier 5	Yes	No	150 per 30 days
HealthSpring Preferred Savings (HMO) (H0439-017) (GA)	Tier 5	Yes	No	150 per 30 days
HealthSpring Preferred Savings (HMO) (H0439-018) (GA)	Tier 5	Yes	No	150 per 30 days
HealthSpring Preferred Savings (HMO) (H0439-019) (GA)	Tier 5	Yes	No	150 per 30 days
HealthSpring Preferred (HMO) (H0439-020) (MO)	Tier 5	Yes	No	150 per 30 days
HealthSpring Preferred Savings (HMO) (H0439-021) (MO)	Tier 5	Yes	No	150 per 30 days
HealthSpring TotalCare Plus (HMO D-SNP) (H0439-023) (MO)	Tier 5	Yes	No	150 per 30 days
HealthSpring Premier (HMO-POS) (H0439-024) (UT)	Tier 5	Yes	No	150 per 30 days

One row per plan — showing 25 of 448 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=ensifentrine