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.
NITRO-BID (Nitroglycerin)
Nitrate Vasodilator
Found on the formularies of 5499 of 5499 Medicare Part D plans in this dataset · Tiers 1–6 · prior authorization on 7 plans (0%) · quantity limits on 4233 (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 | No | No | None |
| UHC Complete Care WI-1 (PPO C-SNP) (H0294-002) (WI) | Tiers 1–4 | No | No | 30 per 30 days |
| MetroPlus UltraCare (HMO D-SNP) (H0423-007) (NY) | Tier 1 | No | No | 30 per 30 days |
| UHC Complete Care AL-5 (HMO-POS C-SNP) (H0432-017) (AL) | Tiers 1–4 | No | No | 30 per 30 days |
| UHC Complete Care CA-15P (HMO-POS C-SNP) (H0543-214) (CA) | Tiers 1–4 | No | No | 30 per 30 days |
| UHC Complete Care CA-18P (HMO-POS C-SNP) (H0543-217) (CA) | Tiers 1–4 | No | No | 30 per 30 days |
| UHC Complete Care CA-19P (HMO-POS C-SNP) (H0543-218) (CA) | Tiers 1–4 | No | No | 30 per 30 days |
| UHC Complete Care CA-20P (HMO-POS C-SNP) (H0543-219) (CA) | Tiers 1–4 | No | No | 30 per 30 days |
| UHC Complete Care CA-27P (HMO-POS C-SNP) (H0543-226) (CA) | Tiers 1–4 | No | No | 30 per 30 days |
| UHC Complete Care NV-4 (HMO-POS C-SNP) (H0609-037) (NV) | Tiers 1–4 | No | No | 30 per 30 days |
| UHC Complete Care AZ-1P (HMO-POS C-SNP) (H0609-042) (AZ) | Tiers 1–4 | No | No | 30 per 30 days |
| UHC Complete Care AZ-3P (HMO-POS C-SNP) (H0609-043) (AZ) | Tiers 1–4 | No | No | 30 per 30 days |
| UHC Complete Care CO-1P (HMO-POS C-SNP) (H0609-047) (CO) | Tiers 1–4 | No | No | 30 per 30 days |
| UHC Complete Care CO-2P (HMO-POS C-SNP) (H0609-049) (CO) | Tiers 1–4 | No | No | 30 per 30 days |
| UHC Complete Care TX-24 (HMO-POS C-SNP) (H0609-058) (TX) | Tiers 1–4 | No | No | 30 per 30 days |
| UHC Complete Care TX-3P (HMO-POS C-SNP) (H0609-062) (TX) | Tiers 1–4 | No | No | 30 per 30 days |
| UHC Complete Care CO-19 (HMO-POS C-SNP) (H0609-072) (CO) | Tiers 1–4 | No | No | 30 per 30 days |
| UHC Complete Care Support NV-11 (HMO-POS C-SNP) (H0609-076) (NV) | Tiers 1–4 | No | No | 30 per 30 days |
| Aetna Medicare Chronic Care (HMO C-SNP) (H0628-036) (OH) | Tiers 1–4 | No | No | 30 per 30 days |
| Aetna Medicare Chronic Care (HMO C-SNP) (H0628-037) (OH) | Tiers 1–4 | No | No | 30 per 30 days |
| Aetna Medicare Chronic Care (HMO C-SNP) (H0628-038) (OH) | Tiers 1–4 | No | No | 30 per 30 days |
| Aetna Medicare Chronic Care (HMO C-SNP) (H0628-039) (OH) | Tiers 1–4 | No | No | 30 per 30 days |
| Mass General Brigham SCO (HMO D-SNP) (H0777-001) (MA) | Tier 1 | No | No | 30 per 30 days |
| UHC Preferred Complete Care FL-0003 (HMO C-SNP) (H1045-018) (FL) | Tiers 1–4 | No | No | 30 per 30 days |
| UHC Complete Care FL-14 (HMO-POS C-SNP) (H1045-048) (segment 1) (FL) | Tiers 1–4 | 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): $0.48772/unit — price effective 08/19/2026
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 08/19/2026 (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=nitroglycerin