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.

Varubi (Rolapitant)

On Part D plan formularies — with restrictions

Found on the formularies of 251 of 5499 Medicare Part D plans in this dataset · Tiers 1–4 · prior authorization on 251 plans (100%) · quantity limits on 128 (51%), 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 251 of 5499 Medicare Part D plans in this dataset, but prior authorization appears on 251 of those 251 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
Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP) (H3127-001) (MI) Tier 1 Yes No None
HAP CareSource MI Coordinated Health (HMO D-SNP) (H4193-001) (MI) Tier 1 Yes No None
ElderServe MAP (HMO D-SNP) (H6776-002) (NY) Tier 1 Yes No None
Cooperative Advantage (HMO D-SNP) (H7598-003) (WI) Tier 1 Yes No None
CareSource Dual Advantage (HMO D-SNP) (H8390-015) (GA) Tier 1 Yes No None
Longevity Health Plan (PPO I-SNP) (H9942-002) (NJ) Tier 1 Yes No None
Longevity Health Plan (HMO I-SNP) (H1644-001) (FL) Tier 1 Yes No None
Longevity Health Plan (HMO I-SNP) (H7557-001) (MI) Tier 1 Yes No None
Longevity Health Plan (HMO I-SNP) (H9590-001) (IL) Tier 1 Yes No None
WellSense Added Value (HMO) (H6851-001) (NH) Tier 1 Yes No None
Longevity Health Plan (HMO I-SNP) (H0363-001) (CO) Tier 1 Yes No None
Longevity Health Plan (HMO I-SNP) (H5374-001) (NC) Tier 1 Yes No None
Longevity Health Plan (PPO I-SNP) (H9942-001) (NJ) Tier 1 Yes No None
ElderServe Star (HMO I-SNP) (H6776-001) (NY) Tier 1 Yes No None
Longevity Health Plan (HMO I-SNP) (H8457-001) (NY) Tier 1 Yes No None
Blue adVantage Liberty (PPO) (H1248-007) (LA) Tier 3 Yes No None
Blue adVantage Thrive (PPO) (H1248-014) (LA) Tier 3 Yes No None
Medica DUAL Solution (HMO D-SNP) (H2458-002) (MN) Tier 3 Yes No None
Essence Advantage (HMO) (H2610-005) (IL,MO) Tier 3 Yes No None
Essence Advantage (HMO) (H2610-015) (AR,MO) Tier 3 Yes No None
Essence Advantage Select (HMO) (H2610-016) (IL,MO) Tier 3 Yes No None
Essence Advantage (HMO) (H2610-021) (IN,KY) Tier 3 Yes No None
Essence Advantage Select (HMO) (H2610-027) (IL) Tier 3 Yes No None
The Health Plan SecureCare - Option II (HMO) (H3672-013) (OH) Tier 3 Yes No None
The Health Plan SecureCare - Option II (HMO) (H3672-020) (OH,WV) Tier 3 Yes No None

One row per plan — showing 25 of 251 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=rolapitant
InsureWith Assistant
Hi! I can help you understand drug coverage, formulary tiers, prior authorization, and more. What would you like to know?