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.

Neupro (Rotigotine)

Nonergot Dopamine Agonist

On Part D plan formularies

Found on the formularies of 1839 of 5499 Medicare Part D plans in this dataset · Tiers 1–4 · prior authorization on 24 plans (1%) · step therapy on 33 (2%) · quantity limits on 293 (16%), 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 1839 of 5499 Medicare Part D plans in this dataset (Tiers 1–4). Check your specific plan for its tier and copay — a low tier does not always beat a discount card.
Compare cash & discount prices →
PlanTierPrior AuthStep TherapyQty Limit
Hamaspik Medicare Choice (HMO D-SNP) (H0034-002) (NY) Tier 1 No No None
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 None
SeniorCare Complete (HMO D-SNP) (H2419-001) (MN) Tier 1 No No None
SecureBlue (HMO D-SNP) (H2425-001) (MN) Tier 1 No No None
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 None
HAP CareSource MI Coordinated Health (HMO D-SNP) (H4193-001) (MI) Tier 1 No No None
AbilityCare (HMO D-SNP) (H5703-001) (MN) Tier 1 No No None
Platino Blindao (HMO D-SNP) (H5774-028) (PR) Tier 1 Yes No None
Platino Enlace (HMO D-SNP) (H5774-035) (PR) Tier 1 Yes No None
PLATINO ADVANCE (HMO D-SNP) (H5774-041) (segment 1) (PR) Tier 1 Yes No None
PLATINO ADVANCE (HMO D-SNP) (H5774-041) (segment 2) (PR) Tier 1 Yes No None
PLATINO ADVANCE (HMO D-SNP) (H5774-041) (segment 3) (PR) Tier 1 Yes No None
PLATINO ADVANCE (HMO D-SNP) (H5774-041) (segment 4) (PR) Tier 1 Yes No None
PLATINO ADVANCE (HMO D-SNP) (H5774-041) (segment 5) (PR) Tier 1 Yes No None
PLATINO PLUS (HMO D-SNP) (H5774-043) (segment 1) (PR) Tier 1 Yes No None
PLATINO PLUS (HMO D-SNP) (H5774-043) (segment 2) (PR) Tier 1 Yes No None
PLATINO PLUS (HMO D-SNP) (H5774-043) (segment 3) (PR) Tier 1 Yes No None
PLATINO PLUS (HMO D-SNP) (H5774-043) (segment 4) (PR) Tier 1 Yes No None
PLATINO PLUS (HMO D-SNP) (H5774-043) (segment 5) (PR) Tier 1 Yes No None
ElderServe MAP (HMO D-SNP) (H6776-002) (NY) Tier 1 No No None
Cooperative Advantage (HMO D-SNP) (H7598-003) (WI) Tier 1 No No None
CareSource Dual Advantage (HMO D-SNP) (H8390-015) (GA) Tier 1 No No None
Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) (H8634-009) (NM) Tier 1 No No None

One row per plan — showing 25 of 1839 plans; a Yes means the flag applies to at least one form/strength on that plan.

Acquisition cost (NADAC): $28.25763/unit — price effective 08/19/2026

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) · 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

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