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.
Veregen (Sinecatechins)
Found on the formularies of 52 of 5499 Medicare Part D plans in this dataset · Tiers 4–5 · quantity limits on 12 (23%), 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 |
|---|---|---|---|---|
| Freedom Medicare Plan Rx (HMO) (H5427-059) (FL) | Tier 4 | No | No | None |
| Freedom Medicare Plan Rx (HMO) (H5427-060) (FL) | Tier 4 | No | No | None |
| Freedom VIP Care (HMO C-SNP) (H5427-070) (FL) | Tier 4 | No | No | None |
| Freedom VIP Savings (HMO C-SNP) (H5427-072) (FL) | Tier 4 | No | No | None |
| Freedom VIP Savings COPD (HMO C-SNP) (H5427-077) (FL) | Tier 4 | No | No | None |
| Freedom Medi-Medi Partial (HMO D-SNP) (H5427-078) (FL) | Tier 4 | No | No | None |
| Freedom VIP Savings (HMO C-SNP) (H5427-082) (FL) | Tier 4 | No | No | None |
| Freedom VIP Savings COPD (HMO C-SNP) (H5427-083) (FL) | Tier 4 | No | No | None |
| Freedom Medi-Medi Full (HMO D-SNP) (H5427-087) (FL) | Tier 4 | No | No | None |
| Freedom Platinum Plan Rx (HMO) (H5427-088) (FL) | Tier 4 | No | No | None |
| Freedom Platinum Plan Rx (HMO) (H5427-089) (FL) | Tier 4 | No | No | None |
| Freedom Platinum Plan Rx (HMO) (H5427-091) (FL) | Tier 4 | No | No | None |
| Freedom Platinum Plan Rx (HMO) (H5427-093) (FL) | Tier 4 | No | No | None |
| Freedom Platinum Plan Rx (HMO) (H5427-094) (FL) | Tier 4 | No | No | None |
| Freedom Platinum Rewards Plan Rx (HMO) (H5427-096) (FL) | Tier 4 | No | No | None |
| Freedom VIP Rewards (HMO C-SNP) (H5427-099) (FL) | Tier 4 | No | No | None |
| Freedom Platinum Rewards Plan Rx (HMO) (H5427-102) (FL) | Tier 4 | No | No | None |
| Freedom Platinum Rewards Plan Rx (HMO) (H5427-103) (FL) | Tier 4 | No | No | None |
| Freedom Platinum Rewards Plan Rx (HMO) (H5427-105) (FL) | Tier 4 | No | No | None |
| Freedom Platinum Rewards Plan Rx (HMO) (H5427-106) (FL) | Tier 4 | No | No | None |
| Freedom Platinum Rewards Plan Rx (HMO) (H5427-107) (FL) | Tier 4 | No | No | None |
| Freedom VIP Rewards (HMO C-SNP) (H5427-108) (FL) | Tier 4 | No | No | None |
| Freedom Máximo (HMO-POS) (H5427-112) (FL) | Tier 4 | No | No | None |
| Freedom Máximo (HMO-POS) (H5427-113) (FL) | Tier 4 | No | No | None |
| Optimum Gold Rewards Plan (HMO) (H5594-001) (FL) | Tier 4 | No | No | None |
One row per plan — showing 25 of 52 plans; a Yes means the flag applies to at least one form/strength on that plan.
Acquisition cost (NADAC): $51.5116/unit — price effective 11/19/2025
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 11/19/2025 (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=sinecatechins