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.

Vosoritide

On Part D plan formularies — with restrictions

Found on the formularies of 23 of 5499 Medicare Part D plans in this dataset · Tiers 1–5 · prior authorization on 23 plans (100%) · quantity limits on 16 (70%), 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 23 of 5499 Medicare Part D plans in this dataset, but prior authorization appears on 23 of those 23 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
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) (H5932-001) (PA)	Tier 1	Yes	No	None
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) (H5932-012) (PA)	Tier 1	Yes	No	None
Highmark Health Options Duals (HMO D-SNP) (H6224-001) (WV)	Tier 1	Yes	No	None
Highmark Health Options Duals (HMO D-SNP) (H7710-001) (DE)	Tier 1	Yes	No	None
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) (H5932-013) (PA)	Tier 1	Yes	No	None
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) (H5932-009) (PA)	Tier 1	Yes	No	None
Highmark Health Options Duals Select (HMO D-SNP) (H7710-002) (DE)	Tier 1	Yes	No	None
Select Health Medicare Essential (HMO) (H1994-001) (UT)	Tier 5	Yes	No	30 per 30 days
Select Health Medicare Essential (HMO) (H1994-012) (NV)	Tier 5	Yes	No	30 per 30 days
Select Health Medicare Dual (HMO D-SNP) (H1994-015) (UT)	Tier 5	Yes	No	30 per 30 days
Select Health Medicare Essential (HMO) (H1994-017) (UT)	Tier 5	Yes	No	30 per 30 days
Select Health Medicare + Kroger (HMO) (H1994-021) (NV)	Tier 5	Yes	No	30 per 30 days
Select Health Medicare + Kroger (HMO) (H1994-022) (UT)	Tier 5	Yes	No	30 per 30 days
Select Health Medicare Essential (HMO) (H1994-027) (CO)	Tier 5	Yes	No	30 per 30 days
Select Health Medicare Essential (HMO) (H1994-029) (CO)	Tier 5	Yes	No	30 per 30 days
Select Health Medicare + Kroger (HMO) (H1994-030) (CO)	Tier 5	Yes	No	30 per 30 days
Select Health Medicare Flex (HMO) (H1994-031) (CO)	Tier 5	Yes	No	30 per 30 days
Select Health Medicare + Kroger (HMO) (H1994-034) (CO)	Tier 5	Yes	No	30 per 30 days
Select Health Medicare Active (HMO) (H1994-035) (CO)	Tier 5	Yes	No	30 per 30 days
Select Health Medicare Dual (HMO D-SNP) (H1994-040) (NV)	Tier 5	Yes	No	30 per 30 days
Select Health Medicare Wellness (HMO) (H1994-044) (NV)	Tier 5	Yes	No	30 per 30 days
CareOregon Advantage Plus (HMO D-SNP) (H5859-001) (OR)	Tier 5	Yes	No	1 per 1 days
Healthy Mississippi Premier Advantage (HMO-POS) (H8879-001) (MS)	Tier 5	Yes	No	30 per 30 days

One row per plan; 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=vosoritide