OPSYNVI 10/20 mg Tablet, Film Coated
Also known as Macitentan And Tadalafil. Coverage in Idaho and Utah (CMS PDP Region 31).
Not on any stand-alone Part D formulary in Idaho and Utah
None of the 10 stand-alone Part D (PDP) plans in CMS PDP Region 31 list this drug. On one of those plans the patient would pay the full retail price, or you would need a formulary exception.
5 Medicare Advantage plans in UT do cover it
Medicare Advantage plans carry their own formularies, separate from stand-alone Part D. A patient on an MA-PD plan may have coverage even where no PDP lists the drug. UT: 5 plans.