MedicarePartD.guide

A non-government resource built from CMS public data

ATTRUBY 356 mg Tablet, Film Coated

Also known as Acoramidis Hydrochloride. Coverage in Alabama and Tennessee (CMS PDP Region 12).

2 of 12 stand-alone Part D plans in Alabama and Tennessee cover this drug on tier 5.

2 of 2 plans apply a prior authorization, step therapy or quantity limit.

12 Medicare Advantage plans in AL, TN 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. AL: 7 plans · TN: 5 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
BlueRx Essential (PDP)$76.20/mo premium · $615.00 deductible5Specialty Tier25%25%$166.2600$19,951.20120 units
  • Prior authorization
  • Quantity limit 112 per 28 days
BlueRx Enhanced Plus (PDP)$129.50/mo premium · $150.00 deductible5Specialty Tier31%31%$166.2600$19,951.20120 units
  • Prior authorization
  • Quantity limit 112 per 28 days

Cost-sharing is the initial coverage phase at a preferred pharmacy; a percentage is coinsurance of the plan’s negotiated price, and the deductible may apply first. CMS publishes a negotiated price per unit, so the 30-day fill is shown only where the plan’s own quantity limit supplies the quantity.

See coverage in all 39 regions →