Medicare drug coverage

Sprycel: 2027 Medicare Part D coverage

27 of 5,495 Part D plans (<1%) list Sprycel on their 2027 formulary, the plan's list of covered drugs (the same share as 2026). 74% of those require prior authorization, step therapy, or a quantity limit. Plan counts include both Medicare Advantage plans with drug coverage (5,172 MA-PD) and stand-alone drug plans (323 PDP).

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Data only, not plan advice. Confirm on Medicare.gov Plan Finder or 1-800-MEDICARE.

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2027 compared with 2026

Sprycel is number 93 by total Medicare Part D spending in 2024 ($518 million). Plans that list it most often put it on tier 3 (a tier is the cost level a plan puts a drug on; a lower tier usually costs less). Counts use 7 RxNorm products for this name.

Sprycel Part D coverage, 2026 and 2027
Measure20262027Change
Part D plans in the file5,5185,495-23
Plans that list it31 (1%)27 (<1%)no change
Prior authorization (of plans that list it)31 (100%)20 (74%)-26 points
Step therapy (of plans that list it)0 (0%)0 (0%)no change
Quantity limit (of plans that list it)21 (68%)20 (74%)+6 points
Any of the three (of plans that list it)31 (100%)20 (74%)-26 points
Not listed or restricted (of all plans)5,518 (100%)5,488 (>99%)no change

Source: CMS 2027 Part D formulary file (basic drugs and plan information), as of October 8, 2026. Publisher page

Source: CMS 2026 Part D formulary file (basic drugs and plan information), as of September 30, 2026. Publisher page

Every 2027 stand-alone drug plan

Each stand-alone Part D plan (PDP) with Sprycel's 2027 tier and limits. CMS files a PDP once per region, so one plan name can have several plan IDs; the row shows the tier and limits most of them use. Medicare Advantage drug plans are local: pick a state for its plan-by-plan table.

Sprycel on every 2027 stand-alone Part D plan
Plan (PDP)Plan IDs2027 tier2027 limits
AARP Medicare Rx Preferred from UHC (PDP)39Not listedNot listed
AARP Medicare Rx Saver from UHC (PDP)34Not listedNot listed
Blue Medicare Rx Enhanced (PDP)1Not listedNot listed
Blue Medicare Rx Standard (PDP)1Not listedNot listed
Blue MedicareRx Essentials (PDP)1Not listedNot listed
Blue MedicareRx Plus (PDP)1Not listedNot listed
Blue MedicareRx Premier (PDP)1Not listedNot listed
Blue MedicareRx Value (PDP)1Not listedNot listed
Blue MedicareRx Value Plus (PDP)1Not listedNot listed
Blue Shield Rx Enhanced (PDP)1Not listedNot listed
Blue Shield Rx Plus (PDP)1Not listedNot listed
BlueMedicare Complete Rx (PDP)1Not listedNot listed
BlueMedicare Premier Rx (PDP)2Not listedNot listed
BlueMedicare Value Rx (PDP)1Not listedNot listed
BlueRx Enhanced Plus (PDP)1Not listedNot listed
BlueRx Essential (PDP)1Not listedNot listed
HealthSpring Assurance Rx (PDP)35Not listedNot listed
HealthSpring Extra Rx (PDP)2Not listedNot listed
HealthSpring Extra RX (PDP)3Not listedNot listed
Horizon Medicare Blue Rx Enhanced (PDP)1Not listedNot listed
Horizon Medicare Blue Rx Standard (PDP)1Not listedNot listed
Humana Basic Rx Plan (PDP)34Not listedNot listed
Humana Premier Rx Plan (PDP)34Not listedNot listed
Humana Value Rx Plan (PDP)34Not listedNot listed
MedicareBlue Rx Standard (PDP)1Not listedNot listed
Prescription Blue Premium (PDP)1Not listedNot listed
Prescription Blue Select (PDP)1Not listedNot listed
SilverScript Choice (PDP)20Not listedNot listed
Wellcare Classic (PDP)34Not listedNot listed
Wellcare Value Script (PDP)34Not listedNot listed

Source: CMS 2027 Part D formulary file (basic drugs and plan information), as of October 8, 2026. Publisher page

Source: CMS CY2027 landscape file (states and parent organizations), as of September 30, 2026. Publisher page

Formulary tier

Sprycel formulary tier, 2026 and 2027
Tier2026 plans2027 plans
Tier 12 (6%)0 (0%)
Tier 30 (0%)21 (78%)
Tier 529 (94%)6 (22%)

Source: CMS 2027 Part D formulary file (basic drugs and plan information), as of October 8, 2026. Publisher page

Source: CMS 2026 Part D formulary file (basic drugs and plan information), as of September 30, 2026. Publisher page

Plan by plan, 2026 to 2027

4,380 plan IDs are in both files. 0 of them (0%) added prior authorization, step therapy, or a quantity limit for Sprycel, and 8 stopped listing it.

Sprycel: plans in both 2026 and 2027
Plan by planPlans
Same plan ID in both years4,380
Listed it in 2026, not in 20278 (<1%)
Listed it in 2027, not in 20261 (<1%)
Moved it to a higher tier0 (0%)
Added prior authorization0 (0%)
Added step therapy0 (0%)
Added a quantity limit0 (0%)
Added at least one of the three0 (0%)
Removed at least one of the three0 (0%)
Plan IDs new in 20271,115
2026 plan IDs not in the 2027 file1,138

Source: CMS 2027 Part D formulary file (basic drugs and plan information), as of October 8, 2026. Publisher page

Source: CMS 2026 Part D formulary file (basic drugs and plan information), as of September 30, 2026. Publisher page

States from most to least restrictive

Share of 2027 Part D plans offered in each state that leave Sprycel off the formulary or list it with prior authorization, step therapy, or a quantity limit. 49 states tie for the highest share, 100%; Mississippi ranks last at 96%. States at the same share are ordered by the prior authorization or step therapy share; states equal on both shares share a rank, marked Tied.

States from most to least restrictive for Sprycel, 2027
RankState2027 plansNot listed or restrictedPrior auth or step therapyChange from 2026
1Massachusetts92100%7%no change
2Pennsylvania324100%4%no change
3New Jersey74100%3%no change
Tied 4Alaska9100%0%no change
Tied 4Alabama115100%0%no change
Tied 4Arizona148100%0%no change
Tied 4California397100%0%no change
Tied 4Colorado106100%0%no change
Tied 4Connecticut54100%0%no change
Tied 4District of Columbia21100%0%no change
Tied 4Delaware43100%0%no change
Tied 4Florida549100%0%no change
Tied 4Georgia151100%0%no change
Tied 4Hawaii50100%0%no change
Tied 4Iowa64100%0%no change
Tied 4Idaho45100%0%no change
Tied 4Illinois133100%0%no change
Tied 4Indiana140100%0%no change
Tied 4Kansas84100%0%no change
Tied 4Kentucky123100%0%no change
Tied 4Louisiana126100%0%no change
Tied 4Maryland49100%0%no change
Tied 4Maine52100%0%no change
Tied 4Michigan183100%0%no change
Tied 4Minnesota63100%0%no change
Tied 4Missouri171100%0%no change
Tied 4Montana27100%0%no change
Tied 4North Carolina177100%0%no change
Tied 4North Dakota26100%0%no change
Tied 4Nebraska51100%0%no change
Tied 4New Hampshire25100%0%no change
Tied 4New Mexico68100%0%no change
Tied 4Nevada100100%0%no change
Tied 4New York215100%0%no change
Tied 4Ohio173100%0%no change
Tied 4Oklahoma81100%0%no change
Tied 4Oregon92100%0%no change
Tied 4Rhode Island29100%0%no change
Tied 4South Carolina91100%0%no change
Tied 4South Dakota30100%0%no change
Tied 4Tennessee157100%0%no change
Tied 4Texas412100%0%no change
Tied 4Utah53100%0%no change
Tied 4Virginia145100%0%no change
Tied 4Vermont14100%0%no change
Tied 4Washington114100%0%no change
Tied 4Wisconsin97100%0%no change
Tied 4West Virginia70100%0%no change
Tied 4Wyoming13100%0%no change
50Arkansas8697%0%-3 points
51Mississippi10596%0%-4 points

Source: CMS CY2027 landscape file (states and parent organizations), as of September 30, 2026. Publisher page

Source: CMS 2027 Part D formulary file (basic drugs and plan information), as of October 8, 2026. Publisher page

By parent organization

164 parent organizations offer 2027 Part D plans. Humana Inc. has the most, 884, and 100% of them leave Sprycel off or restrict it.

Sprycel coverage by parent organization, 2027
Parent organization2027 plans ↑List itRestrict it (of listing)Not listed or restrictedChange from 2026Plans that added a restriction
CareFirst, Inc.50%none list it100%no change0
General Catalyst Group Management Holdings LP50%none list it100%new in 20270
Harris County Hospital District50%none list it100%no change0
Independent Living Systems, LLC50%none list it100%no change0
Mass General Brigham Incorporated50%none list it100%no change0
PacificSource50%none list it100%no change0
SNP Holdings, LLC50%none list it100%no change0
USAble Mutual Insurance Company50%none list it100%no change0
Baystate Health, Inc.6100%100%100%no change0
Blue Cross Blue Shield of Arizona60%none list it100%no change0
Blue Cross Blue Shield of Kansas60%none list it100%no change0
BlueCross BlueShield of South Carolina (BCBSSC)60%none list it100%no change0
CareSource60%none list it100%no change0
Clever Care Health Plan, Inc.60%none list it100%no change0
Eternal Health of Delaware, Inc.60%none list it100%no change0
Hawaii Medical Service Association60%none list it100%no change0
Health First Shared Services, Inc.60%none list it100%no change0
Independent Health Association, Inc.60%none list it100%no change0
LifeBridge Health, Inc.60%none list it100%no change0
The Health Plan of West Virginia, Inc.60%none list it100%no change0
UNICO Services, Inc.60%none list it100%no change0
Verda Healthcare, Inc.60%none list it100%no change0
Allina Health and Aetna Insurance Holding Company70%none list it100%no change0
Baylor Scott & White Health70%none list it100%no change0
Blue Cross and Blue Shield of Massachusetts, Inc.70%none list it100%no change0

Source: CMS CY2027 landscape file (states and parent organizations), as of September 30, 2026. Publisher page

Source: CMS 2027 Part D formulary file (basic drugs and plan information), as of October 8, 2026. Publisher page

Near it by Part D spending

About this data

A plan here is one Part D plan as the CMS formulary files list it: contract, plan, and segment. That covers Medicare Advantage plans with drug coverage and stand-alone drug plans. A plan lists a drug when its formulary has a row for any RxNorm product of that name. When it has several, the row with the lowest tier is the one counted, and restricted means that row has prior authorization, step therapy, or a quantity limit.

A plan with no row for the drug counts as not listing it. That can be a product the file codes another way, so read a low count as a lookup result, not a coverage decision. A state counts every plan the CMS landscape file offers there. Parent organizations are named as CMS names them. The drug list is the top 200 by total Part D spending.

Source: CMS 2027 Part D formulary file (basic drugs and plan information), as of October 8, 2026. Publisher page

Source: CMS CY2027 landscape file (states and parent organizations), as of September 30, 2026. Publisher page

Source: CMS Medicare Part D Spending by Drug, 2024 data, as of June 25, 2026. Publisher page

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