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Glecaprevir and Pibrentasvir 50 mg/1 / 20 mg/1 Medicare Part D Coverage

Brand name: Mavyret
Dosage form
PELLET
Route
ORAL
64%
of Medicare Part D plans
cover Glecaprevir and Pibrentasvir
3,516 of 5,530 plans
4.8
Avg. formulary tier

Formulary Tier Distribution

How Medicare Part D plans classify Glecaprevir and Pibrentasvir. Lower tiers = lower copays.

Tier 1 - Preferred Generic 4%
138 plans • avg $0.00/mo
Tier 2 - Generic 0%
2 plans • avg $0.00/mo
Tier 4 - Non-Preferred Drug 1%
42 plans • avg $0.00/mo
Tier 5 - Specialty 95%
3,334 plans • avg $0.00/mo

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Glecaprevir and Pibrentasvir Medicare Coverage by State

Coverage rates and average costs vary significantly by state. Click a state to see the specific plans available there.

Frequently Asked Questions about Glecaprevir and Pibrentasvir

64% of Medicare Part D plans cover Glecaprevir and Pibrentasvir. It is most commonly placed on Tier 5. Coverage varies by plan and geographic area.

Costs vary by plan. Enter your ZIP code above to see exact prices for plans in your area.

Glecaprevir and Pibrentasvir is placed on Tier 5 by most Medicare Part D plans. Lower tier numbers generally mean lower copays.

0% of plans require prior authorization for Glecaprevir and Pibrentasvir. Prior authorization means your doctor must confirm the drug is medically necessary before the plan will cover it.

Coverage statistics based on CMS formulary data for plan year 2026. Data updated regularly. Methodology →