Does Alignment Health Advantage PPO (PPO) cover tapentadol?
Alignment Health Advantage PPO (PPO)
H8832-002-0 · MA_LOCAL · Medicare Part D
tapentadol
Do you get help with your Medicare drug costs?None of these
Optional. Some plans charge less at a preferred pharmacy. Enter your ZIP to see which pharmacies near you take this plan — pick yours and the price above is re-worked for it. Until you do, we show what a standard pharmacy costs. Nothing here is saved.
tapentadolunder Alignment Health Advantage PPO (PPO)
Covered — requires prior authorization
Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
32%of the price your plan negotiates
Medicare hasn’t published this plan’s negotiated price for this drug yet — that file is updated every three months, and newly launched drugs appear in it late. Your pharmacy can quote the exact amount today. Part D caps what you pay out of pocket at $2,100 for 2026. From the first fill — no deductible on this drug.
This plan charges the same at every pharmacy in its network — where you fill it will not change this figure.
Amount limit applies — this plan covers 60 tablets per 30 days. You can still fill it — more than that needs your plan's approval, which your doctor's office requests.
- Tier
- Tier 4
- Approval first
- Required
- Try another first
- No
- Amount limit
- 60 tablets per 30 days
Talk to your pharmacist or doctor before acting on anything here. They can see your full history and this page cannot. Never start, stop, or switch a medication based on it. Coverage rules change and plans make exceptions — your pharmacy can check your exact benefit in seconds.As of Sep 16, 2026 · CMS Part D monthly PUF. Reference information, not medical advice and not a price.
Covered forms and strengths (5)
- 12 HR tapentadol 100 MG Extended Release Oral Tablet [Nucynta]Tier 5Approval first60 tablets per 30 days
- 12 HR tapentadol 150 MG Extended Release Oral Tablet [Nucynta]Tier 5Approval first60 tablets per 30 days
- 12 HR tapentadol 200 MG Extended Release Oral Tablet [Nucynta]Tier 5Approval first60 tablets per 30 days
- 12 HR tapentadol 250 MG Extended Release Oral Tablet [Nucynta]Tier 5Approval first60 tablets per 30 days
- 12 HR tapentadol 50 MG Extended Release Oral Tablet [Nucynta]Tier 4Approval first60 tablets per 30 days