Does Alignment Health Heart & Diabetes (HMO-POS C-SNP) cover treprostinil?
Alignment Health Heart & Diabetes (HMO-POS C-SNP)
H5472-002-0 · MA_LOCAL · Medicare Part D
treprostinil
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.
treprostinilunder Alignment Health Heart & Diabetes (HMO-POS C-SNP)
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.
- Tier
- Tier 4
- Approval first
- Required
- Try another first
- No
- Amount limit
- None
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 (8)
- {126 (12 HR treprostinil 0.125 MG Extended Release Oral Tablet [Orenitram]) / 210 (12 HR treprostinil 0.25 MG Extended Release Oral Tablet [Orenitram]) } Pack [Orenitram Month 2 Titration Kit]Tier 5Approval first
- {126 (12 HR treprostinil 0.125 MG Extended Release Oral Tablet [Orenitram]) / 42 (12 HR treprostinil 0.25 MG Extended Release Oral Tablet [Orenitram]) } Pack [Orenitram Month 1 Titration Kit]Tier 5Approval first
- {126 (12 HR treprostinil 0.125 MG Extended Release Oral Tablet [Orenitram]) / 42 (12 HR treprostinil 0.25 MG Extended Release Oral Tablet [Orenitram]) / 84 (12 HR treprostinil 1 MG Extended Release Oral Tablet [Orenitram]) } Pack [Orenitram Month 3 Titration Kit]Tier 5Approval first
- 12 HR treprostinil 0.125 MG Extended Release Oral Tablet [Orenitram]Tier 4Approval first
- 12 HR treprostinil 0.25 MG Extended Release Oral Tablet [Orenitram]Tier 5Approval first
- 12 HR treprostinil 1 MG Extended Release Oral Tablet [Orenitram]Tier 5Approval first
- 12 HR treprostinil 2.5 MG Extended Release Oral Tablet [Orenitram]Tier 5Approval first
- 12 HR treprostinil 5 MG Extended Release Oral Tablet [Orenitram]Tier 5Approval first