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Briviact is a brand of brivaracetam. What agents check before quoting it: how many 2027 Part D plans cover it, on which tier, with what restrictions and copays, by plan type, carrier and state.
In 2027, 819 of 5,492 Medicare Part D and Medicare Advantage drug plans (14.9%) list Briviact on their formulary, across 9 of 286 formularies. The most common placement is tier 5 (819 plans, 100% of those covering it). 788 of the covering plans require prior authorization (96.2%), 3 step therapy and 819 a quantity limit.
819 covering plans charge coinsurance for a 30-day supply at a preferred retail pharmacy after the deductible — median 25% of the drug's cost. Once a member's out-of-pocket drug spending reaches $2,400 in 2027, covered drugs cost $0 for the rest of the year.
2026: 3,504 of 5,496 plans covered it (63.8%); 2027: 819 of 5,492 (14.9%).
Of 4,367 plans offered in both years, 4 added it to the formulary and 2,025 dropped it.
Among plans covering it both years, 0 moved it to a higher tier and 0 to a lower one; 0 added prior authorization and 0 removed it.
| Tier | Plans |
|---|---|
| Tier 5 | 819 |
| Plan type | Plans covering | Share | Prior auth |
|---|---|---|---|
| Stand-alone Part D (PDP) | 0 of 323 | 0% | — |
| Medicare Advantage with drugs (MA-PD) | 569 of 3,200 | 17.8% | 96.3% |
| Special needs plans (SNP) | 250 of 1,969 | 12.7% | 96% |
| Carrier | Plans covering | Usual tier | Prior auth |
|---|---|---|---|
| Humana | 744 of 846 | Tier 5 | 744 |
| UnitedHealthcare | 0 of 830 | No tier listed | 0 |
| Devoted Health | 0 of 728 | No tier listed | 0 |
| Aetna Medicare | 0 of 631 | No tier listed | 0 |
| Wellcare | 0 of 268 | No tier listed | 0 |
| HealthSpring | 0 of 226 | No tier listed | 0 |
| Kaiser Permanente | 0 of 112 | No tier listed | 0 |
| SCAN Health Plan | 0 of 83 | No tier listed | 0 |
| Highmark Blue Cross Blue Shield or Highmark Blue Shield | 0 of 80 | No tier listed | 0 |
| Alignment Health Plan | 0 of 77 | No tier listed | 0 |
| Anthem Blue Cross and Blue Shield | 0 of 74 | No tier listed | 0 |
| Wellpoint | 0 of 63 | No tier listed | 0 |
| Priority Health Medicare | 0 of 40 | No tier listed | 0 |
| CarePlus Health Plans, Inc. | 37 of 37 | Tier 5 | 37 |
| Zing Health | 0 of 36 | No tier listed | 0 |
| Capital Blue Cross | 0 of 35 | No tier listed | 0 |
| Prominence Health Plan | 0 of 29 | No tier listed | 0 |
| Medica | 0 of 27 | No tier listed | 0 |
| Anthem HealthKeepers | 0 of 26 | No tier listed | 0 |
| Blue Cross Blue Shield of Michigan | 0 of 26 | No tier listed | 0 |
| State | Plans covering | Share |
|---|---|---|
| Alabama | 16 of 114 | 14% |
| Alaska | 0 of 9 | 0% |
| American Samoa | 0 of 1 | 0% |
| Arizona | 19 of 147 | 12.9% |
| Arkansas | 21 of 85 | 24.7% |
| California | 27 of 397 | 6.8% |
| Colorado | 16 of 106 | 15.1% |
| Connecticut | 4 of 54 | 7.4% |
| Delaware | 4 of 43 | 9.3% |
| District of Columbia | 1 of 12 | 8.3% |
| Florida | 118 of 545 | 21.7% |
| Georgia | 32 of 149 | 21.5% |
| Guam | 0 of 1 | 0% |
| Hawaii | 5 of 50 | 10% |
| Idaho | 8 of 45 | 17.8% |
| Illinois | 25 of 132 | 18.9% |
| Indiana | 27 of 138 | 19.6% |
| Iowa | 6 of 64 | 9.4% |
| Kansas | 16 of 84 | 19% |
| Kentucky | 39 of 121 | 32.2% |
| Louisiana | 33 of 125 | 26.4% |
| Maine | 12 of 52 | 23.1% |
| Maryland | 4 of 49 | 8.2% |
| Massachusetts | 4 of 89 | 4.5% |
| Michigan | 14 of 182 | 7.7% |
| Minnesota | 0 of 63 | 0% |
| Mississippi | 25 of 104 | 24% |
| Missouri | 31 of 170 | 18.2% |
| Montana | 14 of 27 | 51.9% |
| Nebraska | 5 of 51 | 9.8% |
| Nevada | 16 of 100 | 16% |
| New Hampshire | 6 of 25 | 24% |
| New Jersey | 9 of 73 | 12.3% |
| New Mexico | 14 of 68 | 20.6% |
| New York | 28 of 215 | 13% |
| North Carolina | 26 of 176 | 14.8% |
| North Dakota | 0 of 26 | 0% |
| Northern Mariana Islands | 0 of 1 | 0% |
| Ohio | 19 of 171 | 11.1% |
| Oklahoma | 20 of 81 | 24.7% |
| Oregon | 10 of 92 | 10.9% |
| Pennsylvania | 24 of 323 | 7.4% |
| Puerto Rico | 0 of 64 | 0% |
| Rhode Island | 0 of 29 | 0% |
| South Carolina | 20 of 89 | 22.5% |
| South Dakota | 0 of 30 | 0% |
| Tennessee | 18 of 156 | 11.5% |
| Texas | 66 of 407 | 16.2% |
| U.S. Virgin Islands | 0 of 1 | 0% |
| Utah | 12 of 53 | 22.6% |
| Vermont | 4 of 14 | 28.6% |
| Virginia | 41 of 144 | 28.5% |
| Washington | 16 of 114 | 14% |
| West Virginia | 14 of 69 | 20.3% |
| Wisconsin | 16 of 96 | 16.7% |
| Wyoming | 2 of 13 | 15.4% |
Medicare Part D paid for 150,001 30-day fills of Briviact in 2024 for about 15,493 enrollees, at an average total cost of $1,344.05 per 30-day fill (CMS Part D Prescribers by Geography and Drug, national).
Price Briviact and the rest of a client's list on every plan in their county.
Estimate Briviact costs by plan
Free tools for licensed insurance agents. Data from CMS public files; verify with plan documents before advising a client.
Counts are over every Medicare Advantage drug plan and stand-alone Part D plan in the CMS monthly formulary files, excluding employer plans. A plan counts as covering a drug when any strength or form of it is on the plan’s formulary; the tier, prior authorization, step therapy and quantity limit shown are the most favorable version on that formulary. Copays are for a 30-day supply at a preferred retail pharmacy after the deductible. This is a reference for licensed agents, not a plan recommendation; verify with the plan’s formulary before advising a client. Source: CMS Part D formulary files (release 10/08/2026). CMS formulary data.