Home › Agent Hub › Agent Tools › Part D coverage by drug › Trulance
Agent Tools
Trulance is a brand of plecanatide. 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, 1,459 of 5,492 Medicare Part D and Medicare Advantage drug plans (26.6%) list Trulance on their formulary, across 78 of 286 formularies. The most common placement is tier 3 (1,195 plans, 81.9% of those covering it). 16 of the covering plans require prior authorization (1.1%), 6 step therapy and 1,152 a quantity limit.
291 covering plans charge a flat copay for a 30-day supply at a preferred retail pharmacy after the deductible — median $42, 47 of them $0; 1,168 charge coinsurance instead — median 23% 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: 1,670 of 5,496 plans covered it (30.4%); 2027: 1,459 of 5,492 (26.6%).
Of 4,367 plans offered in both years, 7 added it to the formulary and 179 dropped it.
Among plans covering it both years, 7 moved it to a higher tier and 114 to a lower one; 0 added prior authorization and 0 removed it.
| Tier | Plans |
|---|---|
| Tier 1 | 26 |
| Tier 2 | 3 |
| Tier 3 | 1,195 |
| Tier 4 | 235 |
| Plan type | Plans covering | Share | Prior auth |
|---|---|---|---|
| Stand-alone Part D (PDP) | 39 of 323 | 12.1% | 0% |
| Medicare Advantage with drugs (MA-PD) | 842 of 3,200 | 26.3% | 1.8% |
| Special needs plans (SNP) | 578 of 1,969 | 29.4% | 0.2% |
| Carrier | Plans covering | Usual tier | Prior auth |
|---|---|---|---|
| Humana | 0 of 846 | No tier listed | 0 |
| UnitedHealthcare | 796 of 830 | Tier 3 | 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 | 186 of 226 | Tier 4 | 0 |
| Kaiser Permanente | 112 of 112 | Tier 3 | 16 |
| SCAN Health Plan | 83 of 83 | Tier 3 | 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. | 0 of 37 | No tier listed | 0 |
| 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 | 27 of 27 | Tier 3 | 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 | 32 of 114 | 28.1% |
| Alaska | 1 of 9 | 11.1% |
| American Samoa | 1 of 1 | 100% |
| Arizona | 43 of 147 | 29.3% |
| Arkansas | 23 of 85 | 27.1% |
| California | 191 of 397 | 48.1% |
| Colorado | 41 of 106 | 38.7% |
| Connecticut | 8 of 54 | 14.8% |
| Delaware | 11 of 43 | 25.6% |
| District of Columbia | 8 of 12 | 66.7% |
| Florida | 73 of 545 | 13.4% |
| Georgia | 46 of 149 | 30.9% |
| Guam | 1 of 1 | 100% |
| Hawaii | 13 of 50 | 26% |
| Idaho | 15 of 45 | 33.3% |
| Illinois | 35 of 132 | 26.5% |
| Indiana | 27 of 138 | 19.6% |
| Iowa | 12 of 64 | 18.8% |
| Kansas | 14 of 84 | 16.7% |
| Kentucky | 27 of 121 | 22.3% |
| Louisiana | 34 of 125 | 27.2% |
| Maine | 11 of 52 | 21.2% |
| Maryland | 18 of 49 | 36.7% |
| Massachusetts | 16 of 89 | 18% |
| Michigan | 17 of 182 | 9.3% |
| Minnesota | 24 of 63 | 38.1% |
| Mississippi | 29 of 104 | 27.9% |
| Missouri | 44 of 170 | 25.9% |
| Montana | 3 of 27 | 11.1% |
| Nebraska | 10 of 51 | 19.6% |
| Nevada | 34 of 100 | 34% |
| New Hampshire | 6 of 25 | 24% |
| New Jersey | 15 of 73 | 20.5% |
| New Mexico | 30 of 68 | 44.1% |
| New York | 41 of 215 | 19.1% |
| North Carolina | 46 of 176 | 26.1% |
| North Dakota | 11 of 26 | 42.3% |
| Northern Mariana Islands | 1 of 1 | 100% |
| Ohio | 62 of 171 | 36.3% |
| Oklahoma | 28 of 81 | 34.6% |
| Oregon | 27 of 92 | 29.3% |
| Pennsylvania | 47 of 323 | 14.6% |
| Puerto Rico | 25 of 64 | 39.1% |
| Rhode Island | 10 of 29 | 34.5% |
| South Carolina | 20 of 89 | 22.5% |
| South Dakota | 11 of 30 | 36.7% |
| Tennessee | 39 of 156 | 25% |
| Texas | 114 of 407 | 28% |
| U.S. Virgin Islands | 1 of 1 | 100% |
| Utah | 14 of 53 | 26.4% |
| Vermont | 1 of 14 | 7.1% |
| Virginia | 45 of 144 | 31.3% |
| Washington | 44 of 114 | 38.6% |
| West Virginia | 14 of 69 | 20.3% |
| Wisconsin | 26 of 96 | 27.1% |
| Wyoming | 1 of 13 | 7.7% |
Medicare Part D paid for 227,699 30-day fills of Trulance in 2024 for about 44,603 enrollees, at an average total cost of $536.42 per 30-day fill (CMS Part D Prescribers by Geography and Drug, national).
Price Trulance and the rest of a client's list on every plan in their county.
Estimate Trulance 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.