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Elevance Health · PBM: CarelonRx · National

Anthem / Elevance

Policy posture still forming for Dawnzera — medical-necessity review only, no published PA criteria set.

CommercialMedicare Part DManaged Medicaid

Live from the coverage database

Policy Posture and UM Criteria by Indication

No published payer policy has been recorded here yet. Submit field intelligence to start the record.

Coverage Update YTD

9Across all sources

Treated Lives — Tryngolza (FCS)

720Patients on therapy

Ionis Brands Published

0 / 3Have a policy

Pending Policy Changes

1Next 30 days

Months since launch · illustrative

Treated Lives on Therapy — Tryngolza (FCS)

720 patients today
M1 · 58M4 · 173M8 · 324M12 · 475M18 · 612M24 · 720

50-state distribution · illustrative

Treated Lives by State — Tryngolza (FCS)

Fewer patientsMore patients

Specialty pharmacy benefit — both Ionis products are self-injected, specialty-only

720 treated lives on therapy

NM high
MEVTNHMAWAIDMTNDMNWIMINYRIORNVWYSDIAILINOHPANJCTCAUTCONEMOKYWVVAMDDEAZNMKSARTNNCSCAKOKLAMSALGAHITXFL
AI SUMMARY

Tryngolza — FCS Coverage Source Summary

No published policy yet for Tryngolza (FCS) — the largest unaddressed payer in the whitespace map for this indication.

Historical coverage trend

Tryngolza — FCS Lives Coverage Trend

% of lives by access status across historical snapshots.

CoveredPreferredNot coveredUnknown
100%75%50%25%0%M1M4M8M12M18M24

Covered

92%+84 pts

Preferred

78%+69 pts

Not covered

8%-12 pts

Unknown

32%+26 pts

Latest source details

Tryngolza — FCS Coverage Details

3 source views

SourcePayment TypePolicy StatusLatest Detail
MMIT SearchlightCommercialPublished — RestrictedSyndicated data reflects the most recent policy language for this indication.
FRM submissionMedicareLimited visibilityField team confirms account-level nuance not yet captured in syndicated sources.
Market Access submissionMedicaidLimited visibilityState/plan-level detail requires validation against current directories.

Brand-specific feed

Latest Updates

2 updates

MMIT Searchlight

Latest source refresh confirms no material change to published criteria this cycle.

Jun 1, 2026

FRM submission

Field notes on account-level access nuance submitted for validation.

May 18, 2026

Brand documents

Shared Documents

PDF, DOC, PNG or JPG · max 20 MB

Policy PDF

Uploaded by Market Access Team

Latest updated: Jun 1, 2026