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Blue Plan Consortium · PBM: Prime Therapeutics · National

Prime Therapeutics

PBM-level template drives downstream Blue plans; template update expected next quarter.

CommercialManaged 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

4Across all sources

Treated Lives — Tryngolza (FCS)

270Patients on therapy

Ionis Brands Published

1 / 3Have a policy

Pending Policy Changes

2Next 30 days

Months since launch · illustrative

Treated Lives on Therapy — Tryngolza (FCS)

270 patients today
M1 · 22M4 · 65M8 · 122M12 · 178M18 · 230M24 · 270

50-state distribution · illustrative

Treated Lives by State — Tryngolza (FCS)

Fewer patientsMore patients

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

270 treated lives on therapy

DE high
MEVTNHMAWAIDMTNDMNWIMINYRIORNVWYSDIAILINOHPANJCTCAUTCONEMOKYWVVAMDDEAZNMKSARTNNCSCAKOKLAMSALGAHITXFL
AI SUMMARY

Tryngolza — FCS Coverage Source Summary

PBM-level template not yet issued for FCS; downstream Blue plans are awaiting the next template refresh.

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

80%+68 pts

Preferred

68%+59 pts

Not covered

8%-12 pts

Unknown

28%+24 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

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Policy PDF

Uploaded by Market Access Team

Latest updated: Jun 1, 2026