Medicare Part D coverage · 1 · RxCUI 861476
1 ML meperidine hydrochloride 25 MG/ML Injection
Per the CMS 2026 Part D formulary file, 1 ML meperidine hydrochloride 25 MG/ML Injection is covered by 80 Medicare Part D plans (1.6% of enrollable products), averaging Tier 1.7, with prior authorization required on 66.7% of covering formularies.
- 1.6%
- Plan coverage
- 80
- Plans covering
- T1.7
- Avg tier
- 66.7%
- Prior auth required
What the CMS Formulary Data Shows for 1 ML meperidine hydrochloride 25 MG/ML Injection
Per the CMS 2026 Part D formulary file, 1 ML meperidine hydrochloride 25 MG/ML Injection (RxNorm concept RXCUI 861476, generic name 1) appears on 3 distinct formulary files spanning 80 Medicare Part D plan offerings - 1.6% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 2, with a cross-plan average of Tier 1.7.
Real-world access to 1 ML meperidine hydrochloride 25 MG/ML Injection depends on utilization management as much as tier placement: 66.7% of covering formularies require prior authorization. 0% require step therapy. 33.3% apply quantity limits.
Medicare Part D spending dashboard figures are not published for this drug. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry 1 ML meperidine hydrochloride 25 MG/ML Injection today.
Coverage Details
- Formularies covering
- 3
- Plans covering
- 80
- Coverage rate
- 1.6%
- Tier range
- Tier 1 – Tier 2
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 66.7% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 33.3% of formularies
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering 1 ML meperidine hydrochloride 25 MG/ML Injection
80 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| CalOptima Health OneCare Complete (HMO D-SNP) | Orange County Health Authority | T1 | Yes | $0 | CA |
| HealthSun HealthAdvantage Plan (HMO) | Healthsun Health Plans, Inc. | T2 | Yes | $0 | FL |
| HealthSun MediMax (HMO) | Healthsun Health Plans, Inc. | T2 | Yes | $0 | FL |
| HealthSun HealthAdvantage Plan (HMO) | Healthsun Health Plans, Inc. | T2 | Yes | $0 | FL |
| HealthSun HealthAdvantage Plan (HMO) | Healthsun Health Plans, Inc. | T2 | Yes | $0 | FL |
| HealthSun MediSun Plus (HMO D-SNP) | Healthsun Health Plans, Inc. | T2 | Yes | $0 | FL |
| HealthSun HealthAdvantage Plus (HMO) | Healthsun Health Plans, Inc. | T2 | Yes | $0 | FL |
| HealthSun HealthAdvantage Plus (HMO) | Healthsun Health Plans, Inc. | T2 | Yes | $0 | FL |
| HealthSun MediSun Extra (HMO D-SNP) | Healthsun Health Plans, Inc. | T2 | Yes | $0 | FL |
| HealthSun HealthAdvantage Plus (HMO) | Healthsun Health Plans, Inc. | T2 | Yes | $0 | FL |
| HealthSun VitalCare (HMO C-SNP) | Healthsun Health Plans, Inc. | T2 | Yes | $0 | FL |
| HealthSun VitalCare (HMO C-SNP) | Healthsun Health Plans, Inc. | T2 | Yes | $0 | FL |
| HealthSun MediSun Full Dual Plus (HMO D-SNP) | Healthsun Health Plans, Inc. | T2 | Yes | $0 | FL |
| HealthSun MediSun Full Dual Extra (HMO D-SNP) | Healthsun Health Plans, Inc. | T2 | Yes | $0 | FL |
| Simply Complete (HMO D-SNP) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
| Simply More (HMO) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
| Simply Complete (HMO D-SNP) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
| Simply Level (HMO C-SNP) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
| Simply Level (HMO C-SNP) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
| Simply More (HMO) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
Show the next 30 plans
| Simply Level (HMO C-SNP) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
| Simply More (HMO) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
| Simply Level (HMO C-SNP) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
| Simply Complete (HMO D-SNP) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
| Simply More (HMO) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
| Simply More (HMO) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
| Simply Level (HMO C-SNP) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
| Simply Complete (HMO D-SNP) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
| Simply More (HMO) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
| Simply Extra (HMO) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
| Simply Extra Platinum (HMO) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
| Simply More Platinum (HMO) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
| Simply Complete Platinum (HMO D-SNP) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
| Simply Level Platinum (HMO C-SNP) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
| Simply Extra Platinum (HMO) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
| Simply Level Platinum (HMO C-SNP) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
| Simply Extra Platinum (HMO) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
| Simply Level Platinum (HMO C-SNP) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
| Simply Extra Platinum (HMO) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
| Simply More Platinum (HMO) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
| Simply Complete Platinum (HMO D-SNP) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
| Simply Level Platinum (HMO C-SNP) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
| Simply Integrated (HMO D-SNP) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
| Simply Integrated (HMO D-SNP) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
| Simply Integrated (HMO D-SNP) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
| Simply Integrated (HMO D-SNP) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
| Simply Integrated (HMO D-SNP) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
| Simply Integrated (HMO D-SNP) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
| Simply Integrated (HMO D-SNP) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
| Simply Integrated Platinum (HMO D-SNP) | Simply Healthcare Plans, Inc. | T2 | Yes | $0 | FL |
Showing top 50 of 80 plans.
Frequently Asked Questions
Is 1 ML meperidine hydrochloride 25 MG/ML Injection covered by Medicare Part D?
Yes, 1 ML meperidine hydrochloride 25 MG/ML Injection is covered by 80 Medicare Part D plans (1.6% of all Part D formularies).
What tier is 1 ML meperidine hydrochloride 25 MG/ML Injection on Medicare Part D plans?
1 ML meperidine hydrochloride 25 MG/ML Injection averages Tier 1.7 across Part D plans, ranging from Tier 1 to Tier 2.
Does 1 ML meperidine hydrochloride 25 MG/ML Injection require prior authorization?
66.7% of Part D formularies require prior authorization for 1 ML meperidine hydrochloride 25 MG/ML Injection. Step therapy: 0%. Quantity limits: 33.3%.
Read our methodology - how this data is sourced, computed, and verified.
Nationwide similar Part D drugs
Data-derived peers across the CMS Part D formulary extract: nearest average tier placement and nearest prior-authorization rate. Not therapeutic alternatives or same-generic strengths.
Closest average formulary tier
- cilostazol 100 MG Oral Tablet T1.7
- dorzolamide 20 MG/ML Ophthalmic Solution T1.7
- erythromycin 0.005 MG/MG Ophthalmic Ointment T1.7
- zolpidem tartrate 10 MG Oral Tablet T1.7
- diclofenac sodium 75 MG Delayed Release Oral Tablet T1.7
- amiloride hydrochloride 5 MG / hydrochlorothiazide 50 MG Oral Tablet T1.7
Similar prior-authorization rate
- 0.2 ML adalimumab-atto 100 MG/ML Prefilled Syringe [Amjevita] 66.7% PA
- 0.4 ML adalimumab-atto 100 MG/ML Prefilled Syringe [Amjevita] 66.7% PA
- 0.8 ML adalimumab-atto 100 MG/ML Auto-Injector [Amjevita] 66.7% PA
- nitisinone 4 MG/ML Oral Suspension [Orfadin] 66.7% PA
- 0.6 ML methylnaltrexone bromide 20 MG/ML Injection [Relistor] 66.7% PA
- delafloxacin 450 MG Oral Tablet [Baxdela] 66.7% PA