Medicare Part D coverage · 1 · RxCUI 1191234
1 ML naloxone hydrochloride 0.4 MG/ML Cartridge
Per the CMS 2026 Part D formulary file, 1 ML naloxone hydrochloride 0.4 MG/ML Cartridge is covered by 4,976 Medicare Part D plans (98.5% of enrollable products), averaging Tier 1.9, with prior authorization required on 0% of covering formularies.
- 98.5%
- Plan coverage
- 4,976
- Plans covering
- T1.9
- Avg tier
- 0%
- Prior auth required
What the CMS Formulary Data Shows for 1 ML naloxone hydrochloride 0.4 MG/ML Cartridge
Per the CMS 2026 Part D formulary file, 1 ML naloxone hydrochloride 0.4 MG/ML Cartridge (RxNorm concept RXCUI 1191234, generic name 1) appears on 317 distinct formulary files spanning 4,976 Medicare Part D plan offerings - 98.5% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 6, with a cross-plan average of Tier 1.9.
Real-world access to 1 ML naloxone hydrochloride 0.4 MG/ML Cartridge depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 0% 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 naloxone hydrochloride 0.4 MG/ML Cartridge today.
Coverage Details
- Formularies covering
- 317
- Plans covering
- 4,976
- Coverage rate
- 98.5%
- Tier range
- Tier 1 – Tier 6
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering 1 ML naloxone hydrochloride 0.4 MG/ML Cartridge
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Sentara Community Complete Select (HMO D-SNP) | Sentara Health Plans | T1 | No | $0 | VA |
| Sentara Community Complete (HMO D-SNP) | Sentara Health Plans | T1 | No | $0 | VA |
| Anthem Medicare Advantage (HMO-POS) | Blue Cross OF California | T1 | No | $0 | CA |
| Anthem Medicare Advantage (HMO-POS) | Blue Cross OF California | T1 | No | $0 | CA |
| Anthem Medicare Advantage (HMO-POS) | Blue Cross OF California | T1 | No | $0 | CA |
| Anthem Medicare Advantage (HMO-POS) | Blue Cross OF California | T1 | No | $0 | CA |
| Anthem Full Dual Advantage (HMO D-SNP) | Anthem Insurance Companies, Inc. | T1 | No | $0 | IN |
| Anthem I PathWays Dual Care Advantage (HMO D-SNP) | Anthem Insurance Companies, Inc. | T1 | No | $0 | IN |
| Anthem I PathWays Dual Care Advantage NFLOC (HMO D-SNP) | Anthem Insurance Companies, Inc. | T1 | No | $0 | IN |
| Wellpoint Full Dual Advantage (HMO-POS D-SNP) | Wellpoint Iowa, Inc. | T1 | No | $0 | IA |
| Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP) | Wellpoint Iowa, Inc. | T1 | No | $0 | IA |
| Wellpoint Full Dual Advantage (HMO D-SNP) | Wellpoint West Virginia , Inc. | T1 | No | $0 | WV |
| Wellpoint Full Dual Advantage (HMO D-SNP) | Wellpoint Washington, Inc. | T1 | No | $0 | WA |
| Wellpoint Dual Advantage (HMO D-SNP) | Wellpoint Washington, Inc. | T1 | No | $0 | WA |
| Healthy Blue Dual Advantage (HMO D-SNP) | Community Care Health Plan OF Louisiana, Inc. | T1 | No | $0 | LA |
| Healthy Blue Dual Advantage 2 (HMO D-SNP) | Community Care Health Plan OF Louisiana, Inc. | T1 | No | $0 | LA |
| Anthem Dual Advantage (PPO D-SNP) | Anthem Insurance Companies, Inc. | T1 | No | $0 | VA |
| Wellpoint Medicare Advantage 2 (HMO-POS) | Wellpoint Texas, Inc. | T1 | No | $0 | TX |
| Wellpoint Kidney Care (HMO-POS C-SNP) | Wellpoint Texas, Inc. | T1 | No | $0 | TX |
| Wellpoint Dual Advantage 2 (HMO D-SNP) | Wellpoint Texas, Inc. | T1 | No | $0 | TX |
Show the next 30 plans
Showing top 50 of 100 plans.
Frequently Asked Questions
Is 1 ML naloxone hydrochloride 0.4 MG/ML Cartridge covered by Medicare Part D?
Yes, 1 ML naloxone hydrochloride 0.4 MG/ML Cartridge is covered by 4,976 Medicare Part D plans (98.5% of all Part D formularies).
What tier is 1 ML naloxone hydrochloride 0.4 MG/ML Cartridge on Medicare Part D plans?
1 ML naloxone hydrochloride 0.4 MG/ML Cartridge averages Tier 1.9 across Part D plans, ranging from Tier 1 to Tier 6.
Does 1 ML naloxone hydrochloride 0.4 MG/ML Cartridge require prior authorization?
0% of Part D formularies require prior authorization for 1 ML naloxone hydrochloride 0.4 MG/ML Cartridge. Step therapy: 0%. Quantity limits: 0%.
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
- 24 HR diltiazem hydrochloride 300 MG Extended Release Oral Capsule T1.9
- haloperidol 10 MG Oral Tablet T1.9
- methylprednisolone 16 MG Oral Tablet T1.9
- mometasone furoate 1 MG/ML Topical Cream T1.9
- ammonium lactate 120 MG/ML Topical Lotion T1.9
- 24 HR diltiazem hydrochloride 120 MG Extended Release Oral Capsule [Tiadylt] T1.9
Similar prior-authorization rate
- metronidazole 10 MG/ML Topical Cream [Noritate] 0% PA
- 24 HR minocycline 40 MG Extended Release Oral Capsule [Emrosi] 0% PA
- buspirone hydrochloride 10 MG Oral Capsule [Bucapsol] 0% PA
- diflunisal 375 MG Oral Tablet [Dolobid] 0% PA
- hydrocortisone 1 MG/ML Oral Solution [Khindivi] 0% PA
- indomethacin 50 MG Rectal Suppository [Indocin] 0% PA