1 ML naloxone hydrochloride 0.4 MG/ML Cartridge
naloxone hydrochloride
RxCUI: 1191234
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 naloxone hydrochloride) appears on 319 distinct formulary files spanning 4,991 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
- 319
- Plans covering
- 4,991
- 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
Standalone Drug Plans (PDP) Covering 1 ML naloxone hydrochloride 0.4 MG/ML Cartridge
5 standalone prescription drug plans include this drug.
| Plan | Insurer | Tier | PA | ST | Premium | States |
|---|---|---|---|---|---|---|
| Anthem Full Dual Advantage (PPO D-SNP) | ANTHEM HEALTH PLANS, INC. | T1 | No | No | $0 | CT |
| Anthem Dual Advantage (PPO D-SNP) | ANTHEM HEALTH PLANS, INC. | T1 | No | No | $0 | CT |
| Anthem Kidney Care (HMO-POS C-SNP) | ANTHEM HEALTH PLANS, INC. | T1 | No | No | $0 | CT |
| Anthem Full Dual Advantage Select (HMO D-SNP) | ANTHEM HEALTH PLANS, INC. | T1 | No | No | $0 | CT |
| Anthem Dual Advantage (HMO D-SNP) | ANTHEM HEALTH PLANS, INC. | T1 | No | No | $0 | CT |
Medicare Advantage Plans (MA-PD) Covering 1 ML naloxone hydrochloride 0.4 MG/ML Cartridge
95 Medicare Advantage plans with Part D drug coverage include this drug.
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 4,991 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.