Medicare Part D coverage · 12 · RxCUI 1013930
12 HR clonidine hydrochloride 0.1 MG Extended Release Oral Tablet
Per the CMS 2026 Part D formulary file, 12 HR clonidine hydrochloride 0.1 MG Extended Release Oral Tablet is covered by 1,610 Medicare Part D plans (31.9% of enrollable products), averaging Tier 2.4, with prior authorization required on 4.3% of covering formularies.
- 31.9%
- Plan coverage
- 1,610
- Plans covering
- T2.4
- Avg tier
- 4.3%
- Prior auth required
What the CMS Formulary Data Shows for 12 HR clonidine hydrochloride 0.1 MG Extended Release Oral Tablet
Per the CMS 2026 Part D formulary file, 12 HR clonidine hydrochloride 0.1 MG Extended Release Oral Tablet (RxNorm concept RXCUI 1013930, generic name 12) appears on 139 distinct formulary files spanning 1,610 Medicare Part D plan offerings - 31.9% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 2.4.
Real-world access to 12 HR clonidine hydrochloride 0.1 MG Extended Release Oral Tablet depends on utilization management as much as tier placement: 4.3% of covering formularies require prior authorization. 0% require step therapy. 41.7% 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 12 HR clonidine hydrochloride 0.1 MG Extended Release Oral Tablet today.
Coverage Details
- Formularies covering
- 139
- Plans covering
- 1,610
- Coverage rate
- 31.9%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 4.3% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 41.7% of formularies
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering 12 HR clonidine hydrochloride 0.1 MG Extended Release Oral Tablet
100 Medicare Advantage plans with Part D drug coverage include this drug.
Show the next 30 plans
| PruittHealth Premier D-SNP (HMO D-SNP) | Pruitthealth Premier, Inc. | T1 | No | $0 | GA |
| Simpra Advantage Dual Care (PPO D-SNP) | Simpra Advantage, Inc. | T1 | No | $0 | AL |
| CareAdvantage (HMO D-SNP) | SAN Mateo Health Commission | T1 | No | $0 | CA |
| Gold Coast Health Plan Total Care Advantage (HMO D-SNP) | Ventura County Medi-Cal Managed Care Commission | T1 | No | $0 | CA |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | Health Care Service Corporation | T1 | No | $0 | NM |
| Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) | Health Care Service Corporation | T1 | No | $0 | NM |
| Horizon NJ TotalCare (HMO D-SNP) | Horizon Healthcare OF NEW Jersey, Inc. | T1 | No | $0 | NJ |
| SecureBlue (HMO D-SNP) | HMO Minnesota | T1 | No | $0 | MN |
| Hamaspik Medicare Choice (HMO D-SNP) | Hamaspik, Inc. | T1 | No | $0 | NY |
| SeniorCare Complete (HMO D-SNP) | South Country Health Alliance | T1 | No | $0 | MN |
| AbilityCare (HMO D-SNP) | South Country Health Alliance | T1 | No | $0 | MN |
| Alameda Alliance Wellness (HMO D-SNP) | Alameda Alliance FOR Health | T1 | No | $0 | CA |
| Healthy Mississippi Premier Advantage (HMO-POS) | Healthy Mississippi, Inc. | T1 | No | $0 | MS |
| PHP (HMO C-snp) | Aids Healthcare Foundation | T1 | No | $0 | CA |
| VNS Health Total (HMO D-SNP) | VNS Choice | T1 | No | $0 | NY |
| Platino Blindao (HMO D-SNP) | Triple S Advantage, Inc. | T1 | No | $0 | PR |
| Platino Enlace (HMO D-SNP) | Triple S Advantage, Inc. | T1 | No | $0 | PR |
| Platino Advance (HMO D-snp) | Triple S Advantage, Inc. | T1 | No | $0 | PR |
| Platino Plus (HMO D-snp) | Triple S Advantage, Inc. | T1 | No | $0 | PR |
| CalOptima Health OneCare Complete (HMO D-SNP) | Orange County Health Authority | T1 | No | $0 | CA |
| Mass General Brigham SCO (HMO D-SNP) | Mass General Brigham Health Plan, Inc | T1 | No | $0 | MA |
| Mass General Brigham One Care (HMO D-SNP) | Mass General Brigham Health Plan, Inc | T1 | No | $0 | MA |
| Tufts Health One Care (HMO D-SNP) | Tufts Health Public Plans, Inc. | T1 | No | $0 | MA |
| Tufts Health One Care CW (HMO D-SNP) | Tufts Health Public Plans, Inc. | T1 | No | $0 | MA |
| Tufts Health Plan Senior Care Options (HMO D-SNP) | Tufts Associated Health Maintenance Organization | T1 | No | $0 | MA |
| Tufts Health Plan Senior Care Options CW (HMO D-SNP) | Tufts Associated Health Maintenance Organization | T1 | No | $0 | MA |
| Leon MediExtra (HMO) | Leon Health, Inc. | T1 | No | $0 | FL |
| Leon MediDual (HMO D-SNP) | Leon Health, Inc. | T1 | No | $0 | FL |
| Leon MediMore (HMO) | Leon Health, Inc. | T1 | No | $0 | FL |
| Leon MediMax (HMO D-SNP) | Leon Health, Inc. | T1 | No | $0 | FL |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is 12 HR clonidine hydrochloride 0.1 MG Extended Release Oral Tablet covered by Medicare Part D?
Yes, 12 HR clonidine hydrochloride 0.1 MG Extended Release Oral Tablet is covered by 1,610 Medicare Part D plans (31.9% of all Part D formularies).
What tier is 12 HR clonidine hydrochloride 0.1 MG Extended Release Oral Tablet on Medicare Part D plans?
12 HR clonidine hydrochloride 0.1 MG Extended Release Oral Tablet averages Tier 2.4 across Part D plans, ranging from Tier 1 to Tier 4.
Does 12 HR clonidine hydrochloride 0.1 MG Extended Release Oral Tablet require prior authorization?
4.3% of Part D formularies require prior authorization for 12 HR clonidine hydrochloride 0.1 MG Extended Release Oral Tablet. Step therapy: 0%. Quantity limits: 41.7%.
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
Similar prior-authorization rate
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