Medicare Part D coverage · 12 · RxCUI 902648

12 HR disopyramide 100 MG Extended Release Oral Capsule [Norpace]

Per the CMS 2026 Part D formulary file, 12 HR disopyramide 100 MG Extended Release Oral Capsule [Norpace] is covered by 788 Medicare Part D plans (15.6% of enrollable products), averaging Tier 3.6, with prior authorization required on 8% of covering formularies.

15.6%
Plan coverage
788
Plans covering
T3.6
Avg tier
8%
Prior auth required

Verify with CMS →

Important: Drug coverage and costs vary by plan and location. Verify coverage directly with your Medicare plan before filling a prescription. This is informational data only and should not replace advice from your healthcare provider or pharmacist.

What the CMS Formulary Data Shows for 12 HR disopyramide 100 MG Extended Release Oral Capsule [Norpace]

Per the CMS 2026 Part D formulary file, 12 HR disopyramide 100 MG Extended Release Oral Capsule [Norpace] (RxNorm concept RXCUI 902648, generic name 12) appears on 25 distinct formulary files spanning 788 Medicare Part D plan offerings - 15.6% 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 3.6.

Real-world access to 12 HR disopyramide 100 MG Extended Release Oral Capsule [Norpace] depends on utilization management as much as tier placement: 8% of covering formularies require prior authorization. 0% require step therapy. 0% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 11 Part D beneficiaries filled 12 HR disopyramide 100 MG Extended Release Oral Capsule [Norpace] in 2023, with total plan-and-beneficiary spending of $32,331 and an average per-beneficiary annual cost of $2,939.14. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry 12 HR disopyramide 100 MG Extended Release Oral Capsule [Norpace] today.

Coverage Details

Formularies covering
25
Plans covering
788
Coverage rate
15.6%
Tier range
Tier 1 – Tier 4
Average tier
Tier 4, Non-Preferred

Restrictions

Prior authorization required
8% of formularies
Step therapy required
0% of formularies
Quantity limits
0% of formularies

2023 Medicare Spending

Beneficiaries
11
Total spending
$32,331
Avg per beneficiary
$2,939.14

Tier Distribution Across Plans

7 plans
Tier 1, Preferred Generic
93 plans
Tier 3, Preferred Brand

Medicare Advantage Plans (MA-PD) Covering 12 HR disopyramide 100 MG Extended Release Oral Capsule [Norpace]

100 Medicare Advantage plans with Part D drug coverage include this drug.

Plan Insurer Tier PA Premium States
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
Platino Blindao (HMO D-SNP) Triple S Advantage, Inc. T1 Yes $0 PR
Platino Enlace (HMO D-SNP) Triple S Advantage, Inc. T1 Yes $0 PR
Platino Advance (HMO D-snp) Triple S Advantage, Inc. T1 Yes $0 PR
Platino Plus (HMO D-snp) Triple S Advantage, Inc. T1 Yes $0 PR
Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) Kaiser Foundation HP, Inc. T3 No $0 CA
Kaiser Permanente Senior Advantage Enhanced Solano (HMO) Kaiser Foundation HP, Inc. T3 No $0 CA
Kaiser Permanente Senior Advantage Inland Empire (HMO) Kaiser Foundation HP, Inc. T3 No $0 CA
Kaiser Permanente Sr Adv Enhanced Marin San Mateo (HMO) Kaiser Foundation HP, Inc. T3 No $0 CA
Kaiser Permanente Senior Advantage Ventura (HMO) Kaiser Foundation HP, Inc. T3 No $0 CA
Kaiser Permanente Senior Advantage Enhanced Kern (HMO) Kaiser Foundation HP, Inc. T3 No $0 CA
Kaiser Permanente Senior Advantage Basic Kern (HMO) Kaiser Foundation HP, Inc. T3 No $0 CA
Kaiser Permanente Senior Advantage San Diego (HMO) Kaiser Foundation HP, Inc. T3 No $0 CA
Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO) Kaiser Foundation HP, Inc. T3 No $0 CA
Kaiser Permanente Senior Advantage Enhanced Stanis (HMO) Kaiser Foundation HP, Inc. T3 No $0 CA
Kaiser Permanente Senior Advantage Basic Stanis (HMO) Kaiser Foundation HP, Inc. T3 No $0 CA
Kaiser Permanente Senior Advantage Basic SnJoaq (HMO) Kaiser Foundation HP, Inc. T3 No $0 CA
Kaiser Permanente Senior Advantage Basic Fresno (HMO) Kaiser Foundation HP, Inc. T3 No $0 CA
Show the next 30 plans
Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO) Kaiser Foundation HP, Inc. T3 No $0 CA
Kaiser Permanente Senior Advantage Santa Cruz (HMO) Kaiser Foundation HP, Inc. T3 No $0 CA
Kaiser Permanente Senior Advantage Basic Alameda (HMO) Kaiser Foundation HP, Inc. T3 No $0 CA
Kaiser Permanente Senior Advantage Basic SF (HMO) Kaiser Foundation HP, Inc. T3 No $0 CA
Kaiser Permanente Sr Adv Basic Contra Costa (HMO) Kaiser Foundation HP, Inc. T3 No $0 CA
Kaiser Permanente Sr Adv Basic Santa Clara (HMO) Kaiser Foundation HP, Inc. T3 No $0 CA
Kaiser Permanente Senior Advantage Basic Solano (HMO) Kaiser Foundation HP, Inc. T3 No $0 CA
Kaiser Permanente Senior Advantage Basic San Mateo (HMO) Kaiser Foundation HP, Inc. T3 No $0 CA
Kaiser Permanente Sr Advantage LA, Orange Value (HMO) Kaiser Foundation HP, Inc. T3 No $0 CA
Kaiser Permanente Sr Advantage Inland Empire Value (HMO) Kaiser Foundation HP, Inc. T3 No $0 CA
Kaiser Permanente Senior Advantage San Diego Value (HMO) Kaiser Foundation HP, Inc. T3 No $0 CA
Kaiser Permanente Senior Advantage Ventura Value (HMO) Kaiser Foundation HP, Inc. T3 No $0 CA
Kaiser Permanente Senior Advantage Core DM (HMO) Kaiser Foundation HP OF Co T3 No $0 CO
Kaiser Permanente Dual Essential (HMO D-SNP) Kaiser Foundation HP OF Co T3 No $0 CO
Kaiser Permanente Senior Advantage Silver DM (HMO-POS) Kaiser Foundation HP OF Co T3 No $0 CO
Kaiser Permanente Senior Advantage Core South (HMO) Kaiser Foundation HP OF Co T3 No $0 CO
Kaiser Permanente Senior Advantage Core North (HMO) Kaiser Foundation HP OF Co T3 No $0 CO
Kaiser Permanente Senior Advantage Enhanced (HMO-POS) Kaiser Foundation HP OF Co T3 No $0 CO
Kaiser Permanente Dual Complete Pueblo (HMO D-SNP) Kaiser Foundation HP OF Co T3 No $0 CO
Kaiser Permanente Senior Advantage Bronze DM (HMO-POS) Kaiser Foundation HP OF Co T3 No $0 CO
Kaiser Permanente Dual Complete (HMO D-SNP) Kaiser Foundation HP OF Co T3 No $0 CO
Kaiser Permanente Dual Essential Plan 1 (HMO D-SNP) Kaiser Foundation HP OF GA, Inc. T3 No $0 GA
Kaiser Permanente Senior Advantage Basic 1 (HMO) Kaiser Foundation HP OF GA, Inc. T3 No $0 GA
Kaiser Permanente Dual Essential Plan 2 (HMO D-SNP) Kaiser Foundation HP OF GA, Inc. T3 No $0 GA
Kaiser Permanente Senior Advantage Basic 2 (HMO) Kaiser Foundation HP OF GA, Inc. T3 No $0 GA
Kaiser Permanente Senior Advantage Care Plus (HMO-POS) Kaiser Foundation HP OF GA, Inc. T3 No $0 GA
Kaiser Permanente Dual Complete (HMO D-SNP) Kaiser Foundation HP OF GA, Inc. T3 No $0 GA
Kaiser Permanente Senior Advantage Basic (HMO) Kaiser Foundation HP, Inc. T3 No $0 HI
Kaiser Permanente Medicare Advantage Value 1 VA (HMO-POS) Kaiser Fdtn Hlth Plan OF THE Mid-atlantic States T3 No $0 VA
Kaiser Permanente Dual Complete Plan 1 MD (HMO D-SNP) Kaiser Fdtn Hlth Plan OF THE Mid-atlantic States T3 No $0 MD

Showing top 50 of 100 plans.

Frequently Asked Questions

Is 12 HR disopyramide 100 MG Extended Release Oral Capsule [Norpace] covered by Medicare Part D?

Yes, 12 HR disopyramide 100 MG Extended Release Oral Capsule [Norpace] is covered by 788 Medicare Part D plans (15.6% of all Part D formularies).

What tier is 12 HR disopyramide 100 MG Extended Release Oral Capsule [Norpace] on Medicare Part D plans?

12 HR disopyramide 100 MG Extended Release Oral Capsule [Norpace] averages Tier 3.6 across Part D plans, ranging from Tier 1 to Tier 4.

Does 12 HR disopyramide 100 MG Extended Release Oral Capsule [Norpace] require prior authorization?

8% of Part D formularies require prior authorization for 12 HR disopyramide 100 MG Extended Release Oral Capsule [Norpace]. Step therapy: 0%. Quantity limits: 0%.

How much does Medicare spend on 12 HR disopyramide 100 MG Extended Release Oral Capsule [Norpace]?

In 2023, total Medicare Part D spending on 12 HR disopyramide 100 MG Extended Release Oral Capsule [Norpace] was $32,331, covering 11 beneficiaries. The average spend per beneficiary was $2,939.14.

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.

Data sourced from the Centers for Medicare & Medicaid Services (CMS). See our methodology for details. Retrieved and formatted by PlainMedicare