{18 (oteseconazole 150 MG Oral Capsule [Vivjoa]) } Pack [Vivjoa 18-Count]
oteseconazole
RxCUI: 2605803
What the CMS Formulary Data Shows for {18 (oteseconazole 150 MG Oral Capsule [Vivjoa]) } Pack [Vivjoa 18-Count]
Per the CMS 2026 Part D formulary file, {18 (oteseconazole 150 MG Oral Capsule [Vivjoa]) } Pack [Vivjoa 18-Count] (RxNorm concept RXCUI 2605803, generic name oteseconazole) appears on 13 distinct formulary files spanning 109 Medicare Part D plan offerings - 2.2% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 4 to Tier 5, with a cross-plan average of Tier 4.2.
Real-world access to {18 (oteseconazole 150 MG Oral Capsule [Vivjoa]) } Pack [Vivjoa 18-Count] depends on utilization management as much as tier placement: 100% of covering formularies require prior authorization. 0% require step therapy. 76.9% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 71 Part D beneficiaries filled {18 (oteseconazole 150 MG Oral Capsule [Vivjoa]) } Pack [Vivjoa 18-Count] in 2023, with total plan-and-beneficiary spending of $222,182 and an average per-beneficiary annual cost of $3,129.33. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry {18 (oteseconazole 150 MG Oral Capsule [Vivjoa]) } Pack [Vivjoa 18-Count] today.
Coverage Details
- Formularies covering
- 13
- Plans covering
- 109
- Coverage rate
- 2.2%
- Tier range
- Tier 4 – Tier 5
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 100% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 76.9% of formularies
2023 Medicare Spending
- Beneficiaries
- 71
- Total spending
- $222,182
- Avg per beneficiary
- $3,129.33
Tier Distribution Across Plans
Standalone Drug Plans (PDP) Covering {18 (oteseconazole 150 MG Oral Capsule [Vivjoa]) } Pack [Vivjoa 18-Count]
2 standalone prescription drug plans include this drug.
| Plan | Insurer | Tier | PA | ST | Premium | States |
|---|---|---|---|---|---|---|
| Blue Rx PDP Complete (PDP) | HM HEALTH INSURANCE COMPANY | T4 | Yes | No | $164.80 | - |
| Blue Rx PDP Plus (PDP) | HM HEALTH INSURANCE COMPANY | T4 | Yes | No | $193.20 | - |
Medicare Advantage Plans (MA-PD) Covering {18 (oteseconazole 150 MG Oral Capsule [Vivjoa]) } Pack [Vivjoa 18-Count]
98 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Community Blue Medicare HMO Signature (HMO) | Highmark Western and Northeastern New York Inc. | T4 | Yes | $0 | NY |
| Community Blue Medicare HMO Merit (HMO) | Highmark Western and Northeastern New York Inc. | T4 | Yes | $0 | NY |
| Community Blue Medicare PPO Signature (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T4 | Yes | $0 | PA |
| Complete Blue PPO Signature (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T4 | Yes | $0 | PA |
| Community Blue Medicare Plus PPO Signature (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T4 | Yes | $0 | PA |
| Complete Blue PPO Signature (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T4 | Yes | $0 | PA |
| Complete Blue PPO Merit (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T4 | Yes | $0 | PA |
| Complete Blue PPO Signature (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T4 | Yes | $0 | PA |
| Complete Blue PPO Distinct (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T4 | Yes | $0 | PA |
| Community Blue Medicare Plus PPO Signature (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T4 | Yes | $0 | PA |
| Complete Blue Plus PPO Merit (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T4 | Yes | $0 | PA |
| Community Blue Medicare PPO Signature (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T4 | Yes | $0 | PA |
| Complete Blue PPO Merit (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T4 | Yes | $0 | PA |
| Community Blue Medicare HMO Signature (HMO) | HIGHMARK CHOICE COMPANY | T4 | Yes | $0 | PA |
| Security Blue HMO-POS ValueRx (HMO-POS) | HIGHMARK CHOICE COMPANY | T4 | Yes | $0 | PA |
| Community Blue Medicare HMO Signature (HMO) | HIGHMARK CHOICE COMPANY | T4 | Yes | $0 | PA |
| Together Blue Medicare HMO Signature (HMO) | HIGHMARK CHOICE COMPANY | T4 | Yes | $0 | PA |
| Community Blue Medicare HMO Distinct (HMO) | HIGHMARK CHOICE COMPANY | T4 | Yes | $0 | PA |
| Complete Blue HMO Distinct (HMO) | HIGHMARK CHOICE COMPANY | T4 | Yes | $0 | PA |
| Complete Blue PPO Distinct (PPO) | HIGHMARK SENIOR SOLUTIONS COMPANY | T4 | Yes | $0 | WV |
| Complete Blue PPO Signature (PPO) | HIGHMARK SENIOR SOLUTIONS COMPANY | T4 | Yes | $0 | WV |
| Complete Blue PPO Signature (PPO) | HIGHMARK SENIOR SOLUTIONS COMPANY | T4 | Yes | $0 | WV |
| Complete Blue PPO Merit (PPO) | HIGHMARK SENIOR SOLUTIONS COMPANY | T4 | Yes | $0 | WV |
| Complete Blue PPO Signature (PPO) | HIGHMARK BCBSD INC. | T4 | Yes | $0 | DE |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T4 | Yes | $0 | UT |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T4 | Yes | $0 | NV |
| Select Health Medicare Dual (HMO D-SNP) | SELECTHEALTH, INC. | T4 | Yes | $0 | UT |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T4 | Yes | $0 | UT |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T4 | Yes | $0 | NV |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T4 | Yes | $0 | UT |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T4 | Yes | $0 | CO |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T4 | Yes | $0 | CO |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T4 | Yes | $0 | CO |
| Select Health Medicare Flex (HMO) | SELECTHEALTH, INC. | T4 | Yes | $0 | CO |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T4 | Yes | $0 | CO |
| Select Health Medicare Active (HMO) | SELECTHEALTH, INC. | T4 | Yes | $0 | CO |
| Select Health Medicare Dual (HMO D-SNP) | SELECTHEALTH, INC. | T4 | Yes | $0 | NV |
| Select Health Medicare Wellness (HMO) | SELECTHEALTH, INC. | T4 | Yes | $0 | NV |
| UPMC for Life HMO Premier Rx (HMO) | UPMC HEALTH PLAN, INC. | T4 | Yes | $0 | PA |
| UPMC for Life Complete Care (HMO D-SNP) | UPMC FOR YOU, INC | T4 | Yes | $0 | PA |
| UPMC for Life Complete Care (HMO D-SNP) | UPMC FOR YOU, INC | T4 | Yes | $0 | PA |
| UPMC for Life PPO Premier Rx (PPO) | UPMC HEALTH NETWORK, INC. | T4 | Yes | $0 | PA |
| UPMC for Life PPO Premier Rx (PPO) | UPMC HEALTH NETWORK, INC. | T4 | Yes | $0 | PA |
| UPMC for Life PPO Essential Care Rx (PPO) | UPMC HEALTH NETWORK, INC. | T4 | Yes | $0 | PA |
| UPMC for Life Complete Care (HMO D-SNP) | UPMC HEALTH COVERAGE, INC. | T4 | Yes | $0 | PA |
| Healthy Mississippi Premier Advantage (HMO-POS) | Healthy Mississippi, Inc. | T4 | Yes | $0 | MS |
| Senior Blue 652 (HMO) | Highmark Western and Northeastern New York Inc. | T4 | Yes | $0.40 | NY |
| Complete Blue PPO Distinct (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T4 | Yes | $1.00 | PA |
| UPMC for Life HMO Rx Choice (HMO) | UPMC HEALTH PLAN, INC. | T4 | Yes | $3.90 | OH, PA |
| Complete Blue PPO Distinct (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T4 | Yes | $6.00 | PA |
Frequently Asked Questions
Is {18 (oteseconazole 150 MG Oral Capsule [Vivjoa]) } Pack [Vivjoa 18-Count] covered by Medicare Part D?
Yes, {18 (oteseconazole 150 MG Oral Capsule [Vivjoa]) } Pack [Vivjoa 18-Count] is covered by 109 Medicare Part D plans (2.2% of all Part D formularies).
What tier is {18 (oteseconazole 150 MG Oral Capsule [Vivjoa]) } Pack [Vivjoa 18-Count] on Medicare Part D plans?
{18 (oteseconazole 150 MG Oral Capsule [Vivjoa]) } Pack [Vivjoa 18-Count] averages Tier 4.2 across Part D plans, ranging from Tier 4 to Tier 5.
Does {18 (oteseconazole 150 MG Oral Capsule [Vivjoa]) } Pack [Vivjoa 18-Count] require prior authorization?
100% of Part D formularies require prior authorization for {18 (oteseconazole 150 MG Oral Capsule [Vivjoa]) } Pack [Vivjoa 18-Count]. Step therapy: 0%. Quantity limits: 76.9%.
How much does Medicare spend on {18 (oteseconazole 150 MG Oral Capsule [Vivjoa]) } Pack [Vivjoa 18-Count]?
In 2023, total Medicare Part D spending on {18 (oteseconazole 150 MG Oral Capsule [Vivjoa]) } Pack [Vivjoa 18-Count] was $222,182, covering 71 beneficiaries. The average spend per beneficiary was $3,129.33.
Read our methodology - how this data is sourced, computed, and verified.