{21 (24 HR lamotrigine 25 MG Extended Release Oral Tablet [Lamictal]) / 7 (24 HR lamotrigine 50 MG Extended Release Oral Tablet [Lamictal]) } Pack [Lamictal XR Blue Patient Titration Kit (for Patients Taking Valproate)]

Verify with CMS →

lamotrigine

RxCUI: 900984

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.
1.2%
Plan Coverage
63
Plans Covering
T4
Avg Tier
100%
Prior Auth Required

What the CMS Formulary Data Shows for {21 (24 HR lamotrigine 25 MG Extended Release Oral Tablet [Lamictal]) / 7 (24 HR lamotrigine 50 MG Extended Release Oral Tablet [Lamictal]) } Pack [Lamictal XR Blue Patient Titration Kit (for Patients Taking Valproate)]

Per the CMS 2026 Part D formulary file, {21 (24 HR lamotrigine 25 MG Extended Release Oral Tablet [Lamictal]) / 7 (24 HR lamotrigine 50 MG Extended Release Oral Tablet [Lamictal]) } Pack [Lamictal XR Blue Patient Titration Kit (for Patients Taking Valproate)] (RxNorm concept RXCUI 900984, generic name lamotrigine) appears on 1 distinct formulary file spanning 63 Medicare Part D plan offerings - 1.2% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 4 to Tier 4, with a cross-plan average of Tier 4.

Real-world access to {21 (24 HR lamotrigine 25 MG Extended Release Oral Tablet [Lamictal]) / 7 (24 HR lamotrigine 50 MG Extended Release Oral Tablet [Lamictal]) } Pack [Lamictal XR Blue Patient Titration Kit (for Patients Taking Valproate)] depends on utilization management as much as tier placement: 100% 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 5,721 Part D beneficiaries filled {21 (24 HR lamotrigine 25 MG Extended Release Oral Tablet [Lamictal]) / 7 (24 HR lamotrigine 50 MG Extended Release Oral Tablet [Lamictal]) } Pack [Lamictal XR Blue Patient Titration Kit (for Patients Taking Valproate)] in 2023, with total plan-and-beneficiary spending of $111,836,411 and an average per-beneficiary annual cost of $19,548.40. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry {21 (24 HR lamotrigine 25 MG Extended Release Oral Tablet [Lamictal]) / 7 (24 HR lamotrigine 50 MG Extended Release Oral Tablet [Lamictal]) } Pack [Lamictal XR Blue Patient Titration Kit (for Patients Taking Valproate)] today.

Coverage Details

Formularies covering
1
Plans covering
63
Coverage rate
1.2%
Tier range
Tier 4, Non-Preferred
Average tier
Tier 4, Non-Preferred

Restrictions

Prior authorization required
100% of formularies
Step therapy required
0% of formularies
Quantity limits
0% of formularies

2023 Medicare Spending

Beneficiaries
5,721
Total spending
$111,836,411
Avg per beneficiary
$19,548.40

Tier Distribution Across Plans

63 plans
Tier 4, Non-Preferred

Medicare Advantage Plans (MA-PD) Covering {21 (24 HR lamotrigine 25 MG Extended Release Oral Tablet [Lamictal]) / 7 (24 HR lamotrigine 50 MG Extended Release Oral Tablet [Lamictal]) } Pack [Lamictal XR Blue Patient Titration Kit (for Patients Taking Valproate)]

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

Plan Insurer Tier PA Premium States
HealthSun HealthAdvantage Plan (HMO) HEALTHSUN HEALTH PLANS, INC. T4 Yes $0 FL
HealthSun MediMax (HMO) HEALTHSUN HEALTH PLANS, INC. T4 Yes $0 FL
HealthSun HealthAdvantage Plan (HMO) HEALTHSUN HEALTH PLANS, INC. T4 Yes $0 FL
HealthSun HealthAdvantage Plan (HMO) HEALTHSUN HEALTH PLANS, INC. T4 Yes $0 FL
HealthSun MediSun Plus (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T4 Yes $0 FL
HealthSun HealthAdvantage Plus (HMO) HEALTHSUN HEALTH PLANS, INC. T4 Yes $0 FL
HealthSun HealthAdvantage Plus (HMO) HEALTHSUN HEALTH PLANS, INC. T4 Yes $0 FL
HealthSun MediSun Extra (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T4 Yes $0 FL
HealthSun HealthAdvantage Plus (HMO) HEALTHSUN HEALTH PLANS, INC. T4 Yes $0 FL
HealthSun VitalCare (HMO C-SNP) HEALTHSUN HEALTH PLANS, INC. T4 Yes $0 FL
HealthSun VitalCare (HMO C-SNP) HEALTHSUN HEALTH PLANS, INC. T4 Yes $0 FL
HealthSun MediSun Full Dual Plus (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T4 Yes $0 FL
HealthSun MediSun Full Dual Extra (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T4 Yes $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply Extra (HMO) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply Extra Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply More Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply Complete Platinum (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply Level Platinum (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply Extra Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply Level Platinum (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply Extra Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply Level Platinum (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply Extra Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply More Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply Complete Platinum (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply Level Platinum (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply Integrated (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply Integrated (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply Integrated (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply Integrated (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply Integrated (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply Integrated (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply Integrated (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply Integrated Platinum (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL
Simply Integrated Platinum (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T4 Yes $0 FL

Frequently Asked Questions

Is {21 (24 HR lamotrigine 25 MG Extended Release Oral Tablet [Lamictal]) / 7 (24 HR lamotrigine 50 MG Extended Release Oral Tablet [Lamictal]) } Pack [Lamictal XR Blue Patient Titration Kit (for Patients Taking Valproate)] covered by Medicare Part D?

Yes, {21 (24 HR lamotrigine 25 MG Extended Release Oral Tablet [Lamictal]) / 7 (24 HR lamotrigine 50 MG Extended Release Oral Tablet [Lamictal]) } Pack [Lamictal XR Blue Patient Titration Kit (for Patients Taking Valproate)] is covered by 63 Medicare Part D plans (1.2% of all Part D formularies).

What tier is {21 (24 HR lamotrigine 25 MG Extended Release Oral Tablet [Lamictal]) / 7 (24 HR lamotrigine 50 MG Extended Release Oral Tablet [Lamictal]) } Pack [Lamictal XR Blue Patient Titration Kit (for Patients Taking Valproate)] on Medicare Part D plans?

{21 (24 HR lamotrigine 25 MG Extended Release Oral Tablet [Lamictal]) / 7 (24 HR lamotrigine 50 MG Extended Release Oral Tablet [Lamictal]) } Pack [Lamictal XR Blue Patient Titration Kit (for Patients Taking Valproate)] averages Tier 4 across Part D plans, ranging from Tier 4 to Tier 4.

Does {21 (24 HR lamotrigine 25 MG Extended Release Oral Tablet [Lamictal]) / 7 (24 HR lamotrigine 50 MG Extended Release Oral Tablet [Lamictal]) } Pack [Lamictal XR Blue Patient Titration Kit (for Patients Taking Valproate)] require prior authorization?

100% of Part D formularies require prior authorization for {21 (24 HR lamotrigine 25 MG Extended Release Oral Tablet [Lamictal]) / 7 (24 HR lamotrigine 50 MG Extended Release Oral Tablet [Lamictal]) } Pack [Lamictal XR Blue Patient Titration Kit (for Patients Taking Valproate)]. Step therapy: 0%. Quantity limits: 0%.

How much does Medicare spend on {21 (24 HR lamotrigine 25 MG Extended Release Oral Tablet [Lamictal]) / 7 (24 HR lamotrigine 50 MG Extended Release Oral Tablet [Lamictal]) } Pack [Lamictal XR Blue Patient Titration Kit (for Patients Taking Valproate)]?

In 2023, total Medicare Part D spending on {21 (24 HR lamotrigine 25 MG Extended Release Oral Tablet [Lamictal]) / 7 (24 HR lamotrigine 50 MG Extended Release Oral Tablet [Lamictal]) } Pack [Lamictal XR Blue Patient Titration Kit (for Patients Taking Valproate)] was $111,836,411, covering 5,721 beneficiaries. The average spend per beneficiary was $19,548.40.

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