24 HR venlafaxine 112.5 MG Extended Release Oral Tablet

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venlafaxine

RxCUI: 2605950

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.
28.8%
Plan Coverage
1,458
Plans Covering
T3.5
Avg Tier
1.2%
Prior Auth Required

What the CMS Formulary Data Shows for 24 HR venlafaxine 112.5 MG Extended Release Oral Tablet

Per the CMS 2026 Part D formulary file, 24 HR venlafaxine 112.5 MG Extended Release Oral Tablet (RxNorm concept RXCUI 2605950, generic name venlafaxine) appears on 85 distinct formulary files spanning 1,458 Medicare Part D plan offerings - 28.8% 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 3.5.

Real-world access to 24 HR venlafaxine 112.5 MG Extended Release Oral Tablet depends on utilization management as much as tier placement: 1.2% of covering formularies require prior authorization. 5.9% require step therapy. 87.1% 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 24 HR venlafaxine 112.5 MG Extended Release Oral Tablet today.

Coverage Details

Formularies covering
85
Plans covering
1,458
Coverage rate
28.8%
Tier range
Tier 1 – Tier 4
Average tier
Tier 3, Preferred Brand

Restrictions

Prior authorization required
1.2% of formularies
Step therapy required
5.9% of formularies
Quantity limits
87.1% of formularies

Tier Distribution Across Plans

21 plans
Tier 1, Preferred Generic
17 plans
Tier 2, Generic
62 plans
Tier 3, Preferred Brand

Medicare Advantage Plans (MA-PD) Covering 24 HR venlafaxine 112.5 MG Extended Release Oral Tablet

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

Plan Insurer Tier PA Premium States
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
NaviCare (HMO D-SNP) FALLON COMMUNITY HEALTH PLAN T1 No $0 MA
Hamaspik Medicare Choice (HMO D-SNP) HAMASPIK, INC. T1 No $0 NY
Community Care's Partnership Program (HMO D-SNP) COMMUNITY CARE HEALTH PLAN, INC. T1 No $0 WI
CalOptima Health OneCare Complete (HMO D-SNP) ORANGE COUNTY HEALTH AUTHORITY T1 Yes $0 CA
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) GATEWAY HEALTH PLAN, INC. T1 No $0 PA
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) GATEWAY HEALTH PLAN, INC. T1 No $0 PA
Highmark Health Options Duals (HMO D-SNP) HIGHMARK HEALTH OPTIONS WEST VIRGINIA INC. T1 No $0 WV
Highmark Health Options Duals (HMO D-SNP) HIGHMARK BCBSD, INC. T1 No $0 DE
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) HCSC INSURANCE SERVICES COMPANY T1 No $4.80 TX
Gold Dialysis & Kidney Complete (HMO-POS C-SNP) GOLD KIDNEY OF FLORIDA INC T1 No $4.80 FL
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) GHS INSURANCE COMPANY T1 No $5.00 OK
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) GATEWAY HEALTH PLAN, INC. T1 No $13.10 PA
Gold Dialysis & Kidney Complete (HMO-POS C-SNP) GOLD KIDNEY OF ARIZONA T1 No $17.00 AZ
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) GATEWAY HEALTH PLAN, INC. T1 No $17.60 PA
Highmark Health Options Duals Select (HMO D-SNP) HIGHMARK BCBSD, INC. T1 No $31.20 DE
Hamaspik Medicare Select (HMO D-SNP) HAMASPIK, INC. T1 No $34.50 NY
MCS Classicare RxMax (HMO) MCS ADVANTAGE, INC. T2 No $0 PR
MCS Classicare Platino Ideal (HMO D-SNP) MCS ADVANTAGE, INC. T2 No $0 PR
MCS Classicare Efectivo (HMO) MCS ADVANTAGE, INC. T2 No $0 PR
MCS Classicare Essential (HMO-POS) MCS ADVANTAGE, INC. T2 No $0 PR
MCS Classicare Platino Progreso (HMO D-SNP) MCS ADVANTAGE, INC. T2 No $0 PR
MCS Classicare Primero (HMO C-SNP) MCS ADVANTAGE, INC. T2 No $0 PR
MCS Classicare Firme (HMO) MCS ADVANTAGE, INC. T2 No $0 PR
MCS Classicare En Tu Hogar (HMO) MCS ADVANTAGE, INC. T2 No $0 PR
MCS Classicare Hero (HMO) MCS ADVANTAGE, INC. T2 No $0 PR
MCS Classicare Platino Total (HMO D-SNP) MCS ADVANTAGE, INC. T2 No $0 PR
MCS Classicare InteliCare (HMO) MCS ADVANTAGE, INC. T2 No $0 PR
MCS Classicare Platino Maximo (HMO D-SNP) MCS ADVANTAGE, INC. T2 No $0 PR
MCS Classicare Excede (HMO) MCS ADVANTAGE, INC. T2 No $0 PR
MCS Classicare Estrella (HMO) MCS ADVANTAGE, INC. T2 No $0 PR
MCS Classicare Platino Superior (HMO D-SNP) MCS ADVANTAGE, INC. T2 No $0 PR
MCS Classicare Platino 185 (HMO D-SNP) MCS ADVANTAGE, INC. T2 No $0 PR
Healthy Mississippi Premier Advantage (HMO-POS) Healthy Mississippi, Inc. T2 No $0 MS
Freedom VIP Care (HMO C-SNP) FREEDOM HEALTH, INC. T3 No $0 FL
Freedom VIP Savings (HMO C-SNP) FREEDOM HEALTH, INC. T3 No $0 FL
Freedom VIP Savings (HMO C-SNP) FREEDOM HEALTH, INC. T3 No $0 FL
Freedom VIP Rewards (HMO C-SNP) FREEDOM HEALTH, INC. T3 No $0 FL
Freedom VIP Rewards (HMO C-SNP) FREEDOM HEALTH, INC. T3 No $0 FL
Optimum Diamond Rewards (HMO C-SNP) OPTIMUM HEALTHCARE, INC. T3 No $0 FL
Optimum Diamond Savings (HMO C-SNP) OPTIMUM HEALTHCARE, INC. T3 No $0 FL
Optimum Diamond Rewards (HMO C-SNP) OPTIMUM HEALTHCARE, INC. T3 No $0 FL
Optimum Diamond (HMO C-SNP) OPTIMUM HEALTHCARE, INC. T3 No $0 FL
Freedom Medi-Medi Partial (HMO D-SNP) FREEDOM HEALTH, INC. T3 No $0 FL
Freedom Medi-Medi Full (HMO D-SNP) FREEDOM HEALTH, INC. T3 No $0 FL
Optimum Emerald Partial (HMO D-SNP) OPTIMUM HEALTHCARE, INC. T3 No $0 FL

Frequently Asked Questions

Is 24 HR venlafaxine 112.5 MG Extended Release Oral Tablet covered by Medicare Part D?

Yes, 24 HR venlafaxine 112.5 MG Extended Release Oral Tablet is covered by 1,458 Medicare Part D plans (28.8% of all Part D formularies).

What tier is 24 HR venlafaxine 112.5 MG Extended Release Oral Tablet on Medicare Part D plans?

24 HR venlafaxine 112.5 MG Extended Release Oral Tablet averages Tier 3.5 across Part D plans, ranging from Tier 1 to Tier 4.

Does 24 HR venlafaxine 112.5 MG Extended Release Oral Tablet require prior authorization?

1.2% of Part D formularies require prior authorization for 24 HR venlafaxine 112.5 MG Extended Release Oral Tablet. Step therapy: 5.9%. Quantity limits: 87.1%.

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