24 HR trospium chloride 60 MG Extended Release Oral Capsule
trospium chloride
RxCUI: 857564
What the CMS Formulary Data Shows for 24 HR trospium chloride 60 MG Extended Release Oral Capsule
Per the CMS 2026 Part D formulary file, 24 HR trospium chloride 60 MG Extended Release Oral Capsule (RxNorm concept RXCUI 857564, generic name trospium chloride) appears on 97 distinct formulary files spanning 1,706 Medicare Part D plan offerings - 33.7% 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.
Real-world access to 24 HR trospium chloride 60 MG Extended Release Oral Capsule depends on utilization management as much as tier placement: 2.1% of covering formularies require prior authorization. 11.3% require step therapy. 61.9% 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 trospium chloride 60 MG Extended Release Oral Capsule today.
Coverage Details
- Formularies covering
- 97
- Plans covering
- 1,706
- Coverage rate
- 33.7%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 2.1% of formularies
- Step therapy required
- 11.3% of formularies
- Quantity limits
- 61.9% of formularies
Tier Distribution Across Plans
Standalone Drug Plans (PDP) Covering 24 HR trospium chloride 60 MG Extended Release Oral Capsule
2 standalone prescription drug plans include this drug.
| Plan | Insurer | Tier | PA | ST | Premium | States |
|---|---|---|---|---|---|---|
| Wellcare Simple (HMO-POS) | WELLCARE OF CONNECTICUT, INC. | T2 | No | No | $0 | CT |
| Wellcare Giveback (HMO-POS) | WELLCARE OF CONNECTICUT, INC. | T2 | No | No | $0 | CT |
Medicare Advantage Plans (MA-PD) Covering 24 HR trospium chloride 60 MG Extended Release Oral Capsule
98 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| CareAdvantage (HMO D-SNP) | SAN MATEO HEALTH COMMISSION | T1 | No | $0 | CA |
| NaviCare (HMO D-SNP) | FALLON COMMUNITY HEALTH PLAN | T1 | No | $0 | MA |
| 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 |
| PHP (HMO C-SNP) | AIDS HEALTHCARE FOUNDATION | T1 | No | $0 | CA |
| VNS Health Total (HMO D-SNP) | VNS CHOICE | 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 | 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 |
| 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 |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | GOLD KIDNEY OF FLORIDA INC | T1 | No | $4.80 | FL |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | GOLD KIDNEY OF ARIZONA | T1 | No | $17.00 | AZ |
| Hamaspik Medicare Select (HMO D-SNP) | HAMASPIK, INC. | T1 | No | $34.50 | NY |
| VNS Health EasyCare Plus (HMO D-SNP) | VNS CHOICE | T1 | No | $51.60 | NY |
| DEVOTED CORE 001 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED CORE 002 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED CORE 003 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED CORE 005 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED GIVEBACK 013 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED GIVEBACK 014 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED GIVEBACK 015 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED GIVEBACK 018 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED CORE 025 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED CORE 027 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED CORE 029 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED GIVEBACK 031 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED GIVEBACK 032 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED GIVEBACK 035 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED CORE 036 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED GIVEBACK 045 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED CORE 046 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED GIVEBACK 049 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED CORE 050 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED GIVEBACK 051 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED CORE 001 AZ (HMO) | DEVOTED HEALTH PLAN OF ARIZONA, INC. | T2 | No | $0 | AZ |
| DEVOTED C-SNP 011 AZ (HMO C-SNP) | DEVOTED HEALTH PLAN OF ARIZONA, INC. | T2 | No | $0 | AZ |
| BlueAdvantage Sapphire (PPO) | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | T2 | No | $0 | TN |
| BlueAdvantage Sapphire (PPO) | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | T2 | No | $0 | TN |
| BlueAdvantage Garnet (PPO) | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | T2 | No | $0 | TN |
| BlueAdvantage Garnet (PPO) | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | T2 | No | $0 | TN |
| BlueAdvantage Sapphire (PPO) | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | T2 | No | $0 | TN |
| BlueAdvantage Sapphire (PPO) | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | T2 | No | $0 | GA |
| BlueAdvantage Total Heart and Diabetes (PPO C-SNP) | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | T2 | No | $0 | GA, TN |
| BlueAdvantage Total Heart and Diabetes (PPO C-SNP) | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | T2 | No | $0 | TN |
Frequently Asked Questions
Is 24 HR trospium chloride 60 MG Extended Release Oral Capsule covered by Medicare Part D?
Yes, 24 HR trospium chloride 60 MG Extended Release Oral Capsule is covered by 1,706 Medicare Part D plans (33.7% of all Part D formularies).
What tier is 24 HR trospium chloride 60 MG Extended Release Oral Capsule on Medicare Part D plans?
24 HR trospium chloride 60 MG Extended Release Oral Capsule averages Tier 3 across Part D plans, ranging from Tier 1 to Tier 4.
Does 24 HR trospium chloride 60 MG Extended Release Oral Capsule require prior authorization?
2.1% of Part D formularies require prior authorization for 24 HR trospium chloride 60 MG Extended Release Oral Capsule. Step therapy: 11.3%. Quantity limits: 61.9%.
Read our methodology - how this data is sourced, computed, and verified.