Medicare Part D coverage · 24 · RxCUI 1436239
24 HR topiramate 50 MG Extended Release Oral Capsule
Per the CMS 2026 Part D formulary file, 24 HR topiramate 50 MG Extended Release Oral Capsule is covered by 835 Medicare Part D plans (16.5% of enrollable products), averaging Tier 3.7, with prior authorization required on 21.1% of covering formularies.
- 16.5%
- Plan coverage
- 835
- Plans covering
- T3.7
- Avg tier
- 21.1%
- Prior auth required
What the CMS Formulary Data Shows for 24 HR topiramate 50 MG Extended Release Oral Capsule
Per the CMS 2026 Part D formulary file, 24 HR topiramate 50 MG Extended Release Oral Capsule (RxNorm concept RXCUI 1436239, generic name 24) appears on 19 distinct formulary files spanning 835 Medicare Part D plan offerings - 16.5% 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 3.7.
Real-world access to 24 HR topiramate 50 MG Extended Release Oral Capsule depends on utilization management as much as tier placement: 21.1% of covering formularies require prior authorization. 0% require step therapy. 21.1% 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 topiramate 50 MG Extended Release Oral Capsule today.
Coverage Details
- Formularies covering
- 19
- Plans covering
- 835
- Coverage rate
- 16.5%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 21.1% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 21.1% of formularies
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering 24 HR topiramate 50 MG Extended Release Oral Capsule
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| 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 |
| Aetna Medicare Signature (HMO) | Aetna Health OF California Inc. | T4 | No | $0 | CA |
| Aetna Medicare Signature (HMO) | Aetna Health OF California Inc. | T4 | No | $0 | CA |
| Aetna Medicare Signature Extra (HMO-POS) | Aetna Health OF California Inc. | T4 | No | $0 | CA |
| Aetna Medicare Prime (HMO-POS) | Aetna Health OF California Inc. | T4 | No | $0 | CA |
| Aetna Medicare Prime (HMO-POS) | Aetna Health OF California Inc. | T4 | No | $0 | CA |
| Aetna Medicare Prime (HMO-POS) | Aetna Health OF California Inc. | T4 | No | $0 | CA |
| Aetna Medicare Signature Extra (HMO) | Aetna Health OF California Inc. | T4 | No | $0 | CA |
| Aetna Medicare Prime (HMO-POS) | Aetna Health OF California Inc. | T4 | No | $0 | CA |
| Aetna Medicare Signature Extra (HMO) | Aetna Health OF California Inc. | T4 | No | $0 | CA |
| Aetna Medicare Signature Extra (HMO) | Aetna Health OF California Inc. | T4 | No | $0 | CA |
| Aetna Medicare Signature Extra (HMO) | Aetna Health OF California Inc. | T4 | No | $0 | CA |
| Aetna Medicare Signature Care (HMO-POS) | Aetna Health OF Ohio Inc. | T4 | No | $0 | OH |
| Aetna Medicare Signature Extra (HMO-POS) | Aetna Health OF Ohio Inc. | T4 | No | $0 | OH |
| Aetna Medicare Signature Care (HMO-POS) | Aetna Health OF Ohio Inc. | T4 | No | $0 | OH |
| Aetna Medicare Signature Extra (HMO-POS) | Aetna Health OF Ohio Inc. | T4 | No | $0 | KY |
| Aetna Medicare Signature (HMO-POS) | Aetna Health OF Ohio Inc. | T4 | No | $0 | KY |
| Aetna Medicare Signature (HMO-POS) | Aetna Health OF Ohio Inc. | T4 | No | $0 | KY |
| Aetna Medicare HIDE (HMO D-SNP) | Aetna Health OF Ohio Inc. | T4 | No | $0 | KY |
Show the next 30 plans
| Aetna Medicare Dual Care (HMO D-SNP) | Aetna Health OF Ohio Inc. | T4 | No | $0 | OH |
| Aetna Medicare Signature Care (HMO-POS) | Aetna Health OF Ohio Inc. | T4 | No | $0 | OH |
| Aetna Medicare Signature (HMO-POS) | Aetna Health OF Ohio Inc. | T4 | No | $0 | OH |
| Aetna Medicare Signature (HMO-POS) | Aetna Health OF Ohio Inc. | T4 | No | $0 | KY |
| Aetna Medicare Partial Dual (HMO D-SNP) | Aetna Health OF Ohio Inc. | T4 | No | $0 | KY |
| Aetna Medicare Partial Dual (HMO D-SNP) | Aetna Health OF Ohio Inc. | T4 | No | $0 | OH |
| Aetna Medicare Signature (HMO) | Aetna Health Inc. (GA) | T4 | No | $0 | GA |
| Aetna Medicare Signature (HMO-POS) | Coventry Health Care OF Illinois, Inc. | T4 | No | $0 | WI |
| Aetna Medicare Signature (HMO-POS) | Coventry Health Care OF Illinois, Inc. | T4 | No | $0 | IL |
| Aetna Medicare Prime Chronic Care (HMO C-SNP) | Coventry Health Care OF Illinois, Inc. | T4 | No | $0 | IL |
| Aetna Medicare Signature Extra (HMO-POS) | Coventry Health Care OF Illinois, Inc. | T4 | No | $0 | IL |
| Aetna Medicare Signature (PPO) | Coventry Health AND Life Insurance Company | T4 | No | $0 | IA |
| Aetna Medicare Signature (PPO) | Coventry Health AND Life Insurance Company | T4 | No | $0 | NE |
| Aetna Medicare Signature (PPO) | Coventry Health AND Life Insurance Company | T4 | No | $0 | KS, MO |
| Aetna Medicare Signature Extra (PPO) | Coventry Health AND Life Insurance Company | T4 | No | $0 | KS |
| Aetna Medicare Signature (PPO) | Coventry Health AND Life Insurance Company | T4 | No | $0 | KS, MO |
| Aetna Medicare Signature Plus (PPO) | Coventry Health AND Life Insurance Company | T4 | No | $0 | AR |
| Aetna Medicare Signature (PPO) | Coventry Health AND Life Insurance Company | T4 | No | $0 | KS |
| Aetna Medicare Advantra (PPO) | Coventry Health AND Life Insurance Company | T4 | No | $0 | OH |
| Aetna Medicare Advantra Signature Giveback (PPO) | Coventry Health AND Life Insurance Company | T4 | No | $0 | WV |
| Aetna Medicare Elite (PPO) | Coventry Health AND Life Insurance Company | T4 | No | $0 | IA |
| Aetna Medicare Signature Extra (PPO) | Coventry Health AND Life Insurance Company | T4 | No | $0 | NE |
| Aetna Medicare Advantra Signature (PPO) | Coventry Health AND Life Insurance Company | T4 | No | $0 | WV |
| Aetna Medicare Elite (PPO) | Coventry Health AND Life Insurance Company | T4 | No | $0 | IL, MO |
| Aetna Medicare Signature (PPO) | Coventry Health AND Life Insurance Company | T4 | No | $0 | MO |
| Aetna Medicare Elite (PPO) | Coventry Health AND Life Insurance Company | T4 | No | $0 | KS, MO |
| Aetna Medicare Elite (PPO) | Coventry Health AND Life Insurance Company | T4 | No | $0 | AR |
| Aetna Medicare Dual (PPO D-SNP) | Coventry Health AND Life Insurance Company | T4 | No | $0 | SD |
| Aetna Medicare Signature (PPO) | Coventry Health AND Life Insurance Company | T4 | No | $0 | MO |
| Aetna Medicare Signature (PPO) | Coventry Health AND Life Insurance Company | T4 | No | $0 | KS |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is 24 HR topiramate 50 MG Extended Release Oral Capsule covered by Medicare Part D?
Yes, 24 HR topiramate 50 MG Extended Release Oral Capsule is covered by 835 Medicare Part D plans (16.5% of all Part D formularies).
What tier is 24 HR topiramate 50 MG Extended Release Oral Capsule on Medicare Part D plans?
24 HR topiramate 50 MG Extended Release Oral Capsule averages Tier 3.7 across Part D plans, ranging from Tier 1 to Tier 4.
Does 24 HR topiramate 50 MG Extended Release Oral Capsule require prior authorization?
21.1% of Part D formularies require prior authorization for 24 HR topiramate 50 MG Extended Release Oral Capsule. Step therapy: 0%. Quantity limits: 21.1%.
Read our methodology - how this data is sourced, computed, and verified.
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.
Closest average formulary tier
- 12 HR treprostinil 0.125 MG Extended Release Oral Tablet [Orenitram] T3.7
- hydroxyurea 100 MG/ML Oral Solution [Xromi] T3.7
- Modified 24 HR metformin hydrochloride 500 MG Extended Release Oral Tablet T3.7
- ergotamine tartrate 2 MG Sublingual Tablet [Ergomar] T3.7
- sildenafil 10 MG/ML Oral Suspension T3.7
- somatropin 12 MG Cartridge [Humatrope] T3.7
Similar prior-authorization rate
- 0.14 ML risperidone 357 MG/ML Prefilled Syringe [Uzedy] 21.3% PA
- 0.21 ML risperidone 357 MG/ML Prefilled Syringe [Uzedy] 21.3% PA
- 0.28 ML risperidone 357 MG/ML Prefilled Syringe [Uzedy] 21.3% PA
- 0.35 ML risperidone 357 MG/ML Prefilled Syringe [Uzedy] 21.3% PA
- 0.42 ML risperidone 357 MG/ML Prefilled Syringe [Uzedy] 21.3% PA
- 0.56 ML risperidone 357 MG/ML Prefilled Syringe [Uzedy] 21.3% PA