24 HR tramadol hydrochloride 100 MG Extended Release Oral Capsule
tramadol hydrochloride
RxCUI: 1148478
What the CMS Formulary Data Shows for 24 HR tramadol hydrochloride 100 MG Extended Release Oral Capsule
Per the CMS 2026 Part D formulary file, 24 HR tramadol hydrochloride 100 MG Extended Release Oral Capsule (RxNorm concept RXCUI 1148478, generic name tramadol hydrochloride) appears on 8 distinct formulary files spanning 28 Medicare Part D plan offerings - 0.6% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 3, with a cross-plan average of Tier 2.3.
Real-world access to 24 HR tramadol hydrochloride 100 MG Extended Release Oral Capsule depends on utilization management as much as tier placement: 50% of covering formularies require prior authorization. 0% require step therapy. 50% 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 tramadol hydrochloride 100 MG Extended Release Oral Capsule today.
Coverage Details
- Formularies covering
- 8
- Plans covering
- 28
- Coverage rate
- 0.6%
- Tier range
- Tier 1 – Tier 3
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 50% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 50% of formularies
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering 24 HR tramadol hydrochloride 100 MG Extended Release Oral Capsule
28 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Community Care's Partnership Program (HMO D-SNP) | COMMUNITY CARE HEALTH PLAN, INC. | T1 | No | $0 | WI |
| Mass General Brigham SCO (HMO D-SNP) | MASS GENERAL BRIGHAM HEALTH PLAN, INC | T1 | Yes | $0 | MA |
| Mass General Brigham One Care (HMO D-SNP) | MASS GENERAL BRIGHAM HEALTH PLAN, INC | T1 | Yes | $0 | MA |
| Medicare BlueEssential (PPO) | EXCELLUS HEALTH PLAN, INC. | T3 | No | $0 | NY |
| Medicare BlueActive (PPO) | EXCELLUS HEALTH PLAN, INC. | T3 | No | $0 | NY |
| Medicare BlueVital (PPO) | EXCELLUS HEALTH PLAN, INC. | T3 | No | $0 | NY |
| Univera SeniorChoice Basic (HMO) | EXCELLUS HEALTH PLAN, INC. | T3 | No | $0 | NY |
| Univera SeniorChoice Extra (HMO) | EXCELLUS HEALTH PLAN, INC. | T3 | No | $0 | NY |
| Medicare Blue Choice Core (HMO) | EXCELLUS HEALTH PLAN, INC. | T3 | No | $0 | NY |
| Univera Medicare Dual (HMO D-SNP) | EXCELLUS HEALTH PLAN COMMUNITY CARE LLC | T3 | No | $0 | NY |
| Medicare Blue Dual (HMO D-SNP) | EXCELLUS HEALTH PLAN COMMUNITY CARE LLC | T3 | No | $0 | NY |
| CDPHP $0 Medicare Rx (HMO) | CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC. | T3 | No | $0 | NY |
| Mass General Brigham Advantage (PPO) | Mass General Brigham Health Plan, Inc. | T3 | Yes | $0 | MA |
| Univera SeniorChoice Core (PPO) | EXCELLUS HEALTH PLAN, INC. | T3 | No | $33.00 | NY |
| Univera SeniorChoice Advanced (HMO-POS) | EXCELLUS HEALTH PLAN, INC. | T3 | No | $36.90 | NY |
| Medicare BlueClassic (PPO) | EXCELLUS HEALTH PLAN, INC. | T3 | No | $51.00 | NY |
| Univera SeniorChoice Secure (HMO-POS) | EXCELLUS HEALTH PLAN, INC. | T3 | No | $54.90 | NY |
| Medicare BlueBalanced (PPO) | EXCELLUS HEALTH PLAN, INC. | T3 | No | $55.00 | NY |
| Medicare Blue Choice Prime (HMO) | EXCELLUS HEALTH PLAN, INC. | T3 | No | $55.00 | NY |
| Univera SeniorChoice Value Plus (HMO-POS) | EXCELLUS HEALTH PLAN, INC. | T3 | No | $58.60 | NY |
| Mass General Brigham Advantage Secure (HMO-POS) | Mass General Brigham Health Plan, Inc. | T3 | Yes | $62.00 | MA |
| Medicare BlueEnhanced (PPO) | EXCELLUS HEALTH PLAN, INC. | T3 | No | $70.30 | NY |
| Mass General Brigham Advantage Premier (PPO) | Mass General Brigham Health Plan, Inc. | T3 | Yes | $79.70 | MA |
| Medicare BluePlus (PPO) | EXCELLUS HEALTH PLAN, INC. | T3 | No | $86.40 | NY |
| CDPHP Clear Rx (HMO) | CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC. | T3 | No | $100.00 | NY |
| CDPHP Choice Rx (HMO) | CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC. | T3 | No | $135.00 | NY |
| Medicare Blue Choice Optimum (HMO-POS) | EXCELLUS HEALTH PLAN, INC. | T3 | No | $146.00 | NY |
| Mass General Brigham Advantage Signature (PPO) | Mass General Brigham Health Plan, Inc. | T3 | Yes | $147.20 | MA |
Frequently Asked Questions
Is 24 HR tramadol hydrochloride 100 MG Extended Release Oral Capsule covered by Medicare Part D?
Yes, 24 HR tramadol hydrochloride 100 MG Extended Release Oral Capsule is covered by 28 Medicare Part D plans (0.6% of all Part D formularies).
What tier is 24 HR tramadol hydrochloride 100 MG Extended Release Oral Capsule on Medicare Part D plans?
24 HR tramadol hydrochloride 100 MG Extended Release Oral Capsule averages Tier 2.3 across Part D plans, ranging from Tier 1 to Tier 3.
Does 24 HR tramadol hydrochloride 100 MG Extended Release Oral Capsule require prior authorization?
50% of Part D formularies require prior authorization for 24 HR tramadol hydrochloride 100 MG Extended Release Oral Capsule. Step therapy: 0%. Quantity limits: 50%.
Read our methodology - how this data is sourced, computed, and verified.