24 HR minocycline 115 MG Extended Release Oral Tablet

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minocycline

RxCUI: 858062

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.
0%
Plan Coverage
1
Plans Covering
T1
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for 24 HR minocycline 115 MG Extended Release Oral Tablet

Per the CMS 2026 Part D formulary file, 24 HR minocycline 115 MG Extended Release Oral Tablet (RxNorm concept RXCUI 858062, generic name minocycline) appears on 1 distinct formulary file spanning 1 Medicare Part D plan offering - 0% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 1, with a cross-plan average of Tier 1.

Real-world access to 24 HR minocycline 115 MG Extended Release Oral Tablet depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 0% 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 minocycline 115 MG Extended Release Oral Tablet today.

Coverage Details

Formularies covering
1
Plans covering
1
Coverage rate
0%
Tier range
Tier 1, Preferred Generic
Average tier
Tier 1, Preferred Generic

Restrictions

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

Tier Distribution Across Plans

1 plans
Tier 1, Preferred Generic

Medicare Advantage Plans (MA-PD) Covering 24 HR minocycline 115 MG Extended Release Oral Tablet

1 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

Frequently Asked Questions

Is 24 HR minocycline 115 MG Extended Release Oral Tablet covered by Medicare Part D?

Yes, 24 HR minocycline 115 MG Extended Release Oral Tablet is covered by 1 Medicare Part D plans (0% of all Part D formularies).

What tier is 24 HR minocycline 115 MG Extended Release Oral Tablet on Medicare Part D plans?

24 HR minocycline 115 MG Extended Release Oral Tablet averages Tier 1 across Part D plans, ranging from Tier 1 to Tier 1.

Does 24 HR minocycline 115 MG Extended Release Oral Tablet require prior authorization?

0% of Part D formularies require prior authorization for 24 HR minocycline 115 MG Extended Release Oral Tablet. Step therapy: 0%. Quantity limits: 0%.

Read our methodology - how this data is sourced, computed, and verified.

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