24 HR oxybutynin chloride 5 MG Extended Release Oral Tablet

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oxybutynin chloride

RxCUI: 863636

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.
99.9%
Plan Coverage
5,061
Plans Covering
T1.9
Avg Tier
0.6%
Prior Auth Required

What the CMS Formulary Data Shows for 24 HR oxybutynin chloride 5 MG Extended Release Oral Tablet

Per the CMS 2026 Part D formulary file, 24 HR oxybutynin chloride 5 MG Extended Release Oral Tablet (RxNorm concept RXCUI 863636, generic name oxybutynin chloride) appears on 327 distinct formulary files spanning 5,061 Medicare Part D plan offerings - 99.9% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 1.9.

Real-world access to 24 HR oxybutynin chloride 5 MG Extended Release Oral Tablet depends on utilization management as much as tier placement: 0.6% of covering formularies require prior authorization. 0% require step therapy. 53.8% 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 oxybutynin chloride 5 MG Extended Release Oral Tablet today.

Coverage Details

Formularies covering
327
Plans covering
5,061
Coverage rate
99.9%
Tier range
Tier 1 – Tier 4
Average tier
Tier 2, Generic

Restrictions

Prior authorization required
0.6% of formularies
Step therapy required
0% of formularies
Quantity limits
53.8% of formularies

Tier Distribution Across Plans

100 plans
Tier 1, Preferred Generic

Medicare Advantage Plans (MA-PD) Covering 24 HR oxybutynin chloride 5 MG Extended Release Oral Tablet

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

Plan Insurer Tier PA Premium States
Sentara Community Complete Select (HMO D-SNP) SENTARA HEALTH PLANS T1 No $0 VA
Sentara Community Complete (HMO D-SNP) SENTARA HEALTH PLANS T1 No $0 VA
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T1 No $0 UT
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T1 No $0 NV
Select Health Medicare Dual (HMO D-SNP) SELECTHEALTH, INC. T1 No $0 UT
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T1 No $0 UT
Select Health Medicare + Kroger (HMO) SELECTHEALTH, INC. T1 No $0 NV
Select Health Medicare + Kroger (HMO) SELECTHEALTH, INC. T1 No $0 UT
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T1 No $0 CO
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T1 No $0 CO
Select Health Medicare + Kroger (HMO) SELECTHEALTH, INC. T1 No $0 CO
Select Health Medicare Flex (HMO) SELECTHEALTH, INC. T1 No $0 CO
Select Health Medicare + Kroger (HMO) SELECTHEALTH, INC. T1 No $0 CO
Select Health Medicare Active (HMO) SELECTHEALTH, INC. T1 No $0 CO
Select Health Medicare Dual (HMO D-SNP) SELECTHEALTH, INC. T1 No $0 NV
Select Health Medicare Wellness (HMO) SELECTHEALTH, INC. T1 No $0 NV
Freedom VIP Care (HMO C-SNP) FREEDOM HEALTH, INC. T1 No $0 FL
Freedom VIP Savings (HMO C-SNP) FREEDOM HEALTH, INC. T1 No $0 FL
Freedom VIP Savings (HMO C-SNP) FREEDOM HEALTH, INC. T1 No $0 FL
Freedom VIP Rewards (HMO C-SNP) FREEDOM HEALTH, INC. T1 No $0 FL
Freedom VIP Rewards (HMO C-SNP) FREEDOM HEALTH, INC. T1 No $0 FL
Optimum Diamond Rewards (HMO C-SNP) OPTIMUM HEALTHCARE, INC. T1 No $0 FL
Optimum Diamond Savings (HMO C-SNP) OPTIMUM HEALTHCARE, INC. T1 No $0 FL
Optimum Diamond Rewards (HMO C-SNP) OPTIMUM HEALTHCARE, INC. T1 No $0 FL
Optimum Diamond (HMO C-SNP) OPTIMUM HEALTHCARE, INC. T1 No $0 FL
Freedom Medi-Medi Partial (HMO D-SNP) FREEDOM HEALTH, INC. T1 No $0 FL
Freedom Medi-Medi Full (HMO D-SNP) FREEDOM HEALTH, INC. T1 No $0 FL
Optimum Emerald Partial (HMO D-SNP) OPTIMUM HEALTHCARE, INC. T1 No $0 FL
Optimum Emerald Full (HMO D-SNP) OPTIMUM HEALTHCARE, INC. T1 No $0 FL
Freedom Medicare Plan Rx (HMO) FREEDOM HEALTH, INC. T1 No $0 FL
Freedom Medicare Plan Rx (HMO) FREEDOM HEALTH, INC. T1 No $0 FL
Freedom VIP Savings COPD (HMO C-SNP) FREEDOM HEALTH, INC. T1 No $0 FL
Freedom VIP Savings COPD (HMO C-SNP) FREEDOM HEALTH, INC. T1 No $0 FL
Freedom Platinum Plan Rx (HMO) FREEDOM HEALTH, INC. T1 No $0 FL
Freedom Platinum Plan Rx (HMO) FREEDOM HEALTH, INC. T1 No $0 FL
Freedom Platinum Plan Rx (HMO) FREEDOM HEALTH, INC. T1 No $0 FL
Freedom Platinum Plan Rx (HMO) FREEDOM HEALTH, INC. T1 No $0 FL
Freedom Platinum Plan Rx (HMO) FREEDOM HEALTH, INC. T1 No $0 FL
Freedom Platinum Rewards Plan Rx (HMO) FREEDOM HEALTH, INC. T1 No $0 FL
Freedom Platinum Rewards Plan Rx (HMO) FREEDOM HEALTH, INC. T1 No $0 FL
Freedom Platinum Rewards Plan Rx (HMO) FREEDOM HEALTH, INC. T1 No $0 FL
Freedom Platinum Rewards Plan Rx (HMO) FREEDOM HEALTH, INC. T1 No $0 FL
Freedom Platinum Rewards Plan Rx (HMO) FREEDOM HEALTH, INC. T1 No $0 FL
Freedom Platinum Rewards Plan Rx (HMO) FREEDOM HEALTH, INC. T1 No $0 FL
Freedom Máximo (HMO-POS) FREEDOM HEALTH, INC. T1 No $0 FL
Freedom Máximo (HMO-POS) FREEDOM HEALTH, INC. T1 No $0 FL
Optimum Gold Rewards Plan (HMO) OPTIMUM HEALTHCARE, INC. T1 No $0 FL
Optimum Platinum Plan (HMO) OPTIMUM HEALTHCARE, INC. T1 No $0 FL
Optimum Gold Plan (HMO) OPTIMUM HEALTHCARE, INC. T1 No $0 FL
Optimum Gold Rewards Plan (HMO) OPTIMUM HEALTHCARE, INC. T1 No $0 FL

Frequently Asked Questions

Is 24 HR oxybutynin chloride 5 MG Extended Release Oral Tablet covered by Medicare Part D?

Yes, 24 HR oxybutynin chloride 5 MG Extended Release Oral Tablet is covered by 5,061 Medicare Part D plans (99.9% of all Part D formularies).

What tier is 24 HR oxybutynin chloride 5 MG Extended Release Oral Tablet on Medicare Part D plans?

24 HR oxybutynin chloride 5 MG Extended Release Oral Tablet averages Tier 1.9 across Part D plans, ranging from Tier 1 to Tier 4.

Does 24 HR oxybutynin chloride 5 MG Extended Release Oral Tablet require prior authorization?

0.6% of Part D formularies require prior authorization for 24 HR oxybutynin chloride 5 MG Extended Release Oral Tablet. Step therapy: 0%. Quantity limits: 53.8%.

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