Medicare Part D coverage · 24 · RxCUI 2711556

24 HR diazoxide choline 150 MG Extended Release Oral Tablet [Vykat]

Per the CMS 2026 Part D formulary file, 24 HR diazoxide choline 150 MG Extended Release Oral Tablet [Vykat] is covered by 147 Medicare Part D plans (2.9% of enrollable products), averaging Tier 3.5, with prior authorization required on 80% of covering formularies.

2.9%
Plan coverage
147
Plans covering
T3.5
Avg tier
80%
Prior auth required

Verify with CMS →

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.

What the CMS Formulary Data Shows for 24 HR diazoxide choline 150 MG Extended Release Oral Tablet [Vykat]

Per the CMS 2026 Part D formulary file, 24 HR diazoxide choline 150 MG Extended Release Oral Tablet [Vykat] (RxNorm concept RXCUI 2711556, generic name 24) appears on 10 distinct formulary files spanning 147 Medicare Part D plan offerings - 2.9% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 5, with a cross-plan average of Tier 3.5.

Real-world access to 24 HR diazoxide choline 150 MG Extended Release Oral Tablet [Vykat] depends on utilization management as much as tier placement: 80% of covering formularies require prior authorization. 0% require step therapy. 30% 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 diazoxide choline 150 MG Extended Release Oral Tablet [Vykat] today.

Coverage Details

Formularies covering
10
Plans covering
147
Coverage rate
2.9%
Tier range
Tier 1 – Tier 5
Average tier
Tier 4, Non-Preferred

Restrictions

Prior authorization required
80% of formularies
Step therapy required
0% of formularies
Quantity limits
30% of formularies

Tier Distribution Across Plans

9 plans
Tier 1, Preferred Generic
1 plans
Tier 2, Generic
90 plans
Tier 5, Specialty

Medicare Advantage Plans (MA-PD) Covering 24 HR diazoxide choline 150 MG Extended Release Oral Tablet [Vykat]

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 Yes $0 MA
Mass General Brigham One Care (HMO D-SNP) Mass General Brigham Health Plan, Inc T1 Yes $0 MA
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) Gateway Health Plan, Inc. T1 Yes $0 PA
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) Gateway Health Plan, Inc. T1 Yes $0 PA
Highmark Health Options Duals (HMO D-SNP) Highmark Health Options West Virginia Inc. T1 Yes $0 WV
Highmark Health Options Duals (HMO D-SNP) Highmark Bcbsd, Inc. T1 Yes $0 DE
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) Gateway Health Plan, Inc. T1 Yes $13.10 PA
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) Gateway Health Plan, Inc. T1 Yes $17.60 PA
Highmark Health Options Duals Select (HMO D-SNP) Highmark Bcbsd, Inc. T1 Yes $31.20 DE
CalOptima Health OneCare Complete (HMO D-SNP) Orange County Health Authority T2 Yes $0 CA
Geisinger Gold Preferred Complete Rx (PPO) Geisinger Indemnity Insurance Company T5 Yes $0 PA
Geisinger Gold Secure Rx (HMO D-SNP) Geisinger Health Plan T5 Yes $0 PA
Geisinger Gold Classic 360 Rx (HMO) Geisinger Health Plan T5 Yes $0 PA
Geisinger Gold Classic Essential Rx (HMO) Geisinger Health Plan T5 Yes $0 PA
Health First Rewards H1099-014 (HMO) Health First Health Plans T5 Yes $0 FL
Health First SunSaver H1099-016 (HMO) Health First Health Plans T5 Yes $0 FL
Health First Complete Care H1099-023 (HMO) Health First Health Plans T5 Yes $0 FL
Health First Emerald Plus H1099-024 (HMO) Health First Health Plans T5 Yes $0 FL
Health First Premier Access H1099-025 (HMO-POS) Health First Health Plans T5 Yes $0 FL
Health First Emerald Plus H1099-026 (HMO) Health First Health Plans T5 Yes $0 FL
Show the next 30 plans
Health First Premier Access H1099-027 (HMO-POS) Health First Health Plans T5 Yes $0 FL
Health First Emerald Plus H1099-028 (HMO) Health First Health Plans T5 Yes $0 FL
Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage Enhanced Solano (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage Inland Empire (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Sr Adv Enhanced Marin San Mateo (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage Ventura (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage Enhanced Kern (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage Basic Kern (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage San Diego (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage Enhanced Stanis (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage Basic Stanis (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage Basic SnJoaq (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage Basic Fresno (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage Santa Cruz (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage Basic Alameda (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage Basic SF (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Sr Adv Basic Contra Costa (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Sr Adv Basic Santa Clara (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage Basic Solano (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage Basic San Mateo (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Sr Advantage LA, Orange Value (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Sr Advantage Inland Empire Value (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage San Diego Value (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage Ventura Value (HMO) Kaiser Foundation HP, Inc. T5 No $0 CA
Kaiser Permanente Senior Advantage Core DM (HMO) Kaiser Foundation HP OF Co T5 No $0 CO
Kaiser Permanente Dual Essential (HMO D-SNP) Kaiser Foundation HP OF Co T5 No $0 CO
Kaiser Permanente Senior Advantage Silver DM (HMO-POS) Kaiser Foundation HP OF Co T5 No $0 CO

Showing top 50 of 100 plans.

Frequently Asked Questions

Is 24 HR diazoxide choline 150 MG Extended Release Oral Tablet [Vykat] covered by Medicare Part D?

Yes, 24 HR diazoxide choline 150 MG Extended Release Oral Tablet [Vykat] is covered by 147 Medicare Part D plans (2.9% of all Part D formularies).

What tier is 24 HR diazoxide choline 150 MG Extended Release Oral Tablet [Vykat] on Medicare Part D plans?

24 HR diazoxide choline 150 MG Extended Release Oral Tablet [Vykat] averages Tier 3.5 across Part D plans, ranging from Tier 1 to Tier 5.

Does 24 HR diazoxide choline 150 MG Extended Release Oral Tablet [Vykat] require prior authorization?

80% of Part D formularies require prior authorization for 24 HR diazoxide choline 150 MG Extended Release Oral Tablet [Vykat]. Step therapy: 0%. Quantity limits: 30%.

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.

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