Medicare Part D coverage · 250 · RxCUI 1799706
250 ML soybean oil 200 MG/ML Injection [Intralipid]
Per the CMS 2026 Part D formulary file, 250 ML soybean oil 200 MG/ML Injection [Intralipid] is covered by 3,753 Medicare Part D plans (74.3% of enrollable products), averaging Tier 3.3, with prior authorization required on 99.1% of covering formularies.
- 74.3%
- Plan coverage
- 3,753
- Plans covering
- T3.3
- Avg tier
- 99.1%
- Prior auth required
What the CMS Formulary Data Shows for 250 ML soybean oil 200 MG/ML Injection [Intralipid]
Per the CMS 2026 Part D formulary file, 250 ML soybean oil 200 MG/ML Injection [Intralipid] (RxNorm concept RXCUI 1799706, generic name 250) appears on 223 distinct formulary files spanning 3,753 Medicare Part D plan offerings - 74.3% of enrollable Part D products, mid-range placement; shopping across contracts changes access. Tier placement ranges from Tier 1 to Tier 6, with a cross-plan average of Tier 3.3.
Real-world access to 250 ML soybean oil 200 MG/ML Injection [Intralipid] depends on utilization management as much as tier placement: 99.1% of covering formularies require prior authorization. 0% require step therapy. 0% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 51 Part D beneficiaries filled 250 ML soybean oil 200 MG/ML Injection [Intralipid] in 2023, with total plan-and-beneficiary spending of $314,030 and an average per-beneficiary annual cost of $6,157.46. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry 250 ML soybean oil 200 MG/ML Injection [Intralipid] today.
Coverage Details
- Formularies covering
- 223
- Plans covering
- 3,753
- Coverage rate
- 74.3%
- Tier range
- Tier 1 – Tier 6
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 99.1% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 51
- Total spending
- $314,030
- Avg per beneficiary
- $6,157.46
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering 250 ML soybean oil 200 MG/ML Injection [Intralipid]
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 | Yes | $0 | VA |
| Sentara Community Complete (HMO D-SNP) | Sentara Health Plans | T1 | Yes | $0 | VA |
| Florida Complete Care-Duals VIP (HMO-POS D-SNP) | Hpmp OF Florida, Inc. | T1 | Yes | $0 | FL |
| ElderServe MAP (HMO D-SNP) | Elderserve Health, Inc. | T1 | Yes | $0 | NY |
| Cooperative Advantage (HMO D-SNP) | Group Health Cooperative OF EAU Claire | T1 | Yes | $0 | WI |
| Longevity Health Plan (PPO I-SNP) | Longevity Health Plan OF NEW Jersey Insurance Comp | T1 | Yes | $0 | NJ |
| Mercy Care Advantage (HMO D-SNP) | Mercy Care | T1 | Yes | $0 | AZ |
| Mercy Care Advantage (HMO D-SNP) | Mercy Care | T1 | Yes | $0 | AZ |
| Mercy Care Advantage (HMO D-SNP) | Mercy Care | T1 | Yes | $0 | AZ |
| Elderplan Plus Long-Term Care (HMO-POS D-SNP) | Elderplan, Inc. | T1 | Yes | $0 | NY |
| Health Choice Pathway (HMO D-SNP) | Health Choice Arizona, Inc. | T1 | Yes | $0 | AZ |
| Healthfirst CompleteCare (HMO D-SNP) | Healthfirst Health Plan, Inc. | T1 | Yes | $0 | NY |
| IMCare Classic (HMO D-SNP) | Itasca Medical Care | T1 | Yes | $0 | MN |
| Johns Hopkins Advantage MD D-SNP (HMO D-SNP) | Hopkins Health Advantage, Inc. | T1 | Yes | $0 | MD |
| MetroPlus UltraCare (HMO D-SNP) | Metroplus Health Plan, Inc. | T1 | Yes | $0 | NY |
| Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP) | Upper Peninsula Health Plan, LLC | T1 | Yes | $0 | MI |
| CareSource Dual Advantage (HMO D-SNP) | Caresource Georgia Co. | T1 | Yes | $0 | GA |
| Senior Whole Health SCO (HMO D-SNP) | Senior Whole Health, LLC | T1 | Yes | $0 | MA |
| Senior Whole Health SCO NHC (HMO D-SNP) | Senior Whole Health, LLC | T1 | Yes | $0 | MA |
| Molina One Care (HMO D-SNP) | Senior Whole Health, LLC | T1 | Yes | $0 | MA |
Show the next 30 plans
| HAP CareSource MI Coordinated Health (HMO D-SNP) | HAP Caresource | T1 | Yes | $0 | MI |
| PruittHealth Premier D-SNP (HMO D-SNP) | Pruitthealth Premier, Inc. | T1 | Yes | $0 | GA |
| CareAdvantage (HMO D-SNP) | SAN Mateo Health Commission | T1 | Yes | $0 | CA |
| Gold Coast Health Plan Total Care Advantage (HMO D-SNP) | Ventura County Medi-Cal Managed Care Commission | T1 | Yes | $0 | CA |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | Health Care Service Corporation | T1 | Yes | $0 | NM |
| Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) | Health Care Service Corporation | T1 | Yes | $0 | NM |
| Horizon NJ TotalCare (HMO D-SNP) | Horizon Healthcare OF NEW Jersey, Inc. | T1 | Yes | $0 | NJ |
| SecureBlue (HMO D-SNP) | HMO Minnesota | T1 | Yes | $0 | MN |
| NaviCare (HMO D-SNP) | Fallon Community Health Plan | T1 | Yes | $0 | MA |
| Hamaspik Medicare Choice (HMO D-SNP) | Hamaspik, Inc. | T1 | Yes | $0 | NY |
| SeniorCare Complete (HMO D-SNP) | South Country Health Alliance | T1 | Yes | $0 | MN |
| AbilityCare (HMO D-SNP) | South Country Health Alliance | T1 | Yes | $0 | MN |
| Alameda Alliance Wellness (HMO D-SNP) | Alameda Alliance FOR Health | T1 | Yes | $0 | CA |
| CCA One Care (HMO D-SNP) | Commonwealth Care Alliance, Inc. | T1 | Yes | $0 | MA |
| CCA Senior Care Options (HMO D-SNP) | Commonwealth Care Alliance, Inc. | T1 | Yes | $0 | MA |
| Community Care's Partnership Program (HMO D-SNP) | Community Care Health Plan, Inc. | T1 | Yes | $0 | WI |
| Platino Blindao (HMO D-SNP) | Triple S Advantage, Inc. | T1 | Yes | $0 | PR |
| Platino Enlace (HMO D-SNP) | Triple S Advantage, Inc. | T1 | Yes | $0 | PR |
| Platino Advance (HMO D-snp) | Triple S Advantage, Inc. | T1 | Yes | $0 | PR |
| Platino Plus (HMO D-snp) | Triple S Advantage, Inc. | T1 | Yes | $0 | PR |
| 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 |
| Tufts Health One Care (HMO D-SNP) | Tufts Health Public Plans, Inc. | T1 | Yes | $0 | MA |
| Tufts Health One Care CW (HMO D-SNP) | Tufts Health Public Plans, Inc. | T1 | Yes | $0 | MA |
| Tufts Health Plan Senior Care Options (HMO D-SNP) | Tufts Associated Health Maintenance Organization | T1 | Yes | $0 | MA |
| Tufts Health Plan Senior Care Options CW (HMO D-SNP) | Tufts Associated Health Maintenance Organization | T1 | Yes | $0 | MA |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is 250 ML soybean oil 200 MG/ML Injection [Intralipid] covered by Medicare Part D?
Yes, 250 ML soybean oil 200 MG/ML Injection [Intralipid] is covered by 3,753 Medicare Part D plans (74.3% of all Part D formularies).
What tier is 250 ML soybean oil 200 MG/ML Injection [Intralipid] on Medicare Part D plans?
250 ML soybean oil 200 MG/ML Injection [Intralipid] averages Tier 3.3 across Part D plans, ranging from Tier 1 to Tier 6.
Does 250 ML soybean oil 200 MG/ML Injection [Intralipid] require prior authorization?
99.1% of Part D formularies require prior authorization for 250 ML soybean oil 200 MG/ML Injection [Intralipid]. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on 250 ML soybean oil 200 MG/ML Injection [Intralipid]?
In 2023, total Medicare Part D spending on 250 ML soybean oil 200 MG/ML Injection [Intralipid] was $314,030, covering 51 beneficiaries. The average spend per beneficiary was $6,157.46.
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
- 0.375 ML leuprolide acetate 60 MG/ML Prefilled Syringe [Eligard] T3.3
- 0.5 ML leuprolide acetate 60 MG/ML Prefilled Syringe [Eligard] T3.3
- cefotetan 1000 MG Injection T3.3
- cefotetan 2000 MG Injection T3.3
- {14 (lamotrigine 100 MG Oral Tablet [Subvenite]) / 84 (lamotrigine 25 MG Oral Tablet [Subvenite]) } Pack [Subvenite Green (for Patients Taking Carbamazepine, Phenytoin, Phenobarbital, or Primidone and Not Taking Valproate)] T3.3
- formoterol fumarate 0.01 MG/ML Inhalation Solution T3.3
Similar prior-authorization rate
- 0.67 ML anakinra 149 MG/ML Prefilled Syringe [Kineret] 99.1% PA
- {16 (tovorafenib 100 MG Oral Tablet [Ojemda]) } Pack [Ojemda 400 MG Once Weekly Carton] 99.1% PA
- {20 (tovorafenib 100 MG Oral Tablet [Ojemda]) } Pack [Ojemda 500 MG Once Weekly Carton] 99.1% PA
- 3 ML icatibant 10 MG/ML Prefilled Syringe 99.1% PA
- {35 (futibatinib 4 MG Oral Tablet [Lytgobi]) } Pack [Lytgobi 20 MG Daily Dose] 99.1% PA
- acalabrutinib 100 MG Oral Tablet [Calquence] 99.1% PA