30 ACTUAT aclidinium bromide 0.4 MG/ACTUAT Dry Powder Inhaler [Tudorza]

Verify with CMS →

RxCUI: 1607112

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.
0.2%
Plan Coverage
9
Plans Covering
T2.5
Avg Tier
50%
Prior Auth Required

What the CMS Formulary Data Shows for 30 ACTUAT aclidinium bromide 0.4 MG/ACTUAT Dry Powder Inhaler [Tudorza]

Per the CMS 2026 Part D formulary file, 30 ACTUAT aclidinium bromide 0.4 MG/ACTUAT Dry Powder Inhaler [Tudorza] (RxNorm concept RXCUI 1607112) appears on 2 distinct formulary files spanning 9 Medicare Part D plan offerings - 0.2% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 2.5.

Real-world access to 30 ACTUAT aclidinium bromide 0.4 MG/ACTUAT Dry Powder Inhaler [Tudorza] 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 30 ACTUAT aclidinium bromide 0.4 MG/ACTUAT Dry Powder Inhaler [Tudorza] today.

Coverage Details

Formularies covering
2
Plans covering
9
Coverage rate
0.2%
Tier range
Tier 1 – Tier 4
Average tier
Tier 3, Preferred Brand

Restrictions

Prior authorization required
50% of formularies
Step therapy required
0% of formularies
Quantity limits
50% of formularies

Tier Distribution Across Plans

1 plans
Tier 1, Preferred Generic
8 plans
Tier 4, Non-Preferred

Medicare Advantage Plans (MA-PD) Covering 30 ACTUAT aclidinium bromide 0.4 MG/ACTUAT Dry Powder Inhaler [Tudorza]

9 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
Network Health Select (PPO) NETWORK HEALTH INSURANCE CORPORATION T4 Yes $0 WI
Network Health Go (PPO) NETWORK HEALTH INSURANCE CORPORATION T4 Yes $0 WI
Network Health Anywhere (PPO) NETWORK HEALTH INSURANCE CORPORATION T4 Yes $0 WI
Network Health Choice (PPO) NETWORK HEALTH INSURANCE CORPORATION T4 Yes $0 WI
Network Health Zero (PPO) NETWORK HEALTH INSURANCE CORPORATION T4 Yes $0 WI
Network Health Cares (PPO D-SNP) NETWORK HEALTH INSURANCE CORPORATION T4 Yes $21.10 WI
Network Health PlusRx (PPO) NETWORK HEALTH INSURANCE CORPORATION T4 Yes $38.60 WI
Network Health PremierRx (PPO) NETWORK HEALTH INSURANCE CORPORATION T4 Yes $92.80 WI

Frequently Asked Questions

Is 30 ACTUAT aclidinium bromide 0.4 MG/ACTUAT Dry Powder Inhaler [Tudorza] covered by Medicare Part D?

Yes, 30 ACTUAT aclidinium bromide 0.4 MG/ACTUAT Dry Powder Inhaler [Tudorza] is covered by 9 Medicare Part D plans (0.2% of all Part D formularies).

What tier is 30 ACTUAT aclidinium bromide 0.4 MG/ACTUAT Dry Powder Inhaler [Tudorza] on Medicare Part D plans?

30 ACTUAT aclidinium bromide 0.4 MG/ACTUAT Dry Powder Inhaler [Tudorza] averages Tier 2.5 across Part D plans, ranging from Tier 1 to Tier 4.

Does 30 ACTUAT aclidinium bromide 0.4 MG/ACTUAT Dry Powder Inhaler [Tudorza] require prior authorization?

50% of Part D formularies require prior authorization for 30 ACTUAT aclidinium bromide 0.4 MG/ACTUAT Dry Powder Inhaler [Tudorza]. Step therapy: 0%. Quantity limits: 50%.

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