30/70 Release 24 HR methylphenidate hydrochloride 50 MG Extended Release Oral Capsule

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RxCUI: 1806193

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.
20%
Plan Coverage
1,011
Plans Covering
T2.7
Avg Tier
5.7%
Prior Auth Required

What the CMS Formulary Data Shows for 30/70 Release 24 HR methylphenidate hydrochloride 50 MG Extended Release Oral Capsule

Per the CMS 2026 Part D formulary file, 30/70 Release 24 HR methylphenidate hydrochloride 50 MG Extended Release Oral Capsule (RxNorm concept RXCUI 1806193) appears on 53 distinct formulary files spanning 1,011 Medicare Part D plan offerings - 20% 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 2.7.

Real-world access to 30/70 Release 24 HR methylphenidate hydrochloride 50 MG Extended Release Oral Capsule depends on utilization management as much as tier placement: 5.7% of covering formularies require prior authorization. 0% require step therapy. 84.9% 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 30/70 Release 24 HR methylphenidate hydrochloride 50 MG Extended Release Oral Capsule today.

Coverage Details

Formularies covering
53
Plans covering
1,011
Coverage rate
20%
Tier range
Tier 1 – Tier 4
Average tier
Tier 3, Preferred Brand

Restrictions

Prior authorization required
5.7% of formularies
Step therapy required
0% of formularies
Quantity limits
84.9% of formularies

Tier Distribution Across Plans

15 plans
Tier 1, Preferred Generic
85 plans
Tier 2, Generic

Medicare Advantage Plans (MA-PD) Covering 30/70 Release 24 HR methylphenidate hydrochloride 50 MG Extended Release Oral Capsule

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

Plan Insurer Tier PA Premium States
CareAdvantage (HMO D-SNP) SAN MATEO HEALTH COMMISSION T1 No $0 CA
SeniorCare Complete (HMO D-SNP) SOUTH COUNTRY HEALTH ALLIANCE T1 No $0 MN
AbilityCare (HMO D-SNP) SOUTH COUNTRY HEALTH ALLIANCE T1 No $0 MN
Alameda Alliance Wellness (HMO D-SNP) ALAMEDA ALLIANCE FOR HEALTH T1 No $0 CA
PHP (HMO C-SNP) AIDS HEALTHCARE FOUNDATION T1 No $0 CA
VNS Health Total (HMO D-SNP) VNS CHOICE T1 No $0 NY
Community Care's Partnership Program (HMO D-SNP) COMMUNITY CARE HEALTH PLAN, INC. T1 No $0 WI
CalOptima Health OneCare Complete (HMO D-SNP) ORANGE COUNTY HEALTH AUTHORITY T1 Yes $0 CA
Tufts Health One Care (HMO D-SNP) TUFTS HEALTH PUBLIC PLANS, INC. T1 No $0 MA
Tufts Health One Care CW (HMO D-SNP) TUFTS HEALTH PUBLIC PLANS, INC. T1 No $0 MA
Tufts Health Plan Senior Care Options (HMO D-SNP) TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION T1 No $0 MA
Tufts Health Plan Senior Care Options CW (HMO D-SNP) TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION T1 No $0 MA
Gold Dialysis & Kidney Complete (HMO-POS C-SNP) GOLD KIDNEY OF FLORIDA INC T1 No $4.80 FL
Gold Dialysis & Kidney Complete (HMO-POS C-SNP) GOLD KIDNEY OF ARIZONA T1 No $17.00 AZ
VNS Health EasyCare Plus (HMO D-SNP) VNS CHOICE T1 No $51.60 NY
HealthSun HealthAdvantage Plan (HMO) HEALTHSUN HEALTH PLANS, INC. T2 Yes $0 FL
HealthSun MediMax (HMO) HEALTHSUN HEALTH PLANS, INC. T2 Yes $0 FL
HealthSun HealthAdvantage Plan (HMO) HEALTHSUN HEALTH PLANS, INC. T2 Yes $0 FL
HealthSun HealthAdvantage Plan (HMO) HEALTHSUN HEALTH PLANS, INC. T2 Yes $0 FL
HealthSun MediSun Plus (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T2 Yes $0 FL
HealthSun HealthAdvantage Plus (HMO) HEALTHSUN HEALTH PLANS, INC. T2 Yes $0 FL
HealthSun HealthAdvantage Plus (HMO) HEALTHSUN HEALTH PLANS, INC. T2 Yes $0 FL
HealthSun MediSun Extra (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T2 Yes $0 FL
HealthSun HealthAdvantage Plus (HMO) HEALTHSUN HEALTH PLANS, INC. T2 Yes $0 FL
HealthSun VitalCare (HMO C-SNP) HEALTHSUN HEALTH PLANS, INC. T2 Yes $0 FL
HealthSun VitalCare (HMO C-SNP) HEALTHSUN HEALTH PLANS, INC. T2 Yes $0 FL
HealthSun MediSun Full Dual Plus (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T2 Yes $0 FL
HealthSun MediSun Full Dual Extra (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T2 Yes $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Extra (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Extra Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply More Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Complete Platinum (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Level Platinum (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Extra Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Level Platinum (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL

Frequently Asked Questions

Is 30/70 Release 24 HR methylphenidate hydrochloride 50 MG Extended Release Oral Capsule covered by Medicare Part D?

Yes, 30/70 Release 24 HR methylphenidate hydrochloride 50 MG Extended Release Oral Capsule is covered by 1,011 Medicare Part D plans (20% of all Part D formularies).

What tier is 30/70 Release 24 HR methylphenidate hydrochloride 50 MG Extended Release Oral Capsule on Medicare Part D plans?

30/70 Release 24 HR methylphenidate hydrochloride 50 MG Extended Release Oral Capsule averages Tier 2.7 across Part D plans, ranging from Tier 1 to Tier 4.

Does 30/70 Release 24 HR methylphenidate hydrochloride 50 MG Extended Release Oral Capsule require prior authorization?

5.7% of Part D formularies require prior authorization for 30/70 Release 24 HR methylphenidate hydrochloride 50 MG Extended Release Oral Capsule. Step therapy: 0%. Quantity limits: 84.9%.

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