Medicare Part D coverage · {4 · RxCUI 905092

{4 (risedronate sodium 35 MG Oral Tablet) } Pack

Per the CMS 2026 Part D formulary file, {4 (risedronate sodium 35 MG Oral Tablet) } Pack is covered by 4,413 Medicare Part D plans (87.4% of enrollable products), averaging Tier 2.4, with prior authorization required on 0.4% of covering formularies.

87.4%
Plan coverage
4,413
Plans covering
T2.4
Avg tier
0.4%
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 {4 (risedronate sodium 35 MG Oral Tablet) } Pack

Per the CMS 2026 Part D formulary file, {4 (risedronate sodium 35 MG Oral Tablet) } Pack (RxNorm concept RXCUI 905092, generic name {4) appears on 227 distinct formulary files spanning 4,413 Medicare Part D plan offerings - 87.4% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 2.4.

Real-world access to {4 (risedronate sodium 35 MG Oral Tablet) } Pack depends on utilization management as much as tier placement: 0.4% of covering formularies require prior authorization. 0% require step therapy. 76.7% 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 {4 (risedronate sodium 35 MG Oral Tablet) } Pack today.

Coverage Details

Formularies covering
227
Plans covering
4,413
Coverage rate
87.4%
Tier range
Tier 1 – Tier 4
Average tier
Tier 2, Generic

Restrictions

Prior authorization required
0.4% of formularies
Step therapy required
0% of formularies
Quantity limits
76.7% of formularies

Tier Distribution Across Plans

100 plans
Tier 1, Preferred Generic

Medicare Advantage Plans (MA-PD) Covering {4 (risedronate sodium 35 MG Oral Tablet) } Pack

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

Plan Insurer Tier PA Premium States
Aetna Medicare Signature (HMO) Aetna Health OF California Inc. T1 No $0 CA
Aetna Medicare Signature (HMO) Aetna Health OF California Inc. T1 No $0 CA
Aetna Medicare Signature Extra (HMO-POS) Aetna Health OF California Inc. T1 No $0 CA
Aetna Medicare Prime (HMO-POS) Aetna Health OF California Inc. T1 No $0 CA
Aetna Medicare Prime (HMO-POS) Aetna Health OF California Inc. T1 No $0 CA
Aetna Medicare Prime (HMO-POS) Aetna Health OF California Inc. T1 No $0 CA
Aetna Medicare Signature Extra (HMO) Aetna Health OF California Inc. T1 No $0 CA
Aetna Medicare Prime (HMO-POS) Aetna Health OF California Inc. T1 No $0 CA
Aetna Medicare Signature Extra (HMO) Aetna Health OF California Inc. T1 No $0 CA
Aetna Medicare Signature Extra (HMO) Aetna Health OF California Inc. T1 No $0 CA
Aetna Medicare Signature Extra (HMO) Aetna Health OF California Inc. T1 No $0 CA
Aetna Medicare Signature Care (HMO-POS) Aetna Health OF Ohio Inc. T1 No $0 OH
Aetna Medicare Signature Extra (HMO-POS) Aetna Health OF Ohio Inc. T1 No $0 OH
Aetna Medicare Signature Care (HMO-POS) Aetna Health OF Ohio Inc. T1 No $0 OH
Aetna Medicare Signature Extra (HMO-POS) Aetna Health OF Ohio Inc. T1 No $0 KY
Aetna Medicare Signature (HMO-POS) Aetna Health OF Ohio Inc. T1 No $0 KY
Aetna Medicare Signature (HMO-POS) Aetna Health OF Ohio Inc. T1 No $0 KY
Aetna Medicare HIDE (HMO D-SNP) Aetna Health OF Ohio Inc. T1 No $0 KY
Aetna Medicare Dual Care (HMO D-SNP) Aetna Health OF Ohio Inc. T1 No $0 OH
Aetna Medicare Signature Care (HMO-POS) Aetna Health OF Ohio Inc. T1 No $0 OH
Show the next 30 plans
Aetna Medicare Signature (HMO-POS) Aetna Health OF Ohio Inc. T1 No $0 OH
Aetna Medicare Signature (HMO-POS) Aetna Health OF Ohio Inc. T1 No $0 KY
Aetna Medicare Partial Dual (HMO D-SNP) Aetna Health OF Ohio Inc. T1 No $0 KY
Aetna Medicare Partial Dual (HMO D-SNP) Aetna Health OF Ohio Inc. T1 No $0 OH
Aetna Medicare Signature (HMO) Aetna Health Inc. (GA) T1 No $0 GA
Aetna Medicare Signature (HMO-POS) Coventry Health Care OF Illinois, Inc. T1 No $0 WI
Aetna Medicare Signature (HMO-POS) Coventry Health Care OF Illinois, Inc. T1 No $0 IL
Aetna Medicare Prime Chronic Care (HMO C-SNP) Coventry Health Care OF Illinois, Inc. T1 No $0 IL
Aetna Medicare Signature Extra (HMO-POS) Coventry Health Care OF Illinois, Inc. T1 No $0 IL
Aetna Medicare Signature (PPO) Coventry Health AND Life Insurance Company T1 No $0 IA
Aetna Medicare Signature (PPO) Coventry Health AND Life Insurance Company T1 No $0 NE
Aetna Medicare Signature (PPO) Coventry Health AND Life Insurance Company T1 No $0 KS, MO
Aetna Medicare Signature Extra (PPO) Coventry Health AND Life Insurance Company T1 No $0 KS
Aetna Medicare Signature (PPO) Coventry Health AND Life Insurance Company T1 No $0 KS, MO
Aetna Medicare Signature Plus (PPO) Coventry Health AND Life Insurance Company T1 No $0 AR
Aetna Medicare Signature (PPO) Coventry Health AND Life Insurance Company T1 No $0 KS
Aetna Medicare Advantra (PPO) Coventry Health AND Life Insurance Company T1 No $0 OH
Aetna Medicare Advantra Signature Giveback (PPO) Coventry Health AND Life Insurance Company T1 No $0 WV
Aetna Medicare Elite (PPO) Coventry Health AND Life Insurance Company T1 No $0 IA
Aetna Medicare Signature Extra (PPO) Coventry Health AND Life Insurance Company T1 No $0 NE
Aetna Medicare Advantra Signature (PPO) Coventry Health AND Life Insurance Company T1 No $0 WV
Aetna Medicare Elite (PPO) Coventry Health AND Life Insurance Company T1 No $0 IL, MO
Aetna Medicare Signature (PPO) Coventry Health AND Life Insurance Company T1 No $0 MO
Aetna Medicare Elite (PPO) Coventry Health AND Life Insurance Company T1 No $0 KS, MO
Aetna Medicare Elite (PPO) Coventry Health AND Life Insurance Company T1 No $0 AR
Aetna Medicare Dual (PPO D-SNP) Coventry Health AND Life Insurance Company T1 No $0 SD
Aetna Medicare Signature (PPO) Coventry Health AND Life Insurance Company T1 No $0 MO
Aetna Medicare Signature (PPO) Coventry Health AND Life Insurance Company T1 No $0 KS
Aetna Medicare Signature (PPO) Coventry Health AND Life Insurance Company T1 No $0 KS
Aetna Medicare Dual Extra (PPO D-SNP) Coventry Health AND Life Insurance Company T1 No $0 AR

Showing top 50 of 100 plans.

Frequently Asked Questions

Is {4 (risedronate sodium 35 MG Oral Tablet) } Pack covered by Medicare Part D?

Yes, {4 (risedronate sodium 35 MG Oral Tablet) } Pack is covered by 4,413 Medicare Part D plans (87.4% of all Part D formularies).

What tier is {4 (risedronate sodium 35 MG Oral Tablet) } Pack on Medicare Part D plans?

{4 (risedronate sodium 35 MG Oral Tablet) } Pack averages Tier 2.4 across Part D plans, ranging from Tier 1 to Tier 4.

Does {4 (risedronate sodium 35 MG Oral Tablet) } Pack require prior authorization?

0.4% of Part D formularies require prior authorization for {4 (risedronate sodium 35 MG Oral Tablet) } Pack. Step therapy: 0%. Quantity limits: 76.7%.

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