{56 (varenicline 1 MG Oral Tablet [Chantix]) } Pack [Chantix Continuing Months Of Therapy]

Verify with CMS →

varenicline

RxCUI: 795735

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.
0.1%
Plan Coverage
4
Plans Covering
T4
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for {56 (varenicline 1 MG Oral Tablet [Chantix]) } Pack [Chantix Continuing Months Of Therapy]

Per the CMS 2026 Part D formulary file, {56 (varenicline 1 MG Oral Tablet [Chantix]) } Pack [Chantix Continuing Months Of Therapy] (RxNorm concept RXCUI 795735, generic name varenicline) appears on 1 distinct formulary file spanning 4 Medicare Part D plan offerings - 0.1% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 4 to Tier 4, with a cross-plan average of Tier 4.

Real-world access to {56 (varenicline 1 MG Oral Tablet [Chantix]) } Pack [Chantix Continuing Months Of Therapy] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 100% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 136 Part D beneficiaries filled {56 (varenicline 1 MG Oral Tablet [Chantix]) } Pack [Chantix Continuing Months Of Therapy] in 2023, with total plan-and-beneficiary spending of $88,399 and an average per-beneficiary annual cost of $649.99. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry {56 (varenicline 1 MG Oral Tablet [Chantix]) } Pack [Chantix Continuing Months Of Therapy] today.

Coverage Details

Formularies covering
1
Plans covering
4
Coverage rate
0.1%
Tier range
Tier 4, Non-Preferred
Average tier
Tier 4, Non-Preferred

Restrictions

Prior authorization required
0% of formularies
Step therapy required
0% of formularies
Quantity limits
100% of formularies

2023 Medicare Spending

Beneficiaries
136
Total spending
$88,399
Avg per beneficiary
$649.99

Tier Distribution Across Plans

4 plans
Tier 4, Non-Preferred

Medicare Advantage Plans (MA-PD) Covering {56 (varenicline 1 MG Oral Tablet [Chantix]) } Pack [Chantix Continuing Months Of Therapy]

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

Plan Insurer Tier PA Premium States
Health New England Medicare Compass (PPO) HEALTH NEW ENGLAND, INC. T4 No $0 MA
Health New England Medicare Value (HMO) HEALTH NEW ENGLAND, INC. T4 No $0 MA
Health New England Medicare Premium (HMO) HEALTH NEW ENGLAND, INC. T4 No $15.80 MA
Health New England Medicare Plus (HMO) HEALTH NEW ENGLAND, INC. T4 No $58.40 MA

Frequently Asked Questions

Is {56 (varenicline 1 MG Oral Tablet [Chantix]) } Pack [Chantix Continuing Months Of Therapy] covered by Medicare Part D?

Yes, {56 (varenicline 1 MG Oral Tablet [Chantix]) } Pack [Chantix Continuing Months Of Therapy] is covered by 4 Medicare Part D plans (0.1% of all Part D formularies).

What tier is {56 (varenicline 1 MG Oral Tablet [Chantix]) } Pack [Chantix Continuing Months Of Therapy] on Medicare Part D plans?

{56 (varenicline 1 MG Oral Tablet [Chantix]) } Pack [Chantix Continuing Months Of Therapy] averages Tier 4 across Part D plans, ranging from Tier 4 to Tier 4.

Does {56 (varenicline 1 MG Oral Tablet [Chantix]) } Pack [Chantix Continuing Months Of Therapy] require prior authorization?

0% of Part D formularies require prior authorization for {56 (varenicline 1 MG Oral Tablet [Chantix]) } Pack [Chantix Continuing Months Of Therapy]. Step therapy: 0%. Quantity limits: 100%.

How much does Medicare spend on {56 (varenicline 1 MG Oral Tablet [Chantix]) } Pack [Chantix Continuing Months Of Therapy]?

In 2023, total Medicare Part D spending on {56 (varenicline 1 MG Oral Tablet [Chantix]) } Pack [Chantix Continuing Months Of Therapy] was $88,399, covering 136 beneficiaries. The average spend per beneficiary was $649.99.

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