Medicare Part D coverage · 8 · RxCUI 1600773
8 HR carbidopa 23.75 MG / levodopa 95 MG Extended Release Oral Capsule
Per the CMS 2026 Part D formulary file, 8 HR carbidopa 23.75 MG / levodopa 95 MG Extended Release Oral Capsule is covered by 93 Medicare Part D plans (1.8% of enrollable products), averaging Tier 3.1, with prior authorization required on 0% of covering formularies.
- 1.8%
- Plan coverage
- 93
- Plans covering
- T3.1
- Avg tier
- 0%
- Prior auth required
What the CMS Formulary Data Shows for 8 HR carbidopa 23.75 MG / levodopa 95 MG Extended Release Oral Capsule
Per the CMS 2026 Part D formulary file, 8 HR carbidopa 23.75 MG / levodopa 95 MG Extended Release Oral Capsule (RxNorm concept RXCUI 1600773, generic name 8) appears on 15 distinct formulary files spanning 93 Medicare Part D plan offerings - 1.8% 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 3.1.
Real-world access to 8 HR carbidopa 23.75 MG / levodopa 95 MG Extended Release Oral Capsule depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 40% require step therapy. 40% 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 8 HR carbidopa 23.75 MG / levodopa 95 MG Extended Release Oral Capsule today.
Coverage Details
- Formularies covering
- 15
- Plans covering
- 93
- Coverage rate
- 1.8%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 40% of formularies
- Quantity limits
- 40% of formularies
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering 8 HR carbidopa 23.75 MG / levodopa 95 MG Extended Release Oral Capsule
93 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 |
| Mass General Brigham SCO (HMO D-SNP) | Mass General Brigham Health Plan, Inc | T1 | No | $0 | MA |
| Mass General Brigham One Care (HMO D-SNP) | Mass General Brigham Health Plan, Inc | T1 | No | $0 | MA |
| Healthy Mississippi Premier Advantage (HMO-POS) | Healthy Mississippi, Inc. | T2 | No | $0 | MS |
| MMM Supremo (HMO C-SNP) | MMM Healthcare, LLC | T2 | No | $0 | PR |
| MMM Diamante Platino (HMO D-SNP) | MMM Healthcare, LLC | T2 | No | $0 | PR |
| MMM Unico (HMO-POS) | MMM Healthcare, LLC | T2 | No | $0 | PR |
| MMM Elite (HMO-POS) | MMM Healthcare, LLC | T2 | No | $0 | PR |
| MMM Deluxe (HMO-POS) | MMM Healthcare, LLC | T2 | No | $0 | PR |
| MMM Dorado Platino (HMO D-SNP) | MMM Healthcare, LLC | T2 | No | $0 | PR |
| PMC Premier Platino (HMO D-SNP) | MMM Healthcare, LLC | T2 | No | $0 | PR |
| PMC Max (HMO-POS) | MMM Healthcare, LLC | T2 | No | $0 | PR |
| MMM Plenitud (HMO-POS) | MMM Healthcare, LLC | T2 | No | $0 | PR |
| MMM Valioso (HMO-POS) | MMM Healthcare, LLC | T2 | No | $0 | PR |
| MMM Combo Platino (HMO D-SNP) | MMM Healthcare, LLC | T2 | No | $0 | PR |
| MMM Flexi Platino (HMO D-SNP) | MMM Healthcare, LLC | T2 | No | $0 | PR |
| MMM Grandioso (HMO-POS) | MMM Healthcare, LLC | T2 | No | $0 | PR |
| MMM Mega Flex (HMO-POS) | MMM Healthcare, LLC | T2 | No | $0 | PR |
| MMM Relax Platino (HMO D-SNP) | MMM Healthcare, LLC | T2 | No | $0 | PR |
| MMM Balance (HMO-POS) | MMM Healthcare, LLC | T2 | No | $0 | PR |
Show the next 30 plans
| Select Health Medicare Essential (HMO) | Selecthealth, Inc. | T3 | No | $0 | UT |
| Select Health Medicare Essential (HMO) | Selecthealth, Inc. | T3 | No | $0 | NV |
| Select Health Medicare Dual (HMO D-SNP) | Selecthealth, Inc. | T3 | No | $0 | UT |
| Select Health Medicare Essential (HMO) | Selecthealth, Inc. | T3 | No | $0 | UT |
| Select Health Medicare + Kroger (HMO) | Selecthealth, Inc. | T3 | No | $0 | NV |
| Select Health Medicare + Kroger (HMO) | Selecthealth, Inc. | T3 | No | $0 | UT |
| Select Health Medicare Essential (HMO) | Selecthealth, Inc. | T3 | No | $0 | CO |
| Select Health Medicare Essential (HMO) | Selecthealth, Inc. | T3 | No | $0 | CO |
| Select Health Medicare + Kroger (HMO) | Selecthealth, Inc. | T3 | No | $0 | CO |
| Select Health Medicare Flex (HMO) | Selecthealth, Inc. | T3 | No | $0 | CO |
| Select Health Medicare + Kroger (HMO) | Selecthealth, Inc. | T3 | No | $0 | CO |
| Select Health Medicare Active (HMO) | Selecthealth, Inc. | T3 | No | $0 | CO |
| Select Health Medicare Dual (HMO D-SNP) | Selecthealth, Inc. | T3 | No | $0 | NV |
| Select Health Medicare Wellness (HMO) | Selecthealth, Inc. | T3 | No | $0 | NV |
| Network Health Select (PPO) | Network Health Insurance Corporation | T4 | No | $0 | WI |
| Network Health Go (PPO) | Network Health Insurance Corporation | T4 | No | $0 | WI |
| Network Health Anywhere (PPO) | Network Health Insurance Corporation | T4 | No | $0 | WI |
| Network Health Choice (PPO) | Network Health Insurance Corporation | T4 | No | $0 | WI |
| Network Health Zero (PPO) | Network Health Insurance Corporation | T4 | No | $0 | WI |
| HealthPartners Minnesota Senior Health Options (HMO D-SNP) | Healthpartners, Inc. | T4 | No | $0 | MN |
| HealthPartners Journey Pace (PPO) | Healthpartners, Inc. | T4 | No | $0 | MN |
| HealthPartners Journey Smart (PPO) | Healthpartners, Inc. | T4 | No | $0 | MN |
| HealthPartners Birch (PPO) | Healthpartners Insurance Company | T4 | No | $0 | WI |
| HealthPartners Cedar (PPO) | Healthpartners Insurance Company | T4 | No | $0 | WI |
| DrMax (HMO) | Doctors Healthcare Plans, Inc. | T4 | No | $0 | FL |
| DrExtraCare (HMO C-SNP) | Doctors Healthcare Plans, Inc. | T4 | No | $0 | FL |
| DrSelect (HMO) | Doctors Healthcare Plans, Inc. | T4 | No | $0 | FL |
| DrSelect-CFL (HMO) | Doctors Healthcare Plans, Inc. | T4 | No | $0 | FL |
| DrPlatinum-CFL (HMO D-SNP) | Doctors Healthcare Plans, Inc. | T4 | No | $0 | FL |
| DrTotalCare-CFL (HMO C-SNP) | Doctors Healthcare Plans, Inc. | T4 | No | $0 | FL |
Showing top 50 of 93 plans.
Frequently Asked Questions
Is 8 HR carbidopa 23.75 MG / levodopa 95 MG Extended Release Oral Capsule covered by Medicare Part D?
Yes, 8 HR carbidopa 23.75 MG / levodopa 95 MG Extended Release Oral Capsule is covered by 93 Medicare Part D plans (1.8% of all Part D formularies).
What tier is 8 HR carbidopa 23.75 MG / levodopa 95 MG Extended Release Oral Capsule on Medicare Part D plans?
8 HR carbidopa 23.75 MG / levodopa 95 MG Extended Release Oral Capsule averages Tier 3.1 across Part D plans, ranging from Tier 1 to Tier 4.
Does 8 HR carbidopa 23.75 MG / levodopa 95 MG Extended Release Oral Capsule require prior authorization?
0% of Part D formularies require prior authorization for 8 HR carbidopa 23.75 MG / levodopa 95 MG Extended Release Oral Capsule. Step therapy: 40%. Quantity limits: 40%.
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.