Medicare Part D coverage · 9 · RxCUI 753438
9 HR methylphenidate 1.67 MG/HR Transdermal System
Per the CMS 2026 Part D formulary file, 9 HR methylphenidate 1.67 MG/HR Transdermal System is covered by 66 Medicare Part D plans (1.3% of enrollable products), averaging Tier 3.4, with prior authorization required on 22.2% of covering formularies.
- 1.3%
- Plan coverage
- 66
- Plans covering
- T3.4
- Avg tier
- 22.2%
- Prior auth required
What the CMS Formulary Data Shows for 9 HR methylphenidate 1.67 MG/HR Transdermal System
Per the CMS 2026 Part D formulary file, 9 HR methylphenidate 1.67 MG/HR Transdermal System (RxNorm concept RXCUI 753438, generic name 9) appears on 9 distinct formulary files spanning 66 Medicare Part D plan offerings - 1.3% 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 3.4.
Real-world access to 9 HR methylphenidate 1.67 MG/HR Transdermal System depends on utilization management as much as tier placement: 22.2% of covering formularies require prior authorization. 22.2% require step therapy. 88.9% 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 9 HR methylphenidate 1.67 MG/HR Transdermal System today.
Coverage Details
- Formularies covering
- 9
- Plans covering
- 66
- Coverage rate
- 1.3%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 22.2% of formularies
- Step therapy required
- 22.2% of formularies
- Quantity limits
- 88.9% of formularies
Tier Distribution Across Plans
Standalone Drug Plans (PDP) Covering 9 HR methylphenidate 1.67 MG/HR Transdermal System
2 standalone prescription drug plans include this drug.
| Plan | Insurer | Tier | PA | ST | Premium | States |
|---|---|---|---|---|---|---|
| Blue Rx PDP Complete (PDP) | HM Health Insurance Company | T4 | Yes | No | $164.80 | - |
| Blue Rx PDP Plus (PDP) | HM Health Insurance Company | T4 | Yes | No | $193.20 | - |
Medicare Advantage Plans (MA-PD) Covering 9 HR methylphenidate 1.67 MG/HR Transdermal System
64 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| CalOptima Health OneCare Complete (HMO D-SNP) | Orange County Health Authority | T1 | Yes | $0 | CA |
| Healthy Mississippi Premier Advantage (HMO-POS) | Healthy Mississippi, Inc. | T2 | No | $0 | MS |
| Select Health Medicare Essential (HMO) | Selecthealth, Inc. | T4 | No | $0 | UT |
| Select Health Medicare Essential (HMO) | Selecthealth, Inc. | T4 | No | $0 | NV |
| Select Health Medicare Dual (HMO D-SNP) | Selecthealth, Inc. | T4 | No | $0 | UT |
| Select Health Medicare Essential (HMO) | Selecthealth, Inc. | T4 | No | $0 | UT |
| Select Health Medicare + Kroger (HMO) | Selecthealth, Inc. | T4 | No | $0 | NV |
| Select Health Medicare + Kroger (HMO) | Selecthealth, Inc. | T4 | No | $0 | UT |
| Select Health Medicare Essential (HMO) | Selecthealth, Inc. | T4 | No | $0 | CO |
| Select Health Medicare Essential (HMO) | Selecthealth, Inc. | T4 | No | $0 | CO |
| Select Health Medicare + Kroger (HMO) | Selecthealth, Inc. | T4 | No | $0 | CO |
| Select Health Medicare Flex (HMO) | Selecthealth, Inc. | T4 | No | $0 | CO |
| Select Health Medicare + Kroger (HMO) | Selecthealth, Inc. | T4 | No | $0 | CO |
| Select Health Medicare Active (HMO) | Selecthealth, Inc. | T4 | No | $0 | CO |
| Select Health Medicare Dual (HMO D-SNP) | Selecthealth, Inc. | T4 | No | $0 | NV |
| Select Health Medicare Wellness (HMO) | Selecthealth, Inc. | T4 | No | $0 | NV |
| Medicare BlueEssential (PPO) | Excellus Health Plan, Inc. | T4 | No | $0 | NY |
| Medicare BlueActive (PPO) | Excellus Health Plan, Inc. | T4 | No | $0 | NY |
| Medicare BlueVital (PPO) | Excellus Health Plan, Inc. | T4 | No | $0 | NY |
| Univera SeniorChoice Basic (HMO) | Excellus Health Plan, Inc. | T4 | No | $0 | NY |
Show the next 30 plans
| Univera SeniorChoice Extra (HMO) | Excellus Health Plan, Inc. | T4 | No | $0 | NY |
| Medicare Blue Choice Core (HMO) | Excellus Health Plan, Inc. | T4 | No | $0 | NY |
| Univera Medicare Dual (HMO D-SNP) | Excellus Health Plan Community Care LLC | T4 | No | $0 | NY |
| Medicare Blue Dual (HMO D-SNP) | Excellus Health Plan Community Care LLC | T4 | No | $0 | NY |
| 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 |
| CDPHP $0 Medicare Rx (HMO) | Capital District Physicians' Health Plan, Inc. | T4 | No | $0 | NY |
| PacificSource Medicare Essentials Rx 27 (HMO) | Pacificsource Community Health Plans | T4 | No | $0 | OR |
| PacificSource Medicare MyCare Choice Rx 29 (HMO-POS) | Pacificsource Community Health Plans | T4 | No | $0 | MT |
| PacificSource Medicare Essentials Choice Rx 36 (HMO-POS) | Pacificsource Community Health Plans | T4 | No | $0 | OR |
| PacificSource Medicare MyCare Rx 40 (HMO) | Pacificsource Community Health Plans | T4 | No | $0 | OR |
| PacificSource Dual Care (HMO D-SNP) | Pacificsource Community Health Plans | T4 | No | $0 | OR |
| PacificSource Medicare MyCare Choice Rx 34 (HMO-POS) | Pacificsource Community Health Plans | T4 | No | $19.00 | ID |
| Network Health Cares (PPO D-SNP) | Network Health Insurance Corporation | T4 | No | $21.10 | WI |
| PacificSource Medicare Essentials Choice Rx 14 (HMO-POS) | Pacificsource Community Health Plans | T4 | No | $29.10 | OR |
| Univera SeniorChoice Core (PPO) | Excellus Health Plan, Inc. | T4 | No | $33.00 | NY |
| Univera SeniorChoice Advanced (HMO-POS) | Excellus Health Plan, Inc. | T4 | No | $36.90 | NY |
| Network Health PlusRx (PPO) | Network Health Insurance Corporation | T4 | No | $38.60 | WI |
| Medicare BlueClassic (PPO) | Excellus Health Plan, Inc. | T4 | No | $51.00 | NY |
| Security Blue HMO-POS Standard (HMO-POS) | Highmark Choice Company | T4 | Yes | $51.80 | PA |
| PacificSource Medicare MyCare Choice Rx 24 (HMO-POS) | Pacificsource Community Health Plans | T4 | No | $52.00 | ID |
| Univera SeniorChoice Secure (HMO-POS) | Excellus Health Plan, Inc. | T4 | No | $54.90 | NY |
| Medicare BlueBalanced (PPO) | Excellus Health Plan, Inc. | T4 | No | $55.00 | NY |
| Medicare Blue Choice Prime (HMO) | Excellus Health Plan, Inc. | T4 | No | $55.00 | NY |
| Univera SeniorChoice Value Plus (HMO-POS) | Excellus Health Plan, Inc. | T4 | No | $58.60 | NY |
| PacificSource Medicare Essentials Rx 41 (HMO) | Pacificsource Community Health Plans | T4 | No | $69.30 | OR |
| Medicare BlueEnhanced (PPO) | Excellus Health Plan, Inc. | T4 | No | $70.30 | NY |
Showing top 50 of 64 plans.
Frequently Asked Questions
Is 9 HR methylphenidate 1.67 MG/HR Transdermal System covered by Medicare Part D?
Yes, 9 HR methylphenidate 1.67 MG/HR Transdermal System is covered by 66 Medicare Part D plans (1.3% of all Part D formularies).
What tier is 9 HR methylphenidate 1.67 MG/HR Transdermal System on Medicare Part D plans?
9 HR methylphenidate 1.67 MG/HR Transdermal System averages Tier 3.4 across Part D plans, ranging from Tier 1 to Tier 4.
Does 9 HR methylphenidate 1.67 MG/HR Transdermal System require prior authorization?
22.2% of Part D formularies require prior authorization for 9 HR methylphenidate 1.67 MG/HR Transdermal System. Step therapy: 22.2%. Quantity limits: 88.9%.
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.
Closest average formulary tier
- imatinib 400 MG Oral Tablet T3.4
- 500 ML olive oil 160 MG/ML / soybean oil 40 MG/ML Injection [Clinolipid] T3.4
- triamterene 100 MG Oral Capsule T3.4
- theophylline 300 MG Extended Release Oral Capsule [Theo-24] T3.4
- 24 HR morphine sulfate 60 MG Extended Release Oral Capsule T3.4
- amcinonide 0.001 MG/MG Topical Ointment T3.4
Similar prior-authorization rate
- meclizine hydrochloride 25 MG Oral Tablet 22.2% PA
- prednisolone 4 MG/ML Oral Solution 22.2% PA
- delafloxacin 300 MG Injection [Baxdela] 22.2% PA
- methocarbamol 500 MG Oral Tablet 22.3% PA
- chlorambucil 2 MG Oral Tablet [Leukeran] 22.3% PA
- meclizine hydrochloride 12.5 MG Oral Tablet 22.4% PA