Medicare Part D coverage · abiraterone acetate · RxCUI 1918042
abiraterone acetate 500 MG Oral Tablet
Per the CMS 2026 Part D formulary file, abiraterone acetate 500 MG Oral Tablet is covered by 3,426 Medicare Part D plans (67.8% of enrollable products), averaging Tier 4.2, with prior authorization required on 95.2% of covering formularies.
- 67.8%
- Plan coverage
- 3,426
- Plans covering
- T4.2
- Avg tier
- 95.2%
- Prior auth required
What the CMS Formulary Data Shows for abiraterone acetate 500 MG Oral Tablet
Per the CMS 2026 Part D formulary file, abiraterone acetate 500 MG Oral Tablet (RxNorm concept RXCUI 1918042, generic name abiraterone acetate) appears on 229 distinct formulary files spanning 3,426 Medicare Part D plan offerings - 67.8% of enrollable Part D products, mid-range placement; shopping across contracts changes access. Tier placement ranges from Tier 1 to Tier 6, with a cross-plan average of Tier 4.2.
Real-world access to abiraterone acetate 500 MG Oral Tablet depends on utilization management as much as tier placement: 95.2% of covering formularies require prior authorization. 0% require step therapy. 81.7% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 45,661 Part D beneficiaries filled abiraterone acetate 500 MG Oral Tablet in 2023, with total plan-and-beneficiary spending of $876,989,041 and an average per-beneficiary annual cost of $19,206.52. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry abiraterone acetate 500 MG Oral Tablet today.
Coverage Details
- Formularies covering
- 229
- Plans covering
- 3,426
- Coverage rate
- 67.8%
- Tier range
- Tier 1 – Tier 6
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 95.2% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 81.7% of formularies
2023 Medicare Spending
- Beneficiaries
- 45,661
- Total spending
- $876,989,041
- Avg per beneficiary
- $19,206.52
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering abiraterone acetate 500 MG Oral Tablet
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Sentara Community Complete Select (HMO D-SNP) | Sentara Health Plans | T1 | Yes | $0 | VA |
| Sentara Community Complete (HMO D-SNP) | Sentara Health Plans | T1 | Yes | $0 | VA |
| Florida Complete Care-Duals VIP (HMO-POS D-SNP) | Hpmp OF Florida, Inc. | T1 | Yes | $0 | FL |
| ElderServe MAP (HMO D-SNP) | Elderserve Health, Inc. | T1 | Yes | $0 | NY |
| Cooperative Advantage (HMO D-SNP) | Group Health Cooperative OF EAU Claire | T1 | Yes | $0 | WI |
| Longevity Health Plan (PPO I-SNP) | Longevity Health Plan OF NEW Jersey Insurance Comp | T1 | Yes | $0 | NJ |
| Mercy Care Advantage (HMO D-SNP) | Mercy Care | T1 | Yes | $0 | AZ |
| Mercy Care Advantage (HMO D-SNP) | Mercy Care | T1 | Yes | $0 | AZ |
| Mercy Care Advantage (HMO D-SNP) | Mercy Care | T1 | Yes | $0 | AZ |
| Elderplan Plus Long-Term Care (HMO-POS D-SNP) | Elderplan, Inc. | T1 | Yes | $0 | NY |
| Health Choice Pathway (HMO D-SNP) | Health Choice Arizona, Inc. | T1 | Yes | $0 | AZ |
| Healthfirst CompleteCare (HMO D-SNP) | Healthfirst Health Plan, Inc. | T1 | Yes | $0 | NY |
| IMCare Classic (HMO D-SNP) | Itasca Medical Care | T1 | Yes | $0 | MN |
| Johns Hopkins Advantage MD D-SNP (HMO D-SNP) | Hopkins Health Advantage, Inc. | T1 | Yes | $0 | MD |
| MetroPlus UltraCare (HMO D-SNP) | Metroplus Health Plan, Inc. | T1 | Yes | $0 | NY |
| Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP) | Upper Peninsula Health Plan, LLC | T1 | Yes | $0 | MI |
| CareSource Dual Advantage (HMO D-SNP) | Caresource Georgia Co. | T1 | Yes | $0 | GA |
| Senior Whole Health SCO (HMO D-SNP) | Senior Whole Health, LLC | T1 | Yes | $0 | MA |
| Senior Whole Health SCO NHC (HMO D-SNP) | Senior Whole Health, LLC | T1 | Yes | $0 | MA |
| Molina One Care (HMO D-SNP) | Senior Whole Health, LLC | T1 | Yes | $0 | MA |
Show the next 30 plans
| HAP CareSource MI Coordinated Health (HMO D-SNP) | HAP Caresource | T1 | Yes | $0 | MI |
| CareAdvantage (HMO D-SNP) | SAN Mateo Health Commission | T1 | No | $0 | CA |
| NaviCare (HMO D-SNP) | Fallon Community Health Plan | T1 | Yes | $0 | MA |
| SeniorCare Complete (HMO D-SNP) | South Country Health Alliance | T1 | Yes | $0 | MN |
| AbilityCare (HMO D-SNP) | South Country Health Alliance | T1 | Yes | $0 | MN |
| Alameda Alliance Wellness (HMO D-SNP) | Alameda Alliance FOR Health | T1 | Yes | $0 | CA |
| CCA One Care (HMO D-SNP) | Commonwealth Care Alliance, Inc. | T1 | Yes | $0 | MA |
| CCA Senior Care Options (HMO D-SNP) | Commonwealth Care Alliance, Inc. | T1 | Yes | $0 | MA |
| Elevate Medicare Choice (HMO D-SNP) | Denver Health Medical Plan, Inc. | T1 | Yes | $0 | CO |
| AllCare Advantage Redwood Rx (HMO D-SNP) | Allcare Health Plan, Inc. | T1 | Yes | $0 | OR |
| PrimeWest Senior Health Complete (HMO D-SNP) | Primewest Rural MN Health Care Access Initiative | T1 | Yes | $0 | MN |
| Prime Health Complete (HMO D-SNP) | Primewest Rural MN Health Care Access Initiative | T1 | Yes | $0 | MN |
| Alterwood Advantage Dual Secure (HMO D-SNP) | Alterwood Advantage, Inc. | T1 | Yes | $0 | MD |
| Nascentia Dual Advantage (HMO D-SNP) | Visiting Nurse Association OF Central NEW York | T1 | Yes | $0 | NY |
| Provider Partners Pennsylvania Community Plan (HMO I-SNP) | Provider Partners Health Plan OF Pennsylvania, Inc | T1 | Yes | $0 | PA |
| Provider Partners North Carolina Community Plan (HMO I-SNP) | Provider Partners Health Plan OF North Carolina | T1 | Yes | $0 | NC |
| Provider Partners Indiana Community Plan (HMO I-SNP) | Provider Partners Health Plan OF Indiana | T1 | Yes | $0 | IN |
| Provider Partners Missouri Community Plan (HMO I-SNP) | Provider Partners Health Plan OF Missouri, Inc. | T1 | Yes | $0 | MO |
| Abilis Health Community (HMO I-SNP) | Signature Advantage, LLC | T1 | Yes | $0 | KY, TN |
| Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) | Arkansas Superior Select, Inc. | T1 | Yes | $0 | AR |
| Community Care's Partnership Program (HMO D-SNP) | Community Care Health Plan, Inc. | T1 | No | $0 | WI |
| Platino Blindao (HMO D-SNP) | Triple S Advantage, Inc. | T1 | Yes | $0 | PR |
| Platino Enlace (HMO D-SNP) | Triple S Advantage, Inc. | T1 | Yes | $0 | PR |
| Platino Advance (HMO D-snp) | Triple S Advantage, Inc. | T1 | Yes | $0 | PR |
| Platino Plus (HMO D-snp) | Triple S Advantage, Inc. | T1 | Yes | $0 | PR |
| CalOptima Health OneCare Complete (HMO D-SNP) | Orange County Health Authority | T1 | Yes | $0 | CA |
| Mass General Brigham SCO (HMO D-SNP) | Mass General Brigham Health Plan, Inc | T1 | Yes | $0 | MA |
| Mass General Brigham One Care (HMO D-SNP) | Mass General Brigham Health Plan, Inc | T1 | Yes | $0 | MA |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | Yes | $0 | PA |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | Yes | $0 | PA |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is abiraterone acetate 500 MG Oral Tablet covered by Medicare Part D?
Yes, abiraterone acetate 500 MG Oral Tablet is covered by 3,426 Medicare Part D plans (67.8% of all Part D formularies).
What tier is abiraterone acetate 500 MG Oral Tablet on Medicare Part D plans?
abiraterone acetate 500 MG Oral Tablet averages Tier 4.2 across Part D plans, ranging from Tier 1 to Tier 6.
Does abiraterone acetate 500 MG Oral Tablet require prior authorization?
95.2% of Part D formularies require prior authorization for abiraterone acetate 500 MG Oral Tablet. Step therapy: 0%. Quantity limits: 81.7%.
How much does Medicare spend on abiraterone acetate 500 MG Oral Tablet?
In 2023, total Medicare Part D spending on abiraterone acetate 500 MG Oral Tablet was $876,989,041, covering 45,661 beneficiaries. The average spend per beneficiary was $19,206.52.
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
- aripiprazole 2 MG Oral Film [Opipza] T4.2
- 2.4 ML aripiprazole lauroxil 281.3 MG/ML Prefilled Syringe [Aristada] T4.2
- 1 ML benralizumab 30 MG/ML Auto-Injector [Fasenra] T4.2
- {7 (24 HR deutetrabenazine 12 MG Extended Release Oral Tablet [Austedo]) / 7 (24 HR deutetrabenazine 18 MG Extended Release Oral Tablet [Austedo]) / 7 (24 HR deutetrabenazine 24 MG Extended Release Oral Tablet [Austedo]) / 7 (24 HR deutetrabenazine 30 MG Extended Release Oral Tablet [Austedo]) } Pack [Austedo XR Once Daily, 4 Week Titration Pack, 12 MG / 18 MG / 24 MG / 30 MG] T4.2
- glecaprevir 100 MG / pibrentasvir 40 MG Oral Tablet [Mavyret] T4.2
- selexipag 1.6 MG Oral Tablet [Uptravi] T4.2
Similar prior-authorization rate
- lidocaine 0.05 MG/MG Medicated Patch [Lidocan] 95.2% PA
- maralixibat 10 MG Oral Tablet [Livmarli] 95.2% PA
- monomethyl fumarate 95 MG Delayed Release Oral Capsule [Bafiertam] 95.2% PA
- glycerol phenylbutyrate 1100 MG/ML Oral Solution 95.1% PA
- amikacin liposomal 70.3 MG/ML Inhalation Suspension [Arikayce] 95.1% PA
- lidocaine 0.05 MG/MG Medicated Patch [Tridacaine] 95% PA