Abuse-Deterrent 24 HR hydrocodone bitartrate 100 MG Extended Release Oral Tablet

Verify with CMS →

Abuse-Deterrent

RxCUI: 1595764

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.
25.4%
Plan Coverage
1,287
Plans Covering
T4.2
Avg Tier
92.1%
Prior Auth Required

What the CMS Formulary Data Shows for Abuse-Deterrent 24 HR hydrocodone bitartrate 100 MG Extended Release Oral Tablet

Per the CMS 2026 Part D formulary file, Abuse-Deterrent 24 HR hydrocodone bitartrate 100 MG Extended Release Oral Tablet (RxNorm concept RXCUI 1595764, generic name Abuse-Deterrent) appears on 63 distinct formulary files spanning 1,287 Medicare Part D plan offerings - 25.4% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 5, with a cross-plan average of Tier 4.2.

Real-world access to Abuse-Deterrent 24 HR hydrocodone bitartrate 100 MG Extended Release Oral Tablet depends on utilization management as much as tier placement: 92.1% of covering formularies require prior authorization. 1.6% require step therapy. 96.8% 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 Abuse-Deterrent 24 HR hydrocodone bitartrate 100 MG Extended Release Oral Tablet today.

Coverage Details

Formularies covering
63
Plans covering
1,287
Coverage rate
25.4%
Tier range
Tier 1 – Tier 5
Average tier
Tier 4, Non-Preferred

Restrictions

Prior authorization required
92.1% of formularies
Step therapy required
1.6% of formularies
Quantity limits
96.8% of formularies

Tier Distribution Across Plans

22 plans
Tier 1, Preferred Generic
78 plans
Tier 4, Non-Preferred

Medicare Advantage Plans (MA-PD) Covering Abuse-Deterrent 24 HR hydrocodone bitartrate 100 MG Extended Release Oral Tablet

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

Plan Insurer Tier PA Premium States
Florida Complete Care-Duals VIP (HMO-POS D-SNP) HPMP OF FLORIDA, INC. T1 Yes $0 FL
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
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
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
Florida Complete Care (HMO I-SNP) HPMP OF FLORIDA, INC. T1 Yes $4.80 FL
Florida Complete Care- In The Community (HMO-POS I-SNP) HPMP OF FLORIDA, INC. T1 Yes $4.80 FL
Elderplan For Medicaid Beneficiaries (HMO-POS D-SNP) ELDERPLAN, INC. T1 Yes $22.70 NY
VIVA Medicare Extra Value (HMO D-SNP) VIVA HEALTH, INC. T1 Yes $27.70 AL
VIVA Medicare Extra Care (HMO D-SNP) VIVA HEALTH, INC. T1 Yes $27.70 AL
Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP) ELDERPLAN, INC. T1 Yes $44.80 NY
MetroPlus Platinum Plan (HMO) METROPLUS HEALTH PLAN, INC. T1 Yes $58.80 NY
Aetna Medicare Signature (HMO) AETNA HEALTH OF CALIFORNIA INC. T4 Yes $0 CA
Aetna Medicare Signature (HMO) AETNA HEALTH OF CALIFORNIA INC. T4 Yes $0 CA
Aetna Medicare Signature Extra (HMO-POS) AETNA HEALTH OF CALIFORNIA INC. T4 Yes $0 CA
Aetna Medicare Prime (HMO-POS) AETNA HEALTH OF CALIFORNIA INC. T4 Yes $0 CA
Aetna Medicare Prime (HMO-POS) AETNA HEALTH OF CALIFORNIA INC. T4 Yes $0 CA
Aetna Medicare Prime (HMO-POS) AETNA HEALTH OF CALIFORNIA INC. T4 Yes $0 CA
Aetna Medicare Signature Extra (HMO) AETNA HEALTH OF CALIFORNIA INC. T4 Yes $0 CA
Aetna Medicare Prime (HMO-POS) AETNA HEALTH OF CALIFORNIA INC. T4 Yes $0 CA
Aetna Medicare Signature Extra (HMO) AETNA HEALTH OF CALIFORNIA INC. T4 Yes $0 CA
Aetna Medicare Signature Extra (HMO) AETNA HEALTH OF CALIFORNIA INC. T4 Yes $0 CA
Aetna Medicare Signature Extra (HMO) AETNA HEALTH OF CALIFORNIA INC. T4 Yes $0 CA
Aetna Medicare Signature Care (HMO-POS) AETNA HEALTH OF OHIO INC. T4 Yes $0 OH
Aetna Medicare Signature Extra (HMO-POS) AETNA HEALTH OF OHIO INC. T4 Yes $0 OH
Aetna Medicare Signature Care (HMO-POS) AETNA HEALTH OF OHIO INC. T4 Yes $0 OH
Aetna Medicare Signature Extra (HMO-POS) AETNA HEALTH OF OHIO INC. T4 Yes $0 KY
Aetna Medicare Signature (HMO-POS) AETNA HEALTH OF OHIO INC. T4 Yes $0 KY
Aetna Medicare Signature (HMO-POS) AETNA HEALTH OF OHIO INC. T4 Yes $0 KY
Aetna Medicare HIDE (HMO D-SNP) AETNA HEALTH OF OHIO INC. T4 Yes $0 KY
Aetna Medicare Dual Care (HMO D-SNP) AETNA HEALTH OF OHIO INC. T4 Yes $0 OH
Aetna Medicare Signature Care (HMO-POS) AETNA HEALTH OF OHIO INC. T4 Yes $0 OH
Aetna Medicare Signature (HMO-POS) AETNA HEALTH OF OHIO INC. T4 Yes $0 OH
Aetna Medicare Signature (HMO-POS) AETNA HEALTH OF OHIO INC. T4 Yes $0 KY
Aetna Medicare Partial Dual (HMO D-SNP) AETNA HEALTH OF OHIO INC. T4 Yes $0 KY
Aetna Medicare Partial Dual (HMO D-SNP) AETNA HEALTH OF OHIO INC. T4 Yes $0 OH
Aetna Medicare Signature (HMO) AETNA HEALTH INC.(GA) T4 Yes $0 GA
Aetna Medicare Signature (HMO-POS) COVENTRY HEALTH CARE OF ILLINOIS, INC. T4 Yes $0 WI
Aetna Medicare Signature (HMO-POS) COVENTRY HEALTH CARE OF ILLINOIS, INC. T4 Yes $0 IL
Aetna Medicare Prime Chronic Care (HMO C-SNP) COVENTRY HEALTH CARE OF ILLINOIS, INC. T4 Yes $0 IL

Frequently Asked Questions

Is Abuse-Deterrent 24 HR hydrocodone bitartrate 100 MG Extended Release Oral Tablet covered by Medicare Part D?

Yes, Abuse-Deterrent 24 HR hydrocodone bitartrate 100 MG Extended Release Oral Tablet is covered by 1,287 Medicare Part D plans (25.4% of all Part D formularies).

What tier is Abuse-Deterrent 24 HR hydrocodone bitartrate 100 MG Extended Release Oral Tablet on Medicare Part D plans?

Abuse-Deterrent 24 HR hydrocodone bitartrate 100 MG Extended Release Oral Tablet averages Tier 4.2 across Part D plans, ranging from Tier 1 to Tier 5.

Does Abuse-Deterrent 24 HR hydrocodone bitartrate 100 MG Extended Release Oral Tablet require prior authorization?

92.1% of Part D formularies require prior authorization for Abuse-Deterrent 24 HR hydrocodone bitartrate 100 MG Extended Release Oral Tablet. Step therapy: 1.6%. Quantity limits: 96.8%.

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