Medicare Part D coverage · Abuse-Deterrent · RxCUI 1595730
Abuse-Deterrent 24 HR hydrocodone bitartrate 20 MG Extended Release Oral Tablet
Per the CMS 2026 Part D formulary file, Abuse-Deterrent 24 HR hydrocodone bitartrate 20 MG Extended Release Oral Tablet is covered by 1,286 Medicare Part D plans (25.5% of enrollable products), averaging Tier 3.1, with prior authorization required on 92.1% of covering formularies.
- 25.5%
- Plan coverage
- 1,286
- Plans covering
- T3.1
- Avg tier
- 92.1%
- Prior auth required
What the CMS Formulary Data Shows for Abuse-Deterrent 24 HR hydrocodone bitartrate 20 MG Extended Release Oral Tablet
Per the CMS 2026 Part D formulary file, Abuse-Deterrent 24 HR hydrocodone bitartrate 20 MG Extended Release Oral Tablet (RxNorm concept RXCUI 1595730, generic name Abuse-Deterrent) appears on 63 distinct formulary files spanning 1,286 Medicare Part D plan offerings - 25.5% 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 Abuse-Deterrent 24 HR hydrocodone bitartrate 20 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 20 MG Extended Release Oral Tablet today.
Coverage Details
- Formularies covering
- 63
- Plans covering
- 1,286
- Coverage rate
- 25.5%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 3, Preferred Brand
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
Medicare Advantage Plans (MA-PD) Covering Abuse-Deterrent 24 HR hydrocodone bitartrate 20 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 |
Show the next 30 plans
| 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 |
| Sharp Direct Advantage Gold (HMO) | Sharp Health Plan | T2 | Yes | $0 | CA |
| Sharp Direct Advantage VIP (HMO) | Sharp Health Plan | T2 | Yes | $0 | CA |
| Sharp Direct Advantage VIP Plus (HMO) | Sharp Health Plan | T2 | Yes | $0 | CA |
| Medicare HMO Blue SaverRx (HMO-POS) | Bcbs OF Massachusetts HMO Blue, Inc. | T2 | Yes | $0 | MA |
| Clever Care Longevity (HMO) | Clever Care OF Golden State, Inc. | T2 | Yes | $0 | CA |
| Clever Care Value (HMO) | Clever Care OF Golden State, Inc. | T2 | Yes | $0 | CA |
| Clever Care Total+ (HMO C-SNP) | Clever Care OF Golden State, Inc. | T2 | Yes | $0 | CA |
| Clever Care Breathe+ (HMO C-SNP) | Clever Care OF Golden State, Inc. | T2 | Yes | $0 | CA |
| HMSA Akamai Advantage Dual Care (PPO D-SNP) | Hawaii Medical Service Association (hmsa) | T2 | Yes | $0 | HI |
| Devoted Core 001 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T2 | Yes | $0 | FL |
| Devoted Core 002 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T2 | Yes | $0 | FL |
| Devoted Core 003 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T2 | Yes | $0 | FL |
| Devoted Core 005 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T2 | Yes | $0 | FL |
| Devoted Giveback 013 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T2 | Yes | $0 | FL |
| Devoted Giveback 014 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T2 | Yes | $0 | FL |
| Devoted Giveback 015 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T2 | Yes | $0 | FL |
| Devoted Giveback 018 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T2 | Yes | $0 | FL |
| Devoted Core 025 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T2 | Yes | $0 | FL |
| Devoted Core 027 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T2 | Yes | $0 | FL |
| Devoted Core 029 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T2 | Yes | $0 | FL |
| Devoted Giveback 031 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T2 | Yes | $0 | FL |
| Devoted Giveback 032 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T2 | Yes | $0 | FL |
| Devoted Giveback 035 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T2 | Yes | $0 | FL |
| Devoted Core 036 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T2 | Yes | $0 | FL |
| Devoted Giveback 045 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T2 | Yes | $0 | FL |
| Devoted Core 046 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T2 | Yes | $0 | FL |
| Devoted Giveback 049 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T2 | Yes | $0 | FL |
| Devoted Core 050 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T2 | Yes | $0 | FL |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is Abuse-Deterrent 24 HR hydrocodone bitartrate 20 MG Extended Release Oral Tablet covered by Medicare Part D?
Yes, Abuse-Deterrent 24 HR hydrocodone bitartrate 20 MG Extended Release Oral Tablet is covered by 1,286 Medicare Part D plans (25.5% of all Part D formularies).
What tier is Abuse-Deterrent 24 HR hydrocodone bitartrate 20 MG Extended Release Oral Tablet on Medicare Part D plans?
Abuse-Deterrent 24 HR hydrocodone bitartrate 20 MG Extended Release Oral Tablet averages Tier 3.1 across Part D plans, ranging from Tier 1 to Tier 4.
Does Abuse-Deterrent 24 HR hydrocodone bitartrate 20 MG Extended Release Oral Tablet require prior authorization?
92.1% of Part D formularies require prior authorization for Abuse-Deterrent 24 HR hydrocodone bitartrate 20 MG Extended Release Oral Tablet. Step therapy: 1.6%. Quantity limits: 96.8%.
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
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