Medicare Part D coverage · acetaminophen · RxCUI 857391

acetaminophen 325 MG / hydrocodone bitartrate 2.5 MG Oral Tablet

Per the CMS 2026 Part D formulary file, acetaminophen 325 MG / hydrocodone bitartrate 2.5 MG Oral Tablet is covered by 3,235 Medicare Part D plans (64% of enrollable products), averaging Tier 2.4, with prior authorization required on 3.2% of covering formularies.

64%
Plan coverage
3,235
Plans covering
T2.4
Avg tier
3.2%
Prior auth required

Verify with CMS →

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.

What the CMS Formulary Data Shows for acetaminophen 325 MG / hydrocodone bitartrate 2.5 MG Oral Tablet

Per the CMS 2026 Part D formulary file, acetaminophen 325 MG / hydrocodone bitartrate 2.5 MG Oral Tablet (RxNorm concept RXCUI 857391, generic name acetaminophen) appears on 95 distinct formulary files spanning 3,235 Medicare Part D plan offerings - 64% of enrollable Part D products, mid-range placement; shopping across contracts changes access. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 2.4.

Real-world access to acetaminophen 325 MG / hydrocodone bitartrate 2.5 MG Oral Tablet depends on utilization management as much as tier placement: 3.2% of covering formularies require prior authorization. 0% require step therapy. 77.9% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 156 Part D beneficiaries filled acetaminophen 325 MG / hydrocodone bitartrate 2.5 MG Oral Tablet in 2023, with total plan-and-beneficiary spending of $48,943 and an average per-beneficiary annual cost of $313.74. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry acetaminophen 325 MG / hydrocodone bitartrate 2.5 MG Oral Tablet today.

Coverage Details

Formularies covering
95
Plans covering
3,235
Coverage rate
64%
Tier range
Tier 1 – Tier 4
Average tier
Tier 2, Generic

Restrictions

Prior authorization required
3.2% of formularies
Step therapy required
0% of formularies
Quantity limits
77.9% of formularies

2023 Medicare Spending

Beneficiaries
156
Total spending
$48,943
Avg per beneficiary
$313.74

Tier Distribution Across Plans

78 plans
Tier 1, Preferred Generic
22 plans
Tier 2, Generic

Medicare Advantage Plans (MA-PD) Covering acetaminophen 325 MG / hydrocodone bitartrate 2.5 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 No $0 VA
Sentara Community Complete (HMO D-SNP) Sentara Health Plans T1 No $0 VA
Freedom VIP Care (HMO C-SNP) Freedom Health, Inc. T1 No $0 FL
Freedom VIP Savings (HMO C-SNP) Freedom Health, Inc. T1 No $0 FL
Freedom VIP Savings (HMO C-SNP) Freedom Health, Inc. T1 No $0 FL
Freedom VIP Rewards (HMO C-SNP) Freedom Health, Inc. T1 No $0 FL
Freedom VIP Rewards (HMO C-SNP) Freedom Health, Inc. T1 No $0 FL
Optimum Diamond Rewards (HMO C-SNP) Optimum Healthcare, Inc. T1 No $0 FL
Optimum Diamond Savings (HMO C-SNP) Optimum Healthcare, Inc. T1 No $0 FL
Optimum Diamond Rewards (HMO C-SNP) Optimum Healthcare, Inc. T1 No $0 FL
Optimum Diamond (HMO C-SNP) Optimum Healthcare, Inc. T1 No $0 FL
Freedom Medi-Medi Partial (HMO D-SNP) Freedom Health, Inc. T1 No $0 FL
Freedom Medi-Medi Full (HMO D-SNP) Freedom Health, Inc. T1 No $0 FL
Optimum Emerald Partial (HMO D-SNP) Optimum Healthcare, Inc. T1 No $0 FL
Optimum Emerald Full (HMO D-SNP) Optimum Healthcare, Inc. T1 No $0 FL
Freedom Medicare Plan Rx (HMO) Freedom Health, Inc. T1 No $0 FL
Freedom Medicare Plan Rx (HMO) Freedom Health, Inc. T1 No $0 FL
Freedom VIP Savings COPD (HMO C-SNP) Freedom Health, Inc. T1 No $0 FL
Freedom VIP Savings COPD (HMO C-SNP) Freedom Health, Inc. T1 No $0 FL
Freedom Platinum Plan Rx (HMO) Freedom Health, Inc. T1 No $0 FL
Show the next 30 plans
Freedom Platinum Plan Rx (HMO) Freedom Health, Inc. T1 No $0 FL
Freedom Platinum Plan Rx (HMO) Freedom Health, Inc. T1 No $0 FL
Freedom Platinum Plan Rx (HMO) Freedom Health, Inc. T1 No $0 FL
Freedom Platinum Plan Rx (HMO) Freedom Health, Inc. T1 No $0 FL
Freedom Platinum Rewards Plan Rx (HMO) Freedom Health, Inc. T1 No $0 FL
Freedom Platinum Rewards Plan Rx (HMO) Freedom Health, Inc. T1 No $0 FL
Freedom Platinum Rewards Plan Rx (HMO) Freedom Health, Inc. T1 No $0 FL
Freedom Platinum Rewards Plan Rx (HMO) Freedom Health, Inc. T1 No $0 FL
Freedom Platinum Rewards Plan Rx (HMO) Freedom Health, Inc. T1 No $0 FL
Freedom Platinum Rewards Plan Rx (HMO) Freedom Health, Inc. T1 No $0 FL
Freedom Máximo (HMO-POS) Freedom Health, Inc. T1 No $0 FL
Freedom Máximo (HMO-POS) Freedom Health, Inc. T1 No $0 FL
Optimum Gold Rewards Plan (HMO) Optimum Healthcare, Inc. T1 No $0 FL
Optimum Platinum Plan (HMO) Optimum Healthcare, Inc. T1 No $0 FL
Optimum Gold Plan (HMO) Optimum Healthcare, Inc. T1 No $0 FL
Optimum Gold Rewards Plan (HMO) Optimum Healthcare, Inc. T1 No $0 FL
Optimum Gold Rewards Plan (HMO) Optimum Healthcare, Inc. T1 No $0 FL
Optimum Diamond Rewards COPD (HMO C-SNP) Optimum Healthcare, Inc. T1 No $0 FL
Optimum Diamond Savings COPD (HMO C-SNP) Optimum Healthcare, Inc. T1 No $0 FL
Optimum Gold Plus Plan (HMO) Optimum Healthcare, Inc. T1 No $0 FL
Optimum Diamond Rewards COPD (HMO C-SNP) Optimum Healthcare, Inc. T1 No $0 FL
ElderServe MAP (HMO D-SNP) Elderserve Health, Inc. T1 No $0 NY
Cooperative Advantage (HMO D-SNP) Group Health Cooperative OF EAU Claire T1 No $0 WI
Longevity Health Plan (PPO I-SNP) Longevity Health Plan OF NEW Jersey Insurance Comp T1 No $0 NJ
Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP) Upper Peninsula Health Plan, LLC T1 No $0 MI
CareSource Dual Advantage (HMO D-SNP) Caresource Georgia Co. T1 No $0 GA
HAP CareSource MI Coordinated Health (HMO D-SNP) HAP Caresource T1 No $0 MI
NaviCare (HMO D-SNP) Fallon Community Health Plan T1 No $0 MA
Provider Partners Pennsylvania Community Plan (HMO I-SNP) Provider Partners Health Plan OF Pennsylvania, Inc T1 No $0 PA
Provider Partners North Carolina Community Plan (HMO I-SNP) Provider Partners Health Plan OF North Carolina T1 No $0 NC

Showing top 50 of 100 plans.

Frequently Asked Questions

Is acetaminophen 325 MG / hydrocodone bitartrate 2.5 MG Oral Tablet covered by Medicare Part D?

Yes, acetaminophen 325 MG / hydrocodone bitartrate 2.5 MG Oral Tablet is covered by 3,235 Medicare Part D plans (64% of all Part D formularies).

What tier is acetaminophen 325 MG / hydrocodone bitartrate 2.5 MG Oral Tablet on Medicare Part D plans?

acetaminophen 325 MG / hydrocodone bitartrate 2.5 MG Oral Tablet averages Tier 2.4 across Part D plans, ranging from Tier 1 to Tier 4.

Does acetaminophen 325 MG / hydrocodone bitartrate 2.5 MG Oral Tablet require prior authorization?

3.2% of Part D formularies require prior authorization for acetaminophen 325 MG / hydrocodone bitartrate 2.5 MG Oral Tablet. Step therapy: 0%. Quantity limits: 77.9%.

How much does Medicare spend on acetaminophen 325 MG / hydrocodone bitartrate 2.5 MG Oral Tablet?

In 2023, total Medicare Part D spending on acetaminophen 325 MG / hydrocodone bitartrate 2.5 MG Oral Tablet was $48,943, covering 156 beneficiaries. The average spend per beneficiary was $313.74.

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.

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