acetaminophen 325 MG / butalbital 50 MG Oral Tablet [Tencon]

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acetaminophen

RxCUI: 1483329

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.
2.4%
Plan Coverage
124
Plans Covering
T2.3
Avg Tier
50%
Prior Auth Required

What the CMS Formulary Data Shows for acetaminophen 325 MG / butalbital 50 MG Oral Tablet [Tencon]

Per the CMS 2026 Part D formulary file, acetaminophen 325 MG / butalbital 50 MG Oral Tablet [Tencon] (RxNorm concept RXCUI 1483329, generic name acetaminophen) appears on 14 distinct formulary files spanning 124 Medicare Part D plan offerings - 2.4% 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 2.3.

Real-world access to acetaminophen 325 MG / butalbital 50 MG Oral Tablet [Tencon] depends on utilization management as much as tier placement: 50% of covering formularies require prior authorization. 0% require step therapy. 85.7% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 156 Part D beneficiaries filled acetaminophen 325 MG / butalbital 50 MG Oral Tablet [Tencon] 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 / butalbital 50 MG Oral Tablet [Tencon] today.

Coverage Details

Formularies covering
14
Plans covering
124
Coverage rate
2.4%
Tier range
Tier 1 – Tier 4
Average tier
Tier 2, Generic

Restrictions

Prior authorization required
50% of formularies
Step therapy required
0% of formularies
Quantity limits
85.7% of formularies

2023 Medicare Spending

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

Tier Distribution Across Plans

14 plans
Tier 1, Preferred Generic
33 plans
Tier 2, Generic
53 plans
Tier 3, Preferred Brand

Standalone Drug Plans (PDP) Covering acetaminophen 325 MG / butalbital 50 MG Oral Tablet [Tencon]

2 standalone prescription drug plans include this drug.

Plan Insurer Tier PA ST Premium States
Blue Rx PDP Complete (PDP) HM HEALTH INSURANCE COMPANY T2 No No $164.80 -
Blue Rx PDP Plus (PDP) HM HEALTH INSURANCE COMPANY T2 No No $193.20 -

Medicare Advantage Plans (MA-PD) Covering acetaminophen 325 MG / butalbital 50 MG Oral Tablet [Tencon]

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

Plan Insurer Tier PA Premium States
Hamaspik Medicare Choice (HMO D-SNP) HAMASPIK, INC. T1 No $0 NY
PHP (HMO C-SNP) AIDS HEALTHCARE FOUNDATION T1 Yes $0 CA
VNS Health Total (HMO D-SNP) VNS CHOICE T1 No $0 NY
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
Highmark Health Options Duals (HMO D-SNP) HIGHMARK HEALTH OPTIONS WEST VIRGINIA INC. T1 Yes $0 WV
Highmark Health Options Duals (HMO D-SNP) HIGHMARK BCBSD, INC. T1 Yes $0 DE
Gold Dialysis & Kidney Complete (HMO-POS C-SNP) GOLD KIDNEY OF FLORIDA INC T1 No $4.80 FL
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) GATEWAY HEALTH PLAN, INC. T1 Yes $13.10 PA
Gold Dialysis & Kidney Complete (HMO-POS C-SNP) GOLD KIDNEY OF ARIZONA T1 No $17.00 AZ
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) GATEWAY HEALTH PLAN, INC. T1 Yes $17.60 PA
Highmark Health Options Duals Select (HMO D-SNP) HIGHMARK BCBSD, INC. T1 Yes $31.20 DE
Hamaspik Medicare Select (HMO D-SNP) HAMASPIK, INC. T1 No $34.50 NY
VNS Health EasyCare Plus (HMO D-SNP) VNS CHOICE T1 No $51.60 NY
HAP Medicare Explore (PPO) ALLIANCE HEALTH AND LIFE INSURANCE COMPANY T2 No $0 MI
HAP Medicare Prime (PPO) ALLIANCE HEALTH AND LIFE INSURANCE COMPANY T2 No $0 MI
HAP Medicare Connect (HMO) HEALTH ALLIANCE PLAN OF MICHIGAN T2 No $0 MI
HAP Medicare Complete Duals (HMO D-SNP) HEALTH ALLIANCE PLAN OF MICHIGAN T2 No $0 MI
HAP Medicare Superior (HMO) HEALTH ALLIANCE PLAN OF MICHIGAN T2 No $0 MI
Henry Ford Select (HMO) HEALTH ALLIANCE PLAN OF MICHIGAN T2 No $0 MI
Gold Heart & Diabetes (HMO-POS C-SNP) GOLD KIDNEY OF FLORIDA INC T2 No $0 FL
Gold Heart & Diabetes Complete (HMO-POS C-SNP) GOLD KIDNEY OF FLORIDA INC T2 No $0 FL
Gold Dialysis & Kidney (HMO-POS C-SNP) GOLD KIDNEY OF FLORIDA INC T2 No $0 FL
Gold Health (HMO-POS C-SNP) GOLD KIDNEY OF FLORIDA INC T2 No $0 FL
Gold Dialysis & Kidney (HMO-POS C-SNP) GOLD KIDNEY OF FLORIDA INC T2 No $0 FL
Gold Heart & Diabetes (HMO-POS C-SNP) GOLD KIDNEY OF ARIZONA T2 No $0 AZ
Gold Dialysis & Kidney (HMO-POS C-SNP) GOLD KIDNEY OF ARIZONA T2 No $0 AZ
Gold Heart & Diabetes (HMO-POS C-SNP) GOLD KIDNEY OF ARIZONA T2 No $0 AZ
Gold Dialysis & Kidney (HMO-POS C-SNP) GOLD KIDNEY OF ARIZONA T2 No $0 AZ
VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP) VILLAGE SENIOR SERVICES CORPORATION T2 Yes $0 NY
VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP) VILLAGE SENIOR SERVICES CORPORATION T2 Yes $0 NY
HAP Member Assist (PPO) ALLIANCE HEALTH AND LIFE INSURANCE COMPANY T2 No $8.80 MI
HAP Medicare Complete Assist (PPO D-SNP) ALLIANCE HEALTH AND LIFE INSURANCE COMPANY T2 No $8.80 MI
HAP Medicare Diabetes and Heart (HMO C-SNP) HEALTH ALLIANCE PLAN OF MICHIGAN T2 No $8.80 MI
HAP Senior Plus Henry Ford Tiered Access (HMO) HEALTH ALLIANCE PLAN OF MICHIGAN T2 No $11.30 MI
HAP Senior Plus (HMO-POS) HEALTH ALLIANCE PLAN OF MICHIGAN T2 No $13.50 MI
HAP Senior Plus (PPO) ALLIANCE HEALTH AND LIFE INSURANCE COMPANY T2 No $42.60 MI
Security Blue HMO-POS Standard (HMO-POS) HIGHMARK CHOICE COMPANY T2 No $51.80 PA
Freedom Blue PPO Select (PPO) HIGHMARK SENIOR HEALTH COMPANY T2 No $95.70 PA
Security Blue HMO-POS Deluxe (HMO-POS) HIGHMARK CHOICE COMPANY T2 No $95.90 PA
Freedom Blue PPO Standard (PPO) HIGHMARK SENIOR HEALTH COMPANY T2 No $98.20 PA
Freedom Blue PPO Select (PPO) HIGHMARK SENIOR HEALTH COMPANY T2 No $115.70 PA
Freedom Blue PPO Deluxe (PPO) HIGHMARK SENIOR HEALTH COMPANY T2 No $122.40 PA
Freedom Blue PPO Classic (PPO) HIGHMARK SENIOR HEALTH COMPANY T2 No $140.90 PA
Freedom Blue PPO Classic (PPO) HIGHMARK SENIOR HEALTH COMPANY T2 No $145.40 PA
Alignment Health the ONE + Walgreens (HMO) ALIGNMENT HEALTH PLAN OF ARIZONA, INC. T3 Yes $0 AZ
Alignment Health the ONE + Walgreens (HMO) ALIGNMENT HEALTH PLAN OF ARIZONA, INC. T3 Yes $0 AZ
Alignment Health Heart & Diabetes (HMO C-SNP) ALIGNMENT HEALTH PLAN OF ARIZONA, INC. T3 Yes $0 AZ
Alignment Health smartHMO (HMO) ALIGNMENT HEALTH PLAN OF ARIZONA, INC. T3 Yes $0 AZ
Alignment Health My Choice (HMO) ALIGNMENT HEALTH PLAN T3 Yes $0 CA

Frequently Asked Questions

Is acetaminophen 325 MG / butalbital 50 MG Oral Tablet [Tencon] covered by Medicare Part D?

Yes, acetaminophen 325 MG / butalbital 50 MG Oral Tablet [Tencon] is covered by 124 Medicare Part D plans (2.4% of all Part D formularies).

What tier is acetaminophen 325 MG / butalbital 50 MG Oral Tablet [Tencon] on Medicare Part D plans?

acetaminophen 325 MG / butalbital 50 MG Oral Tablet [Tencon] averages Tier 2.3 across Part D plans, ranging from Tier 1 to Tier 4.

Does acetaminophen 325 MG / butalbital 50 MG Oral Tablet [Tencon] require prior authorization?

50% of Part D formularies require prior authorization for acetaminophen 325 MG / butalbital 50 MG Oral Tablet [Tencon]. Step therapy: 0%. Quantity limits: 85.7%.

How much does Medicare spend on acetaminophen 325 MG / butalbital 50 MG Oral Tablet [Tencon]?

In 2023, total Medicare Part D spending on acetaminophen 325 MG / butalbital 50 MG Oral Tablet [Tencon] was $48,943, covering 156 beneficiaries. The average spend per beneficiary was $313.74.

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