acetaminophen 20 MG/ML / hydrocodone bitartrate 0.667 MG/ML Oral Solution
acetaminophen
RxCUI: 1044427
What the CMS Formulary Data Shows for acetaminophen 20 MG/ML / hydrocodone bitartrate 0.667 MG/ML Oral Solution
Per the CMS 2026 Part D formulary file, acetaminophen 20 MG/ML / hydrocodone bitartrate 0.667 MG/ML Oral Solution (RxNorm concept RXCUI 1044427, generic name acetaminophen) appears on 69 distinct formulary files spanning 1,921 Medicare Part D plan offerings - 37.9% 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 2.5.
Real-world access to acetaminophen 20 MG/ML / hydrocodone bitartrate 0.667 MG/ML Oral Solution depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 92.8% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 156 Part D beneficiaries filled acetaminophen 20 MG/ML / hydrocodone bitartrate 0.667 MG/ML Oral Solution 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 20 MG/ML / hydrocodone bitartrate 0.667 MG/ML Oral Solution today.
Coverage Details
- Formularies covering
- 69
- Plans covering
- 1,921
- Coverage rate
- 37.9%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 92.8% of formularies
2023 Medicare Spending
- Beneficiaries
- 156
- Total spending
- $48,943
- Avg per beneficiary
- $313.74
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering acetaminophen 20 MG/ML / hydrocodone bitartrate 0.667 MG/ML Oral Solution
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| CareAdvantage (HMO D-SNP) | SAN MATEO HEALTH COMMISSION | T1 | No | $0 | CA |
| NaviCare (HMO D-SNP) | FALLON COMMUNITY HEALTH PLAN | T1 | No | $0 | MA |
| PHP (HMO C-SNP) | AIDS HEALTHCARE FOUNDATION | T1 | No | $0 | CA |
| Elevate Medicare Choice (HMO D-SNP) | DENVER HEALTH MEDICAL PLAN, INC. | T1 | No | $0 | CO |
| AllCare Advantage Redwood Rx (HMO D-SNP) | ALLCARE HEALTH PLAN, INC. | T1 | No | $0 | OR |
| PrimeWest Senior Health Complete (HMO D-SNP) | PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE | T1 | No | $0 | MN |
| Prime Health Complete (HMO D-SNP) | PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE | T1 | No | $0 | MN |
| DualConnect (HMO D-SNP) | SANTA CLARA COUNTY HEALTH AUTHORITY | T1 | No | $0 | CA |
| VNS Health Total (HMO D-SNP) | VNS CHOICE | T1 | No | $0 | NY |
| Alterwood Advantage Dual Secure (HMO D-SNP) | ALTERWOOD ADVANTAGE, INC. | T1 | No | $0 | MD |
| Nascentia Dual Advantage (HMO D-SNP) | VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK | T1 | No | $0 | NY |
| Abilis Health Community (HMO I-SNP) | SIGNATURE ADVANTAGE, LLC | T1 | No | $0 | KY, TN |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | GOLD KIDNEY OF FLORIDA INC | T1 | No | $4.80 | FL |
| Texas Independence Health Plan, Inc. (HMO I-SNP) | TEXAS INDEPENDENCE HEALTH PLAN, INC. | T1 | No | $4.80 | TX |
| Texas Independence Community Plan (HMO I-SNP) | TEXAS INDEPENDENCE HEALTH PLAN, INC. | T1 | No | $4.80 | TX |
| ATRIO Special Needs Plan (HMO D-SNP) | ATRIO HEALTH PLANS | T1 | No | $10.50 | OR |
| ATRIO Special Needs Plan (HMO D-SNP) | ATRIO HEALTH PLANS | T1 | No | $10.50 | OR |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | GOLD KIDNEY OF ARIZONA | T1 | No | $17.00 | AZ |
| Alterwood Advantage Dual Value (HMO D-SNP) | ALTERWOOD ADVANTAGE, INC. | T1 | No | $31.20 | MD |
| Valor Health Plan (HMO I-SNP) | TSG GUARD, INC. | T1 | No | $31.40 | OH |
| WV Senior Advantage (HMO I-SNP) | WEST VIRGINIA SENIOR ADVANTAGE, INC. | T1 | No | $32.70 | WV |
| Abilis Health (HMO I-SNP) | SIGNATURE ADVANTAGE, LLC | T1 | No | $35.90 | KY, TN |
| CommuniCare Advantage ISNP (HMO I-SNP) | OH CHS SNP INC. | T1 | No | $38.40 | IN, MD, OH |
| VNS Health EasyCare Plus (HMO D-SNP) | VNS CHOICE | T1 | No | $51.60 | NY |
| Nascentia Skilled Nursing Facility (HMO I-SNP) | VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK | T1 | No | $58.80 | NY |
| Fallon Medicare Plus Orange (HMO) | FALLON COMMUNITY HEALTH PLAN | T2 | No | $0 | MA |
| Astiva Health Savings Plan (HMO) | ASTIVA HEALTH, INC. | T2 | No | $0 | CA |
| Astiva Health C-SNP Deluxe (HMO C-SNP) | ASTIVA HEALTH, INC. | T2 | No | $0 | CA |
| Astiva Health Savings Plan - NorCal (HMO) | ASTIVA HEALTH, INC. | T2 | No | $0 | CA |
| Astiva Health Premier Plan - NorCal (HMO) | ASTIVA HEALTH, INC. | T2 | No | $0 | CA |
| Astiva Health Premier Plan (HMO) | ASTIVA HEALTH, INC. | T2 | No | $0 | CA |
| ATRIO Prime Rx (HMO) | ATRIO HEALTH PLANS | T2 | No | $0 | OR |
| ATRIO Choice Rx (PPO) | ATRIO HEALTH PLANS | T2 | No | $0 | OR |
| ATRIO Choice Rx (PPO) | ATRIO HEALTH PLANS | T2 | No | $0 | OR |
| ATRIO Prime Rx (PPO) | ATRIO HEALTH PLANS | T2 | No | $0 | OR |
| ATRIO Prime Rx (PPO) | ATRIO HEALTH PLANS | T2 | No | $0 | OR |
| ATRIO Prime Rx (PPO) | ATRIO HEALTH PLANS | T2 | No | $0 | OR |
| ATRIO Choice Rx (PPO) | ATRIO HEALTH PLANS | T2 | No | $0 | OR |
| ATRIO Choice Rx (PPO) | ATRIO HEALTH PLANS | T2 | No | $0 | OR |
| ATRIO Support Rx (PPO C-SNP) | ATRIO HEALTH PLANS | T2 | No | $0 | OR |
| BayCarePlus Complete (HMO) | BAYCARE SELECT HEALTH PLANS, INC. | T2 | No | $0 | FL |
| BayCarePlus Rewards (HMO) | BAYCARE SELECT HEALTH PLANS, INC. | T2 | No | $0 | FL |
| BayCarePlus Premier (HMO) | BAYCARE SELECT HEALTH PLANS, INC. | T2 | No | $0 | FL |
| TotalCare (HMO D-SNP) | SANTA CRUZ MONTEREY MERCED SAN BENITO MARIPOSA MANAGED MEDIC | T2 | No | $0 | CA |
| CommuniCare Advantage (HMO D-SNP) | COMMUNITY HEALTH GROUP | T2 | No | $0 | CA |
| Community y Más (HMO C-SNP) | COMMUNITY HEALTH GROUP | T2 | No | $0 | CA |
| Elevate Medicare Select (HMO) | DENVER HEALTH MEDICAL PLAN, INC. | T2 | No | $0 | CO |
| 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 |
Frequently Asked Questions
Is acetaminophen 20 MG/ML / hydrocodone bitartrate 0.667 MG/ML Oral Solution covered by Medicare Part D?
Yes, acetaminophen 20 MG/ML / hydrocodone bitartrate 0.667 MG/ML Oral Solution is covered by 1,921 Medicare Part D plans (37.9% of all Part D formularies).
What tier is acetaminophen 20 MG/ML / hydrocodone bitartrate 0.667 MG/ML Oral Solution on Medicare Part D plans?
acetaminophen 20 MG/ML / hydrocodone bitartrate 0.667 MG/ML Oral Solution averages Tier 2.5 across Part D plans, ranging from Tier 1 to Tier 4.
Does acetaminophen 20 MG/ML / hydrocodone bitartrate 0.667 MG/ML Oral Solution require prior authorization?
0% of Part D formularies require prior authorization for acetaminophen 20 MG/ML / hydrocodone bitartrate 0.667 MG/ML Oral Solution. Step therapy: 0%. Quantity limits: 92.8%.
How much does Medicare spend on acetaminophen 20 MG/ML / hydrocodone bitartrate 0.667 MG/ML Oral Solution?
In 2023, total Medicare Part D spending on acetaminophen 20 MG/ML / hydrocodone bitartrate 0.667 MG/ML Oral Solution was $48,943, covering 156 beneficiaries. The average spend per beneficiary was $313.74.
Read our methodology - how this data is sourced, computed, and verified.