allopurinol 200 MG Oral Tablet
allopurinol
RxCUI: 245422
What the CMS Formulary Data Shows for allopurinol 200 MG Oral Tablet
Per the CMS 2026 Part D formulary file, allopurinol 200 MG Oral Tablet (RxNorm concept RXCUI 245422, generic name allopurinol) appears on 6 distinct formulary files spanning 10 Medicare Part D plan offerings - 0.2% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 3, with a cross-plan average of Tier 1.7.
Real-world access to allopurinol 200 MG Oral Tablet depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 0% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 2,262,180 Part D beneficiaries filled allopurinol 200 MG Oral Tablet in 2023, with total plan-and-beneficiary spending of $136,919,933 and an average per-beneficiary annual cost of $60.53. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry allopurinol 200 MG Oral Tablet today.
Coverage Details
- Formularies covering
- 6
- Plans covering
- 10
- Coverage rate
- 0.2%
- Tier range
- Tier 1 – Tier 3
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 2,262,180
- Total spending
- $136,919,933
- Avg per beneficiary
- $60.53
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering allopurinol 200 MG Oral Tablet
10 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| PrimeTime Health Plan Aultimate (HMO-POS) | AULTCARE HEALTH INSURING CORPORATION | T1 | No | $0 | OH |
| Community Care's Partnership Program (HMO D-SNP) | COMMUNITY CARE HEALTH PLAN, INC. | T1 | No | $0 | WI |
| Mass General Brigham SCO (HMO D-SNP) | MASS GENERAL BRIGHAM HEALTH PLAN, INC | T1 | No | $0 | MA |
| Mass General Brigham One Care (HMO D-SNP) | MASS GENERAL BRIGHAM HEALTH PLAN, INC | T1 | No | $0 | MA |
| PrimeTime Health Plan Plus (HMO-POS) | AULTCARE HEALTH INSURING CORPORATION | T1 | No | $36.00 | OH |
| PrimeTime Health Plan Classic (HMO-POS) | AULTCARE HEALTH INSURING CORPORATION | T1 | No | $40.30 | OH |
| Mass General Brigham Advantage (PPO) | Mass General Brigham Health Plan, Inc. | T3 | No | $0 | MA |
| Mass General Brigham Advantage Secure (HMO-POS) | Mass General Brigham Health Plan, Inc. | T3 | No | $62.00 | MA |
| Mass General Brigham Advantage Premier (PPO) | Mass General Brigham Health Plan, Inc. | T3 | No | $79.70 | MA |
| Mass General Brigham Advantage Signature (PPO) | Mass General Brigham Health Plan, Inc. | T3 | No | $147.20 | MA |
Frequently Asked Questions
Is allopurinol 200 MG Oral Tablet covered by Medicare Part D?
Yes, allopurinol 200 MG Oral Tablet is covered by 10 Medicare Part D plans (0.2% of all Part D formularies).
What tier is allopurinol 200 MG Oral Tablet on Medicare Part D plans?
allopurinol 200 MG Oral Tablet averages Tier 1.7 across Part D plans, ranging from Tier 1 to Tier 3.
Does allopurinol 200 MG Oral Tablet require prior authorization?
0% of Part D formularies require prior authorization for allopurinol 200 MG Oral Tablet. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on allopurinol 200 MG Oral Tablet?
In 2023, total Medicare Part D spending on allopurinol 200 MG Oral Tablet was $136,919,933, covering 2,262,180 beneficiaries. The average spend per beneficiary was $60.53.
Read our methodology - how this data is sourced, computed, and verified.