alogliptin 25 MG / pioglitazone 45 MG Oral Tablet
alogliptin
RxCUI: 1368438
What the CMS Formulary Data Shows for alogliptin 25 MG / pioglitazone 45 MG Oral Tablet
Per the CMS 2026 Part D formulary file, alogliptin 25 MG / pioglitazone 45 MG Oral Tablet (RxNorm concept RXCUI 1368438, generic name alogliptin) appears on 11 distinct formulary files spanning 76 Medicare Part D plan offerings - 1.5% 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 1.8.
Real-world access to alogliptin 25 MG / pioglitazone 45 MG Oral Tablet depends on utilization management as much as tier placement: 9.1% of covering formularies require prior authorization. 0% require step therapy. 72.7% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 17,642 Part D beneficiaries filled alogliptin 25 MG / pioglitazone 45 MG Oral Tablet in 2023, with total plan-and-beneficiary spending of $14,741,684 and an average per-beneficiary annual cost of $835.60. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry alogliptin 25 MG / pioglitazone 45 MG Oral Tablet today.
Coverage Details
- Formularies covering
- 11
- Plans covering
- 76
- Coverage rate
- 1.5%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 9.1% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 72.7% of formularies
2023 Medicare Spending
- Beneficiaries
- 17,642
- Total spending
- $14,741,684
- Avg per beneficiary
- $835.60
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering alogliptin 25 MG / pioglitazone 45 MG Oral Tablet
76 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | UT |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | NV |
| Select Health Medicare Dual (HMO D-SNP) | SELECTHEALTH, INC. | T1 | No | $0 | UT |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | UT |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | NV |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | UT |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | CO |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | CO |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | CO |
| Select Health Medicare Flex (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | CO |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | CO |
| Select Health Medicare Active (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | CO |
| Select Health Medicare Dual (HMO D-SNP) | SELECTHEALTH, INC. | T1 | No | $0 | NV |
| Select Health Medicare Wellness (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | NV |
| Personal Choice 65 Achieve Rx (PPO) | QCC INSURANCE COMPANY | T1 | No | $0 | PA |
| Keystone 65 Focus Rx (HMO-POS) | KEYSTONE HEALTH PLAN EAST, INC. | T1 | No | $0 | PA |
| Keystone 65 Focus Rx (HMO-POS) | KEYSTONE HEALTH PLAN EAST, INC. | T1 | No | $0 | PA |
| Keystone 65 Basic Rx (HMO) | KEYSTONE HEALTH PLAN EAST, INC. | T1 | No | $0 | PA |
| AmeriHealth Medicare Core (PPO) | AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY | T1 | No | $0 | NJ |
| AmeriHealth Medicare Ultimate (PPO) | AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY | T1 | No | $0 | NJ |
| Healthy Mississippi Premier Advantage (HMO-POS) | Healthy Mississippi, Inc. | T1 | No | $0 | MS |
| MMM Supremo (HMO C-SNP) | MMM HEALTHCARE, LLC | T1 | No | $0 | PR |
| MMM Diamante Platino (HMO D-SNP) | MMM HEALTHCARE, LLC | T1 | No | $0 | PR |
| MMM Unico (HMO-POS) | MMM HEALTHCARE, LLC | T1 | No | $0 | PR |
| MMM Elite (HMO-POS) | MMM HEALTHCARE, LLC | T1 | No | $0 | PR |
| MMM Deluxe (HMO-POS) | MMM HEALTHCARE, LLC | T1 | No | $0 | PR |
| MMM Dorado Platino (HMO D-SNP) | MMM HEALTHCARE, LLC | T1 | No | $0 | PR |
| PMC Premier Platino (HMO D-SNP) | MMM HEALTHCARE, LLC | T1 | No | $0 | PR |
| PMC Max (HMO-POS) | MMM HEALTHCARE, LLC | T1 | No | $0 | PR |
| MMM Plenitud (HMO-POS) | MMM HEALTHCARE, LLC | T1 | No | $0 | PR |
| MMM Valioso (HMO-POS) | MMM HEALTHCARE, LLC | T1 | No | $0 | PR |
| MMM Combo Platino (HMO D-SNP) | MMM HEALTHCARE, LLC | T1 | No | $0 | PR |
| MMM Flexi Platino (HMO D-SNP) | MMM HEALTHCARE, LLC | T1 | No | $0 | PR |
| MMM Grandioso (HMO-POS) | MMM HEALTHCARE, LLC | T1 | No | $0 | PR |
| MMM Mega Flex (HMO-POS) | MMM HEALTHCARE, LLC | T1 | No | $0 | PR |
| MMM Relax Platino (HMO D-SNP) | MMM HEALTHCARE, LLC | T1 | No | $0 | PR |
| MMM Balance (HMO-POS) | MMM HEALTHCARE, LLC | T1 | No | $0 | PR |
| Community Care's Partnership Program (HMO D-SNP) | COMMUNITY CARE HEALTH PLAN, INC. | T1 | No | $0 | WI |
| Leon MediExtra (HMO) | LEON HEALTH, INC. | T1 | No | $0 | FL |
| Leon MediDual (HMO D-SNP) | LEON HEALTH, INC. | T1 | No | $0 | FL |
| Leon MediMore (HMO) | LEON HEALTH, INC. | T1 | No | $0 | FL |
| Leon MediMax (HMO D-SNP) | LEON HEALTH, INC. | T1 | No | $0 | FL |
| Keystone 65 Essential Rx (HMO-POS) | KEYSTONE HEALTH PLAN EAST, INC. | T1 | No | $31.00 | PA |
| AmeriHealth Medicare Enhanced (PPO) | AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY | T1 | No | $36.00 | NJ |
| Keystone 65 Select Rx (HMO) | KEYSTONE HEALTH PLAN EAST, INC. | T1 | No | $47.00 | PA |
| Keystone 65 Preferred Rx (HMO) | KEYSTONE HEALTH PLAN EAST, INC. | T1 | No | $59.70 | PA |
| Keystone 65 Select Rx (HMO) | KEYSTONE HEALTH PLAN EAST, INC. | T1 | No | $63.50 | PA |
| Keystone 65 Preferred Rx (HMO) | KEYSTONE HEALTH PLAN EAST, INC. | T1 | No | $79.70 | PA |
| Personal Choice 65 Plus Rx (PPO) | QCC INSURANCE COMPANY | T1 | No | $81.20 | PA |
| Personal Choice 65 Rx (PPO) | QCC INSURANCE COMPANY | T1 | No | $102.20 | PA |
Frequently Asked Questions
Is alogliptin 25 MG / pioglitazone 45 MG Oral Tablet covered by Medicare Part D?
Yes, alogliptin 25 MG / pioglitazone 45 MG Oral Tablet is covered by 76 Medicare Part D plans (1.5% of all Part D formularies).
What tier is alogliptin 25 MG / pioglitazone 45 MG Oral Tablet on Medicare Part D plans?
alogliptin 25 MG / pioglitazone 45 MG Oral Tablet averages Tier 1.8 across Part D plans, ranging from Tier 1 to Tier 4.
Does alogliptin 25 MG / pioglitazone 45 MG Oral Tablet require prior authorization?
9.1% of Part D formularies require prior authorization for alogliptin 25 MG / pioglitazone 45 MG Oral Tablet. Step therapy: 0%. Quantity limits: 72.7%.
How much does Medicare spend on alogliptin 25 MG / pioglitazone 45 MG Oral Tablet?
In 2023, total Medicare Part D spending on alogliptin 25 MG / pioglitazone 45 MG Oral Tablet was $14,741,684, covering 17,642 beneficiaries. The average spend per beneficiary was $835.60.
Read our methodology - how this data is sourced, computed, and verified.