American house dust mite allergenic extract 6 SQ-HDM / European house dust mite allergenic extract 6 SQ-HDM Sublingual Tablet [Odactra]
American house dust mite allergenic extract
RxCUI: 1998631
What the CMS Formulary Data Shows for American house dust mite allergenic extract 6 SQ-HDM / European house dust mite allergenic extract 6 SQ-HDM Sublingual Tablet [Odactra]
Per the CMS 2026 Part D formulary file, American house dust mite allergenic extract 6 SQ-HDM / European house dust mite allergenic extract 6 SQ-HDM Sublingual Tablet [Odactra] (RxNorm concept RXCUI 1998631, generic name American house dust mite allergenic extract) appears on 30 distinct formulary files spanning 262 Medicare Part D plan offerings - 5.2% 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 3.1.
Real-world access to American house dust mite allergenic extract 6 SQ-HDM / European house dust mite allergenic extract 6 SQ-HDM Sublingual Tablet [Odactra] depends on utilization management as much as tier placement: 83.3% of covering formularies require prior authorization. 0% require step therapy. 70% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 493 Part D beneficiaries filled American house dust mite allergenic extract 6 SQ-HDM / European house dust mite allergenic extract 6 SQ-HDM Sublingual Tablet [Odactra] in 2023, with total plan-and-beneficiary spending of $1,046,998 and an average per-beneficiary annual cost of $2,123.73. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry American house dust mite allergenic extract 6 SQ-HDM / European house dust mite allergenic extract 6 SQ-HDM Sublingual Tablet [Odactra] today.
Coverage Details
- Formularies covering
- 30
- Plans covering
- 262
- Coverage rate
- 5.2%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 83.3% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 70% of formularies
2023 Medicare Spending
- Beneficiaries
- 493
- Total spending
- $1,046,998
- Avg per beneficiary
- $2,123.73
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering American house dust mite allergenic extract 6 SQ-HDM / European house dust mite allergenic extract 6 SQ-HDM Sublingual Tablet [Odactra]
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| NaviCare (HMO D-SNP) | FALLON COMMUNITY HEALTH PLAN | T1 | Yes | $0 | MA |
| CalOptima Health OneCare Complete (HMO D-SNP) | ORANGE COUNTY HEALTH AUTHORITY | T2 | Yes | $0 | CA |
| Medicare BlueEssential (PPO) | EXCELLUS HEALTH PLAN, INC. | T3 | No | $0 | NY |
| Medicare BlueActive (PPO) | EXCELLUS HEALTH PLAN, INC. | T3 | No | $0 | NY |
| Medicare BlueVital (PPO) | EXCELLUS HEALTH PLAN, INC. | T3 | No | $0 | NY |
| Univera SeniorChoice Basic (HMO) | EXCELLUS HEALTH PLAN, INC. | T3 | No | $0 | NY |
| Univera SeniorChoice Extra (HMO) | EXCELLUS HEALTH PLAN, INC. | T3 | No | $0 | NY |
| Medicare Blue Choice Core (HMO) | EXCELLUS HEALTH PLAN, INC. | T3 | No | $0 | NY |
| Univera Medicare Dual (HMO D-SNP) | EXCELLUS HEALTH PLAN COMMUNITY CARE LLC | T3 | No | $0 | NY |
| Medicare Blue Dual (HMO D-SNP) | EXCELLUS HEALTH PLAN COMMUNITY CARE LLC | T3 | No | $0 | NY |
| eternalHealth Forever (HMO) | ETERNALHEALTH, INC. | T3 | Yes | $0 | MA |
| eternalHealth Freedom (PPO) | ETERNALHEALTH, INC. | T3 | Yes | $0 | MA |
| eternalHealth Give Back (PPO) | ETERNALHEALTH, INC. | T3 | Yes | $0 | MA |
| eternalHealth Horizon (HMO) | ETERNALHEALTH OF ARIZONA INC | T3 | Yes | $0 | AZ |
| eternalHealth Grand Give Back (HMO) | ETERNALHEALTH OF ARIZONA INC | T3 | Yes | $0 | AZ |
| eternalHealth + Fry's Medicare Advantage (HMO) | ETERNALHEALTH OF ARIZONA INC | T3 | Yes | $0 | AZ |
| Senior Care Plus Essential plan (HMO) | HOMETOWN HEALTH PLAN, INC. | T3 | Yes | $0 | NV |
| Senior Care Plus Complete Plan (HMO) | HOMETOWN HEALTH PLAN, INC. | T3 | Yes | $0 | NV |
| Renown Preferred Plan by Senior Care Plus (HMO) | HOMETOWN HEALTH PLAN, INC. | T3 | Yes | $0 | NV |
| Senior Care Plus Extensive Duals Plan (HMO D-SNP) | HOMETOWN HEALTH PLAN, INC. | T3 | Yes | $0 | NV |
| Senior Care Plus Enriched Duals Plan (HMO D-SNP) | HOMETOWN HEALTH PLAN, INC. | T3 | Yes | $0 | NV |
| MyAdvocate Medicare Advantage SILVER (HMO-POS) | BESHP, INC. | T3 | Yes | $0 | NE |
| Great Plain Medicare Advantage Gold (HMO I-SNP) | SANFORD HEALTH PLAN | T3 | Yes | $0 | IA, SD |
| Align ChoicePlus (PPO) | SANFORD HEALTH PLAN OF MINNESOTA | T3 | Yes | $0 | MN |
| Great Plains Medicare Advantage Gold (HMO I-SNP) | GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC. | T3 | Yes | $0 | NE |
| Align ChoicePlus (PPO) | SANFORD HEALTH PLAN | T3 | Yes | $0 | IA, SD |
| Align ChoicePlus (PPO) | SANFORD HEALTH PLAN | T3 | Yes | $0 | ND |
| Great Plains Medicare Advantage Gold (HMO I-SNP) | SANFORD HEALTH PLAN | T3 | Yes | $0 | ND |
| Align Dual Partnership (HMO D-SNP) | SANFORD HEALTH PLAN | T3 | Yes | $0 | ND |
| Ally Rx (HMO D-SNP) | SECURITY HEALTH PLAN OF WISCONSIN, INC. | T3 | Yes | $0 | WI |
| Esteem Rx (HMO-POS) | SECURITY HEALTH PLAN OF WISCONSIN, INC. | T3 | Yes | $0 | WI |
| BlueCross Total Value (PPO) | BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA | T3 | Yes | $0 | SC |
| BlueCross Total Value (PPO) | BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA | T3 | Yes | $0 | SC |
| BlueCross Total Value (PPO) | BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA | T3 | Yes | $0 | SC |
| Blue Best Life Classic (HMO) | MEDISUN, INC. | T3 | Yes | $0 | AZ |
| Blue Best Life Classic (HMO) | MEDISUN, INC. | T3 | Yes | $0 | AZ |
| Fallon Medicare Plus Orange (HMO) | FALLON COMMUNITY HEALTH PLAN | T3 | Yes | $0 | MA |
| HealthTeam Advantage Plan I (PPO) | CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA | T3 | Yes | $0 | NC |
| HealthTeam Advantage Vitality Plan (PPO) | CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA | T3 | Yes | $0 | NC |
| HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP) | CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA | T3 | Yes | $0 | NC |
| AlohaCare Advantage Plus (HMO D-SNP) | ALOHACARE | T3 | Yes | $0 | HI |
| Clear Spring Health BrightPath Advantage (HMO) | CLEAR SPRING HEALTH COMMUNITY CARE, INC. | T3 | Yes | $0 | IL |
| Clear Spring Health BrightPath Advantage (HMO) | CLEAR SPRING HEALTH OF ILLINOIS, INC. | T3 | Yes | $0 | IL |
| Clear Spring Health BrightPath Advantage (HMO) | CLEAR SPRING HEALTH OF ILLINOIS, INC. | T3 | Yes | $0 | IL |
| Clear Spring Health Balance+ Diabetes & Heart (HMO C-SNP) | CLEAR SPRING HEALTH OF ILLINOIS, INC. | T3 | Yes | $0 | IL |
| Clear Spring Health Balance+ Diabetes & Heart (HMO C-SNP) | CLEAR SPRING HEALTH OF ILLINOIS, INC. | T3 | Yes | $0 | IL |
| Clear Spring Health BrightPath Advantage (HMO) | CLEAR SPRING HEALTH (CO), INC. | T3 | Yes | $0 | CO |
| Clear Spring Health Balance+ Diabetes & Heart (HMO C-SNP) | CLEAR SPRING HEALTH (CO), INC. | T3 | Yes | $0 | CO |
| Clear Spring Health Balance+ Diabetes & Heart (HMO C-SNP) | CLEAR SPRING HEALTH (GA), INC. | T3 | Yes | $0 | GA |
| Clear Spring Health BrightPath Advantage (HMO) | CLEAR SPRING HEALTH (GA), INC. | T3 | Yes | $0 | GA |
Frequently Asked Questions
Is American house dust mite allergenic extract 6 SQ-HDM / European house dust mite allergenic extract 6 SQ-HDM Sublingual Tablet [Odactra] covered by Medicare Part D?
Yes, American house dust mite allergenic extract 6 SQ-HDM / European house dust mite allergenic extract 6 SQ-HDM Sublingual Tablet [Odactra] is covered by 262 Medicare Part D plans (5.2% of all Part D formularies).
What tier is American house dust mite allergenic extract 6 SQ-HDM / European house dust mite allergenic extract 6 SQ-HDM Sublingual Tablet [Odactra] on Medicare Part D plans?
American house dust mite allergenic extract 6 SQ-HDM / European house dust mite allergenic extract 6 SQ-HDM Sublingual Tablet [Odactra] averages Tier 3.1 across Part D plans, ranging from Tier 1 to Tier 4.
Does American house dust mite allergenic extract 6 SQ-HDM / European house dust mite allergenic extract 6 SQ-HDM Sublingual Tablet [Odactra] require prior authorization?
83.3% of Part D formularies require prior authorization for American house dust mite allergenic extract 6 SQ-HDM / European house dust mite allergenic extract 6 SQ-HDM Sublingual Tablet [Odactra]. Step therapy: 0%. Quantity limits: 70%.
How much does Medicare spend on American house dust mite allergenic extract 6 SQ-HDM / European house dust mite allergenic extract 6 SQ-HDM Sublingual Tablet [Odactra]?
In 2023, total Medicare Part D spending on American house dust mite allergenic extract 6 SQ-HDM / European house dust mite allergenic extract 6 SQ-HDM Sublingual Tablet [Odactra] was $1,046,998, covering 493 beneficiaries. The average spend per beneficiary was $2,123.73.
Read our methodology - how this data is sourced, computed, and verified.