Medicare Part D coverage · American house dust mite allergenic extract · RxCUI 1998631
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] is covered by 254 Medicare Part D plans (5% of enrollable products), averaging Tier 3.1, with prior authorization required on 83.3% of covering formularies.
- 5%
- Plan coverage
- 254
- Plans covering
- T3.1
- Avg tier
- 83.3%
- Prior auth required
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 254 Medicare Part D plan offerings - 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 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
- 254
- Coverage rate
- 5%
- 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 |
Show the next 30 plans
| 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 |
| KelseyCare Advantage Freedom (HMO-POS) | KS Plan Administrators, LLC | T3 | Yes | $0 | TX |
| KelseyCare Advantage Signature (HMO) | KS Plan Administrators, LLC | T3 | Yes | $0 | TX |
| Premier by Ultimate (HMO) | Ultimate Health Plans, Inc. | T3 | Yes | $0 | FL |
| Premier by Ultimate (HMO) | Ultimate Health Plans, Inc. | T3 | Yes | $0 | FL |
| Premier by Ultimate (HMO) | Ultimate Health Plans, Inc. | T3 | Yes | $0 | FL |
| Premier by Ultimate (HMO) | Ultimate Health Plans, Inc. | T3 | Yes | $0 | FL |
| Premier by Ultimate (HMO) | Ultimate Health Plans, Inc. | T3 | Yes | $0 | FL |
| Advantage Care by Ultimate (HMO C-SNP) | Ultimate Health Plans, Inc. | T3 | Yes | $0 | FL |
| Advantage Care COPD by Ultimate (HMO C-SNP) | Ultimate Health Plans, Inc. | T3 | Yes | $0 | FL |
Showing top 50 of 100 plans.
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 254 Medicare Part D plans (5% 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.
Nationwide similar Part D drugs
Data-derived peers across the CMS Part D formulary extract: nearest average tier placement and nearest prior-authorization rate. Not therapeutic alternatives or same-generic strengths.
Closest average formulary tier
Similar prior-authorization rate
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