amoxicillin 250 MG Chewable Tablet
amoxicillin
RxCUI: 598025
What the CMS Formulary Data Shows for amoxicillin 250 MG Chewable Tablet
Per the CMS 2026 Part D formulary file, amoxicillin 250 MG Chewable Tablet (RxNorm concept RXCUI 598025, generic name amoxicillin) appears on 326 distinct formulary files spanning 4,954 Medicare Part D plan offerings - 97.8% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 1.6.
Real-world access to amoxicillin 250 MG Chewable 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 6,202,496 Part D beneficiaries filled amoxicillin 250 MG Chewable Tablet in 2023, with total plan-and-beneficiary spending of $34,395,187 and an average per-beneficiary annual cost of $5.55. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry amoxicillin 250 MG Chewable Tablet today.
Coverage Details
- Formularies covering
- 326
- Plans covering
- 4,954
- Coverage rate
- 97.8%
- 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
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 6,202,496
- Total spending
- $34,395,187
- Avg per beneficiary
- $5.55
Tier Distribution Across Plans
Standalone Drug Plans (PDP) Covering amoxicillin 250 MG Chewable Tablet
2 standalone prescription drug plans include this drug.
| Plan | Insurer | Tier | PA | ST | Premium | States |
|---|---|---|---|---|---|---|
| AARP Medicare Rx Preferred from UHC (PDP) | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | T1 | No | No | $0 | - |
| AARP Medicare Rx Preferred from UHC (PDP) | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | T1 | No | No | $0 | - |
Medicare Advantage Plans (MA-PD) Covering amoxicillin 250 MG Chewable Tablet
98 Medicare Advantage plans with Part D drug coverage include this drug.
Frequently Asked Questions
Is amoxicillin 250 MG Chewable Tablet covered by Medicare Part D?
Yes, amoxicillin 250 MG Chewable Tablet is covered by 4,954 Medicare Part D plans (97.8% of all Part D formularies).
What tier is amoxicillin 250 MG Chewable Tablet on Medicare Part D plans?
amoxicillin 250 MG Chewable Tablet averages Tier 1.6 across Part D plans, ranging from Tier 1 to Tier 4.
Does amoxicillin 250 MG Chewable Tablet require prior authorization?
0% of Part D formularies require prior authorization for amoxicillin 250 MG Chewable Tablet. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on amoxicillin 250 MG Chewable Tablet?
In 2023, total Medicare Part D spending on amoxicillin 250 MG Chewable Tablet was $34,395,187, covering 6,202,496 beneficiaries. The average spend per beneficiary was $5.55.
Read our methodology - how this data is sourced, computed, and verified.