amoxicillin 875 MG Oral Tablet
amoxicillin
RxCUI: 308194
What the CMS Formulary Data Shows for amoxicillin 875 MG Oral Tablet
Per the CMS 2026 Part D formulary file, amoxicillin 875 MG Oral Tablet (RxNorm concept RXCUI 308194, generic name amoxicillin) appears on 330 distinct formulary files spanning 5,067 Medicare Part D plan offerings - 100% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 6, with a cross-plan average of Tier 1.3.
Real-world access to amoxicillin 875 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 6,202,496 Part D beneficiaries filled amoxicillin 875 MG Oral 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 875 MG Oral Tablet today.
Coverage Details
- Formularies covering
- 330
- Plans covering
- 5,067
- Coverage rate
- 100%
- Tier range
- Tier 1 – Tier 6
- Average tier
- Tier 1, Preferred 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 875 MG Oral 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 875 MG Oral Tablet
98 Medicare Advantage plans with Part D drug coverage include this drug.
Frequently Asked Questions
Is amoxicillin 875 MG Oral Tablet covered by Medicare Part D?
Yes, amoxicillin 875 MG Oral Tablet is covered by 5,067 Medicare Part D plans (100% of all Part D formularies).
What tier is amoxicillin 875 MG Oral Tablet on Medicare Part D plans?
amoxicillin 875 MG Oral Tablet averages Tier 1.3 across Part D plans, ranging from Tier 1 to Tier 6.
Does amoxicillin 875 MG Oral Tablet require prior authorization?
0% of Part D formularies require prior authorization for amoxicillin 875 MG Oral Tablet. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on amoxicillin 875 MG Oral Tablet?
In 2023, total Medicare Part D spending on amoxicillin 875 MG Oral 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.