amoxicillin 40 MG/ML Oral Suspension
amoxicillin
RxCUI: 313850
What the CMS Formulary Data Shows for amoxicillin 40 MG/ML Oral Suspension
Per the CMS 2026 Part D formulary file, amoxicillin 40 MG/ML Oral Suspension (RxNorm concept RXCUI 313850, 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 3, with a cross-plan average of Tier 1.3.
Real-world access to amoxicillin 40 MG/ML Oral Suspension 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 40 MG/ML Oral Suspension 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 40 MG/ML Oral Suspension today.
Coverage Details
- Formularies covering
- 330
- Plans covering
- 5,067
- Coverage rate
- 100%
- Tier range
- Tier 1 – Tier 3
- 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 40 MG/ML Oral Suspension
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 40 MG/ML Oral Suspension
98 Medicare Advantage plans with Part D drug coverage include this drug.
Frequently Asked Questions
Is amoxicillin 40 MG/ML Oral Suspension covered by Medicare Part D?
Yes, amoxicillin 40 MG/ML Oral Suspension is covered by 5,067 Medicare Part D plans (100% of all Part D formularies).
What tier is amoxicillin 40 MG/ML Oral Suspension on Medicare Part D plans?
amoxicillin 40 MG/ML Oral Suspension averages Tier 1.3 across Part D plans, ranging from Tier 1 to Tier 3.
Does amoxicillin 40 MG/ML Oral Suspension require prior authorization?
0% of Part D formularies require prior authorization for amoxicillin 40 MG/ML Oral Suspension. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on amoxicillin 40 MG/ML Oral Suspension?
In 2023, total Medicare Part D spending on amoxicillin 40 MG/ML Oral Suspension 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.