Medicare Part D coverage · ampicillin · RxCUI 1659592
ampicillin 1000 MG / sulbactam 500 MG Injection
Per the CMS 2026 Part D formulary file, ampicillin 1000 MG / sulbactam 500 MG Injection is covered by 4,747 Medicare Part D plans (94% of enrollable products), averaging Tier 2.7, with prior authorization required on 9.3% of covering formularies.
- 94%
- Plan coverage
- 4,747
- Plans covering
- T2.7
- Avg tier
- 9.3%
- Prior auth required
What the CMS Formulary Data Shows for ampicillin 1000 MG / sulbactam 500 MG Injection
Per the CMS 2026 Part D formulary file, ampicillin 1000 MG / sulbactam 500 MG Injection (RxNorm concept RXCUI 1659592, generic name ampicillin) appears on 280 distinct formulary files spanning 4,747 Medicare Part D plan offerings - 94% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 6, with a cross-plan average of Tier 2.7.
Real-world access to ampicillin 1000 MG / sulbactam 500 MG Injection depends on utilization management as much as tier placement: 9.3% 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 3,864 Part D beneficiaries filled ampicillin 1000 MG / sulbactam 500 MG Injection in 2023, with total plan-and-beneficiary spending of $4,683,566 and an average per-beneficiary annual cost of $1,212.10. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry ampicillin 1000 MG / sulbactam 500 MG Injection today.
Coverage Details
- Formularies covering
- 280
- Plans covering
- 4,747
- Coverage rate
- 94%
- Tier range
- Tier 1 – Tier 6
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 9.3% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 3,864
- Total spending
- $4,683,566
- Avg per beneficiary
- $1,212.10
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering ampicillin 1000 MG / sulbactam 500 MG Injection
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Sentara Community Complete Select (HMO D-SNP) | Sentara Health Plans | T1 | No | $0 | VA |
| Sentara Community Complete (HMO D-SNP) | Sentara Health Plans | T1 | No | $0 | VA |
| Florida Complete Care-Duals VIP (HMO-POS D-SNP) | Hpmp OF Florida, Inc. | T1 | No | $0 | FL |
| ElderServe MAP (HMO D-SNP) | Elderserve Health, Inc. | T1 | Yes | $0 | NY |
| Cooperative Advantage (HMO D-SNP) | Group Health Cooperative OF EAU Claire | T1 | Yes | $0 | WI |
| Longevity Health Plan (PPO I-SNP) | Longevity Health Plan OF NEW Jersey Insurance Comp | T1 | Yes | $0 | NJ |
| Mercy Care Advantage (HMO D-SNP) | Mercy Care | T1 | No | $0 | AZ |
| Mercy Care Advantage (HMO D-SNP) | Mercy Care | T1 | No | $0 | AZ |
| Mercy Care Advantage (HMO D-SNP) | Mercy Care | T1 | No | $0 | AZ |
| Elderplan Plus Long-Term Care (HMO-POS D-SNP) | Elderplan, Inc. | T1 | No | $0 | NY |
| Health Choice Pathway (HMO D-SNP) | Health Choice Arizona, Inc. | T1 | No | $0 | AZ |
| Healthfirst CompleteCare (HMO D-SNP) | Healthfirst Health Plan, Inc. | T1 | No | $0 | NY |
| IMCare Classic (HMO D-SNP) | Itasca Medical Care | T1 | No | $0 | MN |
| Johns Hopkins Advantage MD D-SNP (HMO D-SNP) | Hopkins Health Advantage, Inc. | T1 | No | $0 | MD |
| MetroPlus UltraCare (HMO D-SNP) | Metroplus Health Plan, Inc. | T1 | No | $0 | NY |
| Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP) | Upper Peninsula Health Plan, LLC | T1 | Yes | $0 | MI |
| CareSource Dual Advantage (HMO D-SNP) | Caresource Georgia Co. | T1 | Yes | $0 | GA |
| Senior Whole Health SCO (HMO D-SNP) | Senior Whole Health, LLC | T1 | No | $0 | MA |
| Senior Whole Health SCO NHC (HMO D-SNP) | Senior Whole Health, LLC | T1 | No | $0 | MA |
| Molina One Care (HMO D-SNP) | Senior Whole Health, LLC | T1 | No | $0 | MA |
Show the next 30 plans
| HAP CareSource MI Coordinated Health (HMO D-SNP) | HAP Caresource | T1 | Yes | $0 | MI |
| PruittHealth Premier D-SNP (HMO D-SNP) | Pruitthealth Premier, Inc. | T1 | No | $0 | GA |
| Simpra Advantage Dual Care (PPO D-SNP) | Simpra Advantage, Inc. | T1 | No | $0 | AL |
| CareAdvantage (HMO D-SNP) | SAN Mateo Health Commission | T1 | No | $0 | CA |
| NaviCare (HMO D-SNP) | Fallon Community Health Plan | T1 | No | $0 | MA |
| SeniorCare Complete (HMO D-SNP) | South Country Health Alliance | T1 | No | $0 | MN |
| AbilityCare (HMO D-SNP) | South Country Health Alliance | T1 | No | $0 | MN |
| Alameda Alliance Wellness (HMO D-SNP) | Alameda Alliance FOR Health | T1 | No | $0 | CA |
| PHP (HMO C-snp) | Aids Healthcare Foundation | T1 | No | $0 | CA |
| CCA One Care (HMO D-SNP) | Commonwealth Care Alliance, Inc. | T1 | No | $0 | MA |
| CCA Senior Care Options (HMO D-SNP) | Commonwealth Care Alliance, Inc. | T1 | No | $0 | MA |
| Elevate Medicare Choice (HMO D-SNP) | Denver Health Medical Plan, Inc. | T1 | No | $0 | CO |
| AllCare Advantage Redwood Rx (HMO D-SNP) | Allcare Health Plan, Inc. | T1 | No | $0 | OR |
| PrimeWest Senior Health Complete (HMO D-SNP) | Primewest Rural MN Health Care Access Initiative | T1 | No | $0 | MN |
| Prime Health Complete (HMO D-SNP) | Primewest Rural MN Health Care Access Initiative | T1 | No | $0 | MN |
| DualConnect (HMO D-SNP) | Santa Clara County Health Authority | T1 | No | $0 | CA |
| VNS Health Total (HMO D-SNP) | VNS Choice | T1 | No | $0 | NY |
| Alterwood Advantage Dual Secure (HMO D-SNP) | Alterwood Advantage, Inc. | T1 | No | $0 | MD |
| Nascentia Dual Advantage (HMO D-SNP) | Visiting Nurse Association OF Central NEW York | T1 | No | $0 | NY |
| Provider Partners Pennsylvania Community Plan (HMO I-SNP) | Provider Partners Health Plan OF Pennsylvania, Inc | T1 | No | $0 | PA |
| Provider Partners North Carolina Community Plan (HMO I-SNP) | Provider Partners Health Plan OF North Carolina | T1 | No | $0 | NC |
| Provider Partners Indiana Community Plan (HMO I-SNP) | Provider Partners Health Plan OF Indiana | T1 | No | $0 | IN |
| Provider Partners Missouri Community Plan (HMO I-SNP) | Provider Partners Health Plan OF Missouri, Inc. | T1 | No | $0 | MO |
| Abilis Health Community (HMO I-SNP) | Signature Advantage, LLC | T1 | No | $0 | KY, TN |
| Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) | Arkansas Superior Select, Inc. | T1 | No | $0 | AR |
| Community Care's Partnership Program (HMO D-SNP) | Community Care Health Plan, Inc. | T1 | No | $0 | WI |
| CalOptima Health OneCare Complete (HMO D-SNP) | Orange County Health Authority | T1 | No | $0 | CA |
| Mass General Brigham SCO (HMO D-SNP) | Mass General Brigham Health Plan, Inc | T1 | No | $0 | MA |
| Mass General Brigham One Care (HMO D-SNP) | Mass General Brigham Health Plan, Inc | T1 | No | $0 | MA |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | No | $0 | PA |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is ampicillin 1000 MG / sulbactam 500 MG Injection covered by Medicare Part D?
Yes, ampicillin 1000 MG / sulbactam 500 MG Injection is covered by 4,747 Medicare Part D plans (94% of all Part D formularies).
What tier is ampicillin 1000 MG / sulbactam 500 MG Injection on Medicare Part D plans?
ampicillin 1000 MG / sulbactam 500 MG Injection averages Tier 2.7 across Part D plans, ranging from Tier 1 to Tier 6.
Does ampicillin 1000 MG / sulbactam 500 MG Injection require prior authorization?
9.3% of Part D formularies require prior authorization for ampicillin 1000 MG / sulbactam 500 MG Injection. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on ampicillin 1000 MG / sulbactam 500 MG Injection?
In 2023, total Medicare Part D spending on ampicillin 1000 MG / sulbactam 500 MG Injection was $4,683,566, covering 3,864 beneficiaries. The average spend per beneficiary was $1,212.10.
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
- cyclosporine, modified 25 MG Oral Capsule T2.7
- insulin aspart, human 100 UNT/ML Injectable Solution [NovoLog] T2.7
- insulin glargine 100 UNT/ML Injectable Solution [Lantus] T2.7
- theophylline 450 MG Extended Release Oral Tablet T2.7
- 24 HR amphetamine aspartate 1.25 MG / amphetamine sulfate 1.25 MG / dextroamphetamine saccharate 1.25 MG / dextroamphetamine sulfate 1.25 MG Extended Release Oral Capsule T2.7
- ondansetron 0.8 MG/ML Oral Solution T2.7
Similar prior-authorization rate
- nafcillin 100 MG/ML Injectable Solution 9.3% PA
- magnesium chloride 0.00148 MEQ/ML / monobasic potassium phosphate 0.0082 MG/ML / potassium chloride 0.00497 MEQ/ML / sodium acetate 0.0272 MEQ/ML / sodium chloride 0.0906 MEQ/ML / sodium gluconate 5 MG/ML / sodium phosphate, dibasic 0.12 MG/ML Injectable Solution [Isolyte S] 9.3% PA
- aztreonam 2000 MG Injection 9.3% PA
- ceftazidime 1000 MG Injection [Tazicef] 9.3% PA
- ceftazidime 2000 MG Injection [Tazicef] 9.3% PA
- ceftazidime 200 MG/ML Injectable Solution [Tazicef] 9.4% PA