Medicare Part D coverage · aspirin · RxCUI 238134
aspirin 325 MG / butalbital 50 MG / caffeine 40 MG Oral Capsule
Per the CMS 2026 Part D formulary file, aspirin 325 MG / butalbital 50 MG / caffeine 40 MG Oral Capsule is covered by 1,333 Medicare Part D plans (26.4% of enrollable products), averaging Tier 2.7, with prior authorization required on 27.2% of covering formularies.
- 26.4%
- Plan coverage
- 1,333
- Plans covering
- T2.7
- Avg tier
- 27.2%
- Prior auth required
What the CMS Formulary Data Shows for aspirin 325 MG / butalbital 50 MG / caffeine 40 MG Oral Capsule
Per the CMS 2026 Part D formulary file, aspirin 325 MG / butalbital 50 MG / caffeine 40 MG Oral Capsule (RxNorm concept RXCUI 238134, generic name aspirin) appears on 81 distinct formulary files spanning 1,333 Medicare Part D plan offerings - 26.4% 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 2.7.
Real-world access to aspirin 325 MG / butalbital 50 MG / caffeine 40 MG Oral Capsule depends on utilization management as much as tier placement: 27.2% of covering formularies require prior authorization. 0% require step therapy. 70.4% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 22,634 Part D beneficiaries filled aspirin 325 MG / butalbital 50 MG / caffeine 40 MG Oral Capsule in 2023, with total plan-and-beneficiary spending of $31,146,709 and an average per-beneficiary annual cost of $1,376.10. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry aspirin 325 MG / butalbital 50 MG / caffeine 40 MG Oral Capsule today.
Coverage Details
- Formularies covering
- 81
- Plans covering
- 1,333
- Coverage rate
- 26.4%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 27.2% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 70.4% of formularies
2023 Medicare Spending
- Beneficiaries
- 22,634
- Total spending
- $31,146,709
- Avg per beneficiary
- $1,376.10
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering aspirin 325 MG / butalbital 50 MG / caffeine 40 MG Oral Capsule
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| DrMax (HMO) | Doctors Healthcare Plans, Inc. | T1 | No | $0 | FL |
| DrExtraCare (HMO C-SNP) | Doctors Healthcare Plans, Inc. | T1 | No | $0 | FL |
| DrSelect (HMO) | Doctors Healthcare Plans, Inc. | T1 | No | $0 | FL |
| DrSelect-CFL (HMO) | Doctors Healthcare Plans, Inc. | T1 | No | $0 | FL |
| DrPlatinum-CFL (HMO D-SNP) | Doctors Healthcare Plans, Inc. | T1 | No | $0 | FL |
| DrTotalCare-CFL (HMO C-SNP) | Doctors Healthcare Plans, Inc. | T1 | No | $0 | FL |
| DrElite-SFL (HMO) | Doctors Healthcare Plans, Inc. | T1 | No | $0 | FL |
| Gold Coast Health Plan Total Care Advantage (HMO D-SNP) | Ventura County Medi-Cal Managed Care Commission | T1 | No | $0 | CA |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | Health Care Service Corporation | T1 | No | $0 | NM |
| Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) | Health Care Service Corporation | T1 | No | $0 | NM |
| Horizon NJ TotalCare (HMO D-SNP) | Horizon Healthcare OF NEW Jersey, Inc. | T1 | No | $0 | NJ |
| SecureBlue (HMO D-SNP) | HMO Minnesota | T1 | No | $0 | MN |
| Hamaspik Medicare Choice (HMO D-SNP) | Hamaspik, Inc. | T1 | No | $0 | NY |
| SeniorCare Complete (HMO D-SNP) | South Country Health Alliance | T1 | Yes | $0 | MN |
| AbilityCare (HMO D-SNP) | South Country Health Alliance | T1 | Yes | $0 | MN |
| Alameda Alliance Wellness (HMO D-SNP) | Alameda Alliance FOR Health | T1 | Yes | $0 | CA |
| PHP (HMO C-snp) | Aids Healthcare Foundation | T1 | Yes | $0 | CA |
| VNS Health Total (HMO D-SNP) | VNS Choice | T1 | No | $0 | NY |
| DrFlex (HMO D-SNP) | Doctors Healthcare Plans, Inc. | T1 | No | $1.10 | FL |
| DrPlus (HMO D-SNP) | Doctors Healthcare Plans, Inc. | T1 | No | $4.80 | FL |
Show the next 30 plans
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | Hcsc Insurance Services Company | T1 | No | $4.80 | TX |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | Gold Kidney OF Florida Inc | T1 | No | $4.80 | FL |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | GHS Insurance Company | T1 | No | $5.00 | OK |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | Gold Kidney OF Arizona | T1 | No | $17.00 | AZ |
| Hamaspik Medicare Select (HMO D-SNP) | Hamaspik, Inc. | T1 | No | $34.50 | NY |
| VNS Health EasyCare Plus (HMO D-SNP) | VNS Choice | T1 | No | $51.60 | NY |
| HAP Medicare Explore (PPO) | Alliance Health AND Life Insurance Company | T2 | No | $0 | MI |
| HAP Medicare Prime (PPO) | Alliance Health AND Life Insurance Company | T2 | No | $0 | MI |
| HAP Medicare Connect (HMO) | Health Alliance Plan OF Michigan | T2 | No | $0 | MI |
| HAP Medicare Complete Duals (HMO D-SNP) | Health Alliance Plan OF Michigan | T2 | No | $0 | MI |
| HAP Medicare Superior (HMO) | Health Alliance Plan OF Michigan | T2 | No | $0 | MI |
| Henry Ford Select (HMO) | Health Alliance Plan OF Michigan | T2 | No | $0 | MI |
| Troy Medicare (HMO) | Troy Health, Inc. | T2 | Yes | $0 | NC |
| Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) | Troy Health, Inc. | T2 | Yes | $0 | NC |
| Contra Costa Health Care Plus (HMO D-SNP) | Contra Costa County Medical Service DBA Contra Costa Health | T2 | Yes | $0 | CA |
| Keystone First VIP Choice (HMO D-SNP) | Vista Health Plan, Inc. | T2 | Yes | $0 | PA |
| AmeriHealth Caritas VIP Care (HMO D-SNP) | Vista Health Plan, Inc. | T2 | Yes | $0 | PA |
| First Choice VIP Care (HMO D-SNP) | Select Health OF South Carolina, Inc. | T2 | Yes | $0 | SC |
| AmeriHealth Caritas VIP Care (HMO D-SNP) | AmeriHealth Caritas VIP Next, Inc. | T2 | Yes | $0 | DE |
| AmeriHealth Caritas VIP Care Choice (HMO D-SNP) | AmeriHealth Caritas VIP Next, Inc. | T2 | Yes | $0 | DE |
| AmeriHealth Caritas VIP Care (HMO D-SNP) | Amerihealth Caritas Florida, Inc. | T2 | Yes | $0 | FL |
| AmeriHealth Caritas VIP Care (HMO D-SNP) | Amerihealth Caritas Louisiana, Inc. | T2 | Yes | $0 | LA |
| AmeriHealth Caritas VIP Care (HMO D-SNP) | Amerihealth Caritas North Carolina, Inc. | T2 | Yes | $0 | NC |
| AmeriHealth Caritas VIP Care (HMO D-SNP) | Amerihealth Michigan, Inc. | T2 | Yes | $0 | MI |
| Healthy Mississippi Premier Advantage (HMO-POS) | Healthy Mississippi, Inc. | T2 | No | $0 | MS |
| Jefferson Health Plans Choice (PPO) | Partners Insurance Company OF NEW Jersey Inc | T2 | Yes | $0 | NJ |
| Jefferson Health Plans Complete (HMO) | Health Partners Plans, Inc. | T2 | Yes | $0 | PA |
| Jefferson Health Plans Silver (HMO) | Health Partners Plans, Inc. | T2 | Yes | $0 | NJ |
| Jefferson Health Plans Elite (HMO) | Health Partners Plans, Inc. | T2 | Yes | $0 | NJ |
| Gold Heart & Diabetes (HMO-POS C-SNP) | Gold Kidney OF Florida Inc | T2 | No | $0 | FL |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is aspirin 325 MG / butalbital 50 MG / caffeine 40 MG Oral Capsule covered by Medicare Part D?
Yes, aspirin 325 MG / butalbital 50 MG / caffeine 40 MG Oral Capsule is covered by 1,333 Medicare Part D plans (26.4% of all Part D formularies).
What tier is aspirin 325 MG / butalbital 50 MG / caffeine 40 MG Oral Capsule on Medicare Part D plans?
aspirin 325 MG / butalbital 50 MG / caffeine 40 MG Oral Capsule averages Tier 2.7 across Part D plans, ranging from Tier 1 to Tier 4.
Does aspirin 325 MG / butalbital 50 MG / caffeine 40 MG Oral Capsule require prior authorization?
27.2% of Part D formularies require prior authorization for aspirin 325 MG / butalbital 50 MG / caffeine 40 MG Oral Capsule. Step therapy: 0%. Quantity limits: 70.4%.
How much does Medicare spend on aspirin 325 MG / butalbital 50 MG / caffeine 40 MG Oral Capsule?
In 2023, total Medicare Part D spending on aspirin 325 MG / butalbital 50 MG / caffeine 40 MG Oral Capsule was $31,146,709, covering 22,634 beneficiaries. The average spend per beneficiary was $1,376.10.
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
- ceftriaxone 250 MG Injection T2.7
- 3 ML insulin, regular, human 100 UNT/ML Pen Injector [Novolin R] T2.7
- tretinoin 0.25 MG/ML Topical Cream T2.7
- tobramycin 10 MG/ML Injectable Solution T2.7
- tretinoin 1 MG/ML Topical Cream T2.7
- 24 HR amphetamine aspartate 2.5 MG / amphetamine sulfate 2.5 MG / dextroamphetamine saccharate 2.5 MG / dextroamphetamine sulfate 2.5 MG Extended Release Oral Capsule T2.7
Similar prior-authorization rate
- methotrexate 2.5 MG Oral Tablet 27.1% PA
- lisdexamfetamine dimesylate 40 MG Chewable Tablet 27.1% PA
- midazolam 50 MG/ML Nasal Spray [Nayzilam] 27.1% PA
- Osmotic 24 HR metformin hydrochloride 500 MG Extended Release Oral Tablet 27.3% PA
- 24 HR donepezil hydrochloride 10 MG / memantine hydrochloride 28 MG Extended Release Oral Capsule 27.3% PA
- 1 ML heparin sodium, porcine 10000 UNT/ML Injection 27% PA