atovaquone 250 MG / proguanil hydrochloride 100 MG Oral Tablet [Malarone]
atovaquone
RxCUI: 864679
What the CMS Formulary Data Shows for atovaquone 250 MG / proguanil hydrochloride 100 MG Oral Tablet [Malarone]
Per the CMS 2026 Part D formulary file, atovaquone 250 MG / proguanil hydrochloride 100 MG Oral Tablet [Malarone] (RxNorm concept RXCUI 864679, generic name atovaquone) appears on 2 distinct formulary files spanning 8 Medicare Part D plan offerings - 0.2% 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 2.5.
Real-world access to atovaquone 250 MG / proguanil hydrochloride 100 MG Oral Tablet [Malarone] 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 21,829 Part D beneficiaries filled atovaquone 250 MG / proguanil hydrochloride 100 MG Oral Tablet [Malarone] in 2023, with total plan-and-beneficiary spending of $53,394,312 and an average per-beneficiary annual cost of $2,446.03. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry atovaquone 250 MG / proguanil hydrochloride 100 MG Oral Tablet [Malarone] today.
Coverage Details
- Formularies covering
- 2
- Plans covering
- 8
- Coverage rate
- 0.2%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 21,829
- Total spending
- $53,394,312
- Avg per beneficiary
- $2,446.03
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering atovaquone 250 MG / proguanil hydrochloride 100 MG Oral Tablet [Malarone]
8 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Hamaspik Medicare Choice (HMO D-SNP) | HAMASPIK, INC. | T1 | No | $0 | NY |
| Hamaspik Medicare Select (HMO D-SNP) | HAMASPIK, INC. | T1 | No | $34.50 | NY |
| Óptimo Plus (PPO) | TRIPLE S ADVANTAGE, INC. | T4 | No | $0 | PR |
| Contigo Plus (HMO C-SNP) | TRIPLE S ADVANTAGE, INC. | T4 | No | $0 | PR |
| Brillante (HMO-POS) | TRIPLE S ADVANTAGE, INC. | T4 | No | $0 | PR |
| Enlace Plus (HMO) | TRIPLE S ADVANTAGE, INC. | T4 | No | $0 | PR |
| ContigoEnMente (HMO C-SNP) | TRIPLE S ADVANTAGE, INC. | T4 | No | $0 | PR |
| Ahorro Plus (HMO) | TRIPLE S ADVANTAGE, INC. | T4 | No | $0 | PR |
Frequently Asked Questions
Is atovaquone 250 MG / proguanil hydrochloride 100 MG Oral Tablet [Malarone] covered by Medicare Part D?
Yes, atovaquone 250 MG / proguanil hydrochloride 100 MG Oral Tablet [Malarone] is covered by 8 Medicare Part D plans (0.2% of all Part D formularies).
What tier is atovaquone 250 MG / proguanil hydrochloride 100 MG Oral Tablet [Malarone] on Medicare Part D plans?
atovaquone 250 MG / proguanil hydrochloride 100 MG Oral Tablet [Malarone] averages Tier 2.5 across Part D plans, ranging from Tier 1 to Tier 4.
Does atovaquone 250 MG / proguanil hydrochloride 100 MG Oral Tablet [Malarone] require prior authorization?
0% of Part D formularies require prior authorization for atovaquone 250 MG / proguanil hydrochloride 100 MG Oral Tablet [Malarone]. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on atovaquone 250 MG / proguanil hydrochloride 100 MG Oral Tablet [Malarone]?
In 2023, total Medicare Part D spending on atovaquone 250 MG / proguanil hydrochloride 100 MG Oral Tablet [Malarone] was $53,394,312, covering 21,829 beneficiaries. The average spend per beneficiary was $2,446.03.
Read our methodology - how this data is sourced, computed, and verified.