azilsartan medoxomil 40 MG / chlorthalidone 12.5 MG Oral Tablet [Edarbyclor]

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azilsartan medoxomil

RxCUI: 1235150

Important: Drug coverage and costs vary by plan and location. Verify coverage directly with your Medicare plan before filling a prescription. This is informational data only and should not replace advice from your healthcare provider or pharmacist.
52.2%
Plan Coverage
2,643
Plans Covering
T3.4
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for azilsartan medoxomil 40 MG / chlorthalidone 12.5 MG Oral Tablet [Edarbyclor]

Per the CMS 2026 Part D formulary file, azilsartan medoxomil 40 MG / chlorthalidone 12.5 MG Oral Tablet [Edarbyclor] (RxNorm concept RXCUI 1235150, generic name azilsartan medoxomil) appears on 93 distinct formulary files spanning 2,643 Medicare Part D plan offerings - 52.2% of enrollable Part D products, mid-range placement; shopping across contracts changes access. Tier placement ranges from Tier 1 to Tier 6, with a cross-plan average of Tier 3.4.

Real-world access to azilsartan medoxomil 40 MG / chlorthalidone 12.5 MG Oral Tablet [Edarbyclor] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 18.3% require step therapy. 53.8% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 17,111 Part D beneficiaries filled azilsartan medoxomil 40 MG / chlorthalidone 12.5 MG Oral Tablet [Edarbyclor] in 2023, with total plan-and-beneficiary spending of $36,819,212 and an average per-beneficiary annual cost of $2,151.79. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry azilsartan medoxomil 40 MG / chlorthalidone 12.5 MG Oral Tablet [Edarbyclor] today.

Coverage Details

Formularies covering
93
Plans covering
2,643
Coverage rate
52.2%
Tier range
Tier 1 – Tier 6
Average tier
Tier 3, Preferred Brand

Restrictions

Prior authorization required
0% of formularies
Step therapy required
18.3% of formularies
Quantity limits
53.8% of formularies

2023 Medicare Spending

Beneficiaries
17,111
Total spending
$36,819,212
Avg per beneficiary
$2,151.79

Tier Distribution Across Plans

23 plans
Tier 1, Preferred Generic
4 plans
Tier 2, Generic
73 plans
Tier 3, Preferred Brand

Medicare Advantage Plans (MA-PD) Covering azilsartan medoxomil 40 MG / chlorthalidone 12.5 MG Oral Tablet [Edarbyclor]

100 Medicare Advantage plans with Part D drug coverage include this drug.

Plan Insurer Tier PA Premium States
ElderServe MAP (HMO D-SNP) ELDERSERVE HEALTH, INC. T1 No $0 NY
Cooperative Advantage (HMO D-SNP) GROUP HEALTH COOPERATIVE OF EAU CLAIRE T1 No $0 WI
Longevity Health Plan (PPO I-SNP) LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP T1 No $0 NJ
Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP) UPPER PENINSULA HEALTH PLAN, LLC T1 No $0 MI
CareSource Dual Advantage (HMO D-SNP) CARESOURCE GEORGIA CO. T1 No $0 GA
HAP CareSource MI Coordinated Health (HMO D-SNP) HAP CARESOURCE T1 No $0 MI
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
SecureBlue (HMO D-SNP) HMO Minnesota T1 No $0 MN
Hamaspik Medicare Choice (HMO D-SNP) HAMASPIK, INC. T1 No $0 NY
Longevity Health Plan (HMO I-SNP) LONGEVITY HEALTH PLAN OF FLORIDA, INC. T1 No $4.80 FL
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) HCSC INSURANCE SERVICES COMPANY T1 No $4.80 TX
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) GHS INSURANCE COMPANY T1 No $5.00 OK
Longevity Health Plan (HMO I-SNP) LONGEVITY HEALTH PLAN OF MICHIGAN, INC. T1 No $8.80 MI
Longevity Health Plan (HMO I-SNP) LONGEVITY HEALTH PLAN OF ILLINOIS, INC. T1 No $15.20 IL
WellSense Added Value (HMO) BOSTON MEDICAL CENTER HEALTH PLAN, INC. T1 No $21.70 NH
Hamaspik Medicare Select (HMO D-SNP) HAMASPIK, INC. T1 No $34.50 NY
Longevity Health Plan (HMO I-SNP) LONGEVITY HEALTH PLAN OF COLORADO, INC. T1 No $35.20 CO
Longevity Health Plan (HMO I-SNP) LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC. T1 No $36.20 NC
Longevity Health Plan (PPO I-SNP) LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP T1 No $40.00 NJ
ElderServe Star (HMO I-SNP) ELDERSERVE HEALTH, INC. T1 No $58.80 NY
Longevity Health Plan (HMO I-SNP) LONGEVITY HEALTH PLAN OF NEW YORK, INC. T1 No $58.80 NY
Leon MediExtra (HMO) LEON HEALTH, INC. T2 No $0 FL
Leon MediDual (HMO D-SNP) LEON HEALTH, INC. T2 No $0 FL
Leon MediMore (HMO) LEON HEALTH, INC. T2 No $0 FL
Leon MediMax (HMO D-SNP) LEON HEALTH, INC. T2 No $0 FL
Anthem I CareMore Medicare Advantage 2 (HMO-POS) BLUE CROSS OF CALIFORNIA T3 No $0 CA
Anthem I CareMore Chronic Care (HMO-POS C-SNP) BLUE CROSS OF CALIFORNIA T3 No $0 CA
Anthem I CareMore Home Care (HMO I-SNP) BLUE CROSS OF CALIFORNIA T3 No $0 CA
Anthem I CareMore Chronic Care (HMO-POS C-SNP) BLUE CROSS OF CALIFORNIA T3 No $0 CA
Anthem I CareMore Lung Care (HMO-POS C-SNP) BLUE CROSS OF CALIFORNIA T3 No $0 CA
Anthem I CareMore Kidney Care (HMO-POS C-SNP) BLUE CROSS OF CALIFORNIA T3 No $0 CA
Anthem I CareMore Lung Care (HMO-POS C-SNP) BLUE CROSS OF CALIFORNIA T3 No $0 CA
Anthem I CareMore Kidney Care (HMO-POS C-SNP) BLUE CROSS OF CALIFORNIA T3 No $0 CA
Wellpoint Lung Care (HMO-POS C-SNP) WELLPOINT HEALTH PLANS, INC. T3 No $0 AZ
Wellpoint Chronic Care (HMO-POS C-SNP) WELLPOINT HEALTH PLANS, INC. T3 No $0 AZ
Wellpoint Medicare Advantage 1 (HMO-POS) WELLPOINT HEALTH PLANS, INC. T3 No $0 AZ
Wellpoint Premium Savings (HMO) WELLPOINT HEALTH PLANS, INC. T3 No $0 AZ
Wellpoint I CareMore Home Care (HMO I-SNP) WELLPOINT HEALTH PLANS, INC. T3 No $0 AZ
Wellpoint I CareMore Home Care (HMO I-SNP) WELLPOINT HEALTH PLANS, INC. T3 No $0 AZ
Wellpoint Medicare Advantage 2 (HMO-POS) WELLPOINT TEXAS, INC. T3 No $0 AZ
Wellpoint I CareMore Home Care 2 (HMO I-SNP) WELLPOINT TEXAS, INC. T3 No $0 AZ
Wellpoint Lung Care 2 (HMO-POS C-SNP) WELLPOINT TEXAS, INC. T3 No $0 AZ
Wellpoint Chronic Care 2 (HMO-POS C-SNP) WELLPOINT TEXAS, INC. T3 No $0 AZ
Wellpoint I CareMore Kidney Care (HMO-POS C-SNP) WELLPOINT TEXAS, INC. T3 No $0 AZ
Anthem Chronic Care (HMO-POS C-SNP) HealthKeepers, Inc. T3 No $0 VA
Anthem I CareMore Medicare Advantage (HMO-POS) BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. T3 No $0 CA
Anthem I CareMore Premium Savings (HMO-POS) BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. T3 No $0 CA
Anthem I CareMore Medicare Advantage (HMO-POS) BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. T3 No $0 CA

Frequently Asked Questions

Is azilsartan medoxomil 40 MG / chlorthalidone 12.5 MG Oral Tablet [Edarbyclor] covered by Medicare Part D?

Yes, azilsartan medoxomil 40 MG / chlorthalidone 12.5 MG Oral Tablet [Edarbyclor] is covered by 2,643 Medicare Part D plans (52.2% of all Part D formularies).

What tier is azilsartan medoxomil 40 MG / chlorthalidone 12.5 MG Oral Tablet [Edarbyclor] on Medicare Part D plans?

azilsartan medoxomil 40 MG / chlorthalidone 12.5 MG Oral Tablet [Edarbyclor] averages Tier 3.4 across Part D plans, ranging from Tier 1 to Tier 6.

Does azilsartan medoxomil 40 MG / chlorthalidone 12.5 MG Oral Tablet [Edarbyclor] require prior authorization?

0% of Part D formularies require prior authorization for azilsartan medoxomil 40 MG / chlorthalidone 12.5 MG Oral Tablet [Edarbyclor]. Step therapy: 18.3%. Quantity limits: 53.8%.

How much does Medicare spend on azilsartan medoxomil 40 MG / chlorthalidone 12.5 MG Oral Tablet [Edarbyclor]?

In 2023, total Medicare Part D spending on azilsartan medoxomil 40 MG / chlorthalidone 12.5 MG Oral Tablet [Edarbyclor] was $36,819,212, covering 17,111 beneficiaries. The average spend per beneficiary was $2,151.79.

Data sourced from the Centers for Medicare & Medicaid Services (CMS). See our methodology for details. Retrieved and formatted by PlainMedicare Editorial