baclofen 2 MG/ML Oral Solution

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baclofen

RxCUI: 2667941

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.
2.7%
Plan Coverage
138
Plans Covering
T1.9
Avg Tier
7.7%
Prior Auth Required

What the CMS Formulary Data Shows for baclofen 2 MG/ML Oral Solution

Per the CMS 2026 Part D formulary file, baclofen 2 MG/ML Oral Solution (RxNorm concept RXCUI 2667941, generic name baclofen) appears on 13 distinct formulary files spanning 138 Medicare Part D plan offerings - 2.7% 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 1.9.

Real-world access to baclofen 2 MG/ML Oral Solution depends on utilization management as much as tier placement: 7.7% of covering formularies require prior authorization. 0% require step therapy. 53.8% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 1,303,677 Part D beneficiaries filled baclofen 2 MG/ML Oral Solution in 2023, with total plan-and-beneficiary spending of $115,369,871 and an average per-beneficiary annual cost of $88.50. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry baclofen 2 MG/ML Oral Solution today.

Coverage Details

Formularies covering
13
Plans covering
138
Coverage rate
2.7%
Tier range
Tier 1 – Tier 4
Average tier
Tier 2, Generic

Restrictions

Prior authorization required
7.7% of formularies
Step therapy required
0% of formularies
Quantity limits
53.8% of formularies

2023 Medicare Spending

Beneficiaries
1,303,677
Total spending
$115,369,871
Avg per beneficiary
$88.50

Tier Distribution Across Plans

11 plans
Tier 1, Preferred Generic
12 plans
Tier 3, Preferred Brand
77 plans
Tier 4, Non-Preferred

Medicare Advantage Plans (MA-PD) Covering baclofen 2 MG/ML Oral Solution

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

Plan Insurer Tier PA Premium States
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
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
Texas Independence Health Plan, Inc. (HMO I-SNP) TEXAS INDEPENDENCE HEALTH PLAN, INC. T1 No $4.80 TX
Texas Independence Community Plan (HMO I-SNP) TEXAS INDEPENDENCE HEALTH PLAN, INC. T1 No $4.80 TX
Tribute Select (HMO-POS I-SNP) ARKANSAS SUPERIOR SELECT, INC. T1 No $8.90 AR
Valor Health Plan (HMO I-SNP) TSG GUARD, INC. T1 No $31.40 OH
WV Senior Advantage (HMO I-SNP) WEST VIRGINIA SENIOR ADVANTAGE, INC. T1 No $32.70 WV
Abilis Health (HMO I-SNP) SIGNATURE ADVANTAGE, LLC T1 No $35.90 KY, TN
CommuniCare Advantage ISNP (HMO I-SNP) OH CHS SNP INC. T1 No $38.40 IN, MD, OH
Geisinger Gold Preferred Complete Rx (PPO) GEISINGER INDEMNITY INSURANCE COMPANY T3 Yes $0 PA
Geisinger Gold Secure Rx (HMO D-SNP) GEISINGER HEALTH PLAN T3 Yes $0 PA
Geisinger Gold Classic 360 Rx (HMO) GEISINGER HEALTH PLAN T3 Yes $0 PA
Geisinger Gold Classic Essential Rx (HMO) GEISINGER HEALTH PLAN T3 Yes $0 PA
Mass General Brigham Advantage (PPO) Mass General Brigham Health Plan, Inc. T3 No $0 MA
Geisinger Gold Value Rx (HMO) GEISINGER HEALTH PLAN T3 Yes $23.00 PA
Geisinger Gold Classic Complete Rx (HMO) GEISINGER HEALTH PLAN T3 Yes $48.00 PA
Mass General Brigham Advantage Secure (HMO-POS) Mass General Brigham Health Plan, Inc. T3 No $62.00 MA
Mass General Brigham Advantage Premier (PPO) Mass General Brigham Health Plan, Inc. T3 No $79.70 MA
Geisinger Gold Classic Advantage Rx (HMO) GEISINGER HEALTH PLAN T3 Yes $99.30 PA
Geisinger Gold Preferred Advantage Rx (PPO) GEISINGER INDEMNITY INSURANCE COMPANY T3 Yes $112.00 PA
Mass General Brigham Advantage Signature (PPO) Mass General Brigham Health Plan, Inc. T3 No $147.20 MA
Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Senior Advantage Enhanced Solano (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Senior Advantage Inland Empire (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Sr Adv Enhanced Marin San Mateo (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Senior Advantage Ventura (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Senior Advantage Enhanced Kern (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Senior Advantage Basic Kern (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Senior Advantage San Diego (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Senior Advantage Enhanced Stanis (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Senior Advantage Basic Stanis (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Senior Advantage Basic SnJoaq (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Senior Advantage Basic Fresno (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Senior Advantage Santa Cruz (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Senior Advantage Basic Alameda (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Senior Advantage Basic SF (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Sr Adv Basic Contra Costa (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Sr Adv Basic Santa Clara (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Senior Advantage Basic Solano (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Senior Advantage Basic San Mateo (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Sr Advantage LA, Orange Value (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Sr Advantage Inland Empire Value (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Senior Advantage San Diego Value (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Senior Advantage Ventura Value (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Senior Advantage Core DM (HMO) KAISER FOUNDATION HP OF CO T4 No $0 CO
Kaiser Permanente Dual Essential (HMO D-SNP) KAISER FOUNDATION HP OF CO T4 No $0 CO

Frequently Asked Questions

Is baclofen 2 MG/ML Oral Solution covered by Medicare Part D?

Yes, baclofen 2 MG/ML Oral Solution is covered by 138 Medicare Part D plans (2.7% of all Part D formularies).

What tier is baclofen 2 MG/ML Oral Solution on Medicare Part D plans?

baclofen 2 MG/ML Oral Solution averages Tier 1.9 across Part D plans, ranging from Tier 1 to Tier 4.

Does baclofen 2 MG/ML Oral Solution require prior authorization?

7.7% of Part D formularies require prior authorization for baclofen 2 MG/ML Oral Solution. Step therapy: 0%. Quantity limits: 53.8%.

How much does Medicare spend on baclofen 2 MG/ML Oral Solution?

In 2023, total Medicare Part D spending on baclofen 2 MG/ML Oral Solution was $115,369,871, covering 1,303,677 beneficiaries. The average spend per beneficiary was $88.50.

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