Medicare Part D coverage · baclofen · RxCUI 2667941
baclofen 2 MG/ML Oral Solution
Per the CMS 2026 Part D formulary file, baclofen 2 MG/ML Oral Solution is covered by 138 Medicare Part D plans (2.7% of enrollable products), averaging Tier 1.9, with prior authorization required on 7.7% of covering formularies.
- 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 $115,342,005 and an average per-beneficiary annual cost of $88.47. 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
- $115,342,005
- Avg per beneficiary
- $88.47
Tier Distribution Across Plans
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 |
Show the next 30 plans
Showing top 50 of 100 plans.
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 $115,342,005, covering 1,303,677 beneficiaries. The average spend per beneficiary was $88.47.
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
- 24 HR oxybutynin chloride 10 MG Extended Release Oral Tablet T1.9
- 24 HR nifedipine 60 MG Extended Release Oral Tablet T1.9
- levothyroxine sodium 0.025 MG Oral Tablet [Levoxyl] T1.9
- ciclopirox 80 MG/ML Topical Solution T1.9
- 24 HR alprazolam 2 MG Extended Release Oral Tablet T1.9
- acarbose 50 MG Oral Tablet T1.9