baclofen 1 MG/ML Oral Solution

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baclofen

RxCUI: 250976

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.
0.1%
Plan Coverage
6
Plans Covering
T2
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for baclofen 1 MG/ML Oral Solution

Per the CMS 2026 Part D formulary file, baclofen 1 MG/ML Oral Solution (RxNorm concept RXCUI 250976, generic name baclofen) appears on 4 distinct formulary files spanning 6 Medicare Part D plan offerings - 0.1% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 3, with a cross-plan average of Tier 2.

Real-world access to baclofen 1 MG/ML Oral Solution 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 1,303,677 Part D beneficiaries filled baclofen 1 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 1 MG/ML Oral Solution today.

Coverage Details

Formularies covering
4
Plans covering
6
Coverage rate
0.1%
Tier range
Tier 1 – Tier 3
Average tier
Tier 2, Generic

Restrictions

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

2023 Medicare Spending

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

Tier Distribution Across Plans

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

Medicare Advantage Plans (MA-PD) Covering baclofen 1 MG/ML Oral Solution

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

Plan Insurer Tier PA Premium States
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
Mass General Brigham Advantage (PPO) Mass General Brigham Health Plan, Inc. T3 No $0 MA
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
Mass General Brigham Advantage Signature (PPO) Mass General Brigham Health Plan, Inc. T3 No $147.20 MA

Frequently Asked Questions

Is baclofen 1 MG/ML Oral Solution covered by Medicare Part D?

Yes, baclofen 1 MG/ML Oral Solution is covered by 6 Medicare Part D plans (0.1% of all Part D formularies).

What tier is baclofen 1 MG/ML Oral Solution on Medicare Part D plans?

baclofen 1 MG/ML Oral Solution averages Tier 2 across Part D plans, ranging from Tier 1 to Tier 3.

Does baclofen 1 MG/ML Oral Solution require prior authorization?

0% of Part D formularies require prior authorization for baclofen 1 MG/ML Oral Solution. Step therapy: 0%. Quantity limits: 0%.

How much does Medicare spend on baclofen 1 MG/ML Oral Solution?

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

Read our methodology - how this data is sourced, computed, and verified.

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