betaine 1000 MG Powder for Oral Solution [Cystadane]

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betaine

RxCUI: 404539

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.
4.5%
Plan Coverage
227
Plans Covering
T3.5
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for betaine 1000 MG Powder for Oral Solution [Cystadane]

Per the CMS 2026 Part D formulary file, betaine 1000 MG Powder for Oral Solution [Cystadane] (RxNorm concept RXCUI 404539, generic name betaine) appears on 38 distinct formulary files spanning 227 Medicare Part D plan offerings - 4.5% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 5, with a cross-plan average of Tier 3.5.

Real-world access to betaine 1000 MG Powder for Oral Solution [Cystadane] 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 89 Part D beneficiaries filled betaine 1000 MG Powder for Oral Solution [Cystadane] in 2023, with total plan-and-beneficiary spending of $2,900,642 and an average per-beneficiary annual cost of $32,591.48. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry betaine 1000 MG Powder for Oral Solution [Cystadane] today.

Coverage Details

Formularies covering
38
Plans covering
227
Coverage rate
4.5%
Tier range
Tier 1 – Tier 5
Average tier
Tier 4, Non-Preferred

Restrictions

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

2023 Medicare Spending

Beneficiaries
89
Total spending
$2,900,642
Avg per beneficiary
$32,591.48

Tier Distribution Across Plans

46 plans
Tier 1, Preferred Generic
54 plans
Tier 5, Specialty

Medicare Advantage Plans (MA-PD) Covering betaine 1000 MG Powder for Oral Solution [Cystadane]

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

Plan Insurer Tier PA Premium States
PruittHealth Premier D-SNP (HMO D-SNP) PRUITTHEALTH PREMIER, INC. T1 No $0 GA
Simpra Advantage Dual Care (PPO D-SNP) SIMPRA ADVANTAGE, INC. T1 No $0 AL
Hamaspik Medicare Choice (HMO D-SNP) HAMASPIK, INC. T1 No $0 NY
Platino Blindao (HMO D-SNP) TRIPLE S ADVANTAGE, INC. T1 No $0 PR
Platino Enlace (HMO D-SNP) TRIPLE S ADVANTAGE, INC. T1 No $0 PR
PLATINO ADVANCE (HMO D-SNP) TRIPLE S ADVANTAGE, INC. T1 No $0 PR
PLATINO PLUS (HMO D-SNP) TRIPLE S ADVANTAGE, INC. T1 No $0 PR
Senior Care (HMO I-SNP) ALIGN SENIOR CARE FLORIDA, INC. T1 No $4.80 FL
ProCare Advantage (HMO-POS I-SNP) PROCARE ADVANTAGE, LLC T1 No $4.80 TX
ProCare Advantage - Kidney Care (HMO-POS C-SNP) PROCARE ADVANTAGE, LLC T1 No $4.80 TX
American Health Advantage of Florida (HMO I-SNP) AMERICAN HEALTH PLAN OF FL, INC. T1 No $4.80 FL
SECUR Advantage (HMO I-SNP) SECUR INC T1 No $4.80 FL
SECUR Enhanced (HMO I-SNP) SECUR INC T1 No $4.80 FL
Senior Care (HMO I-SNP) ALIGN SENIOR CARE MI, LLC T1 No $8.80 MI
AgeRight Advantage Health Plan (HMO I-SNP) MARQUIS ADVANTAGE, INC. T1 No $10.50 OR, WA
Senior Care (HMO I-SNP) ALIGN SENIOR CARE CALIFORNIA INC. T1 No $12.00 CA
Liberty Medicare Dual Plan (HMO D-SNP) LIBERTY ADVANTAGE, LLC T1 No $14.70 NC
KeyCare Advantage (HMO I-SNP) ISNP VENTURES, LLC T1 No $23.20 MD
American Health Advantage of Mississippi (HMO I-SNP) AMERICAN HEALTH PLAN OF MS, INC. T1 No $23.80 MS
Senior Care (HMO I-SNP) LIFEWORKS ADVANTAGE, LLC T1 No $24.60 VA
PruittHealth Premier (HMO I-SNP) PRUITTHEALTH PREMIER, INC. T1 No $25.40 GA
Georgia Health Advantage (HMO I-SNP) GEORGIA ASSURANCE, INC. T1 No $25.40 GA
Georgia Health Advantage Choice (HMO I-SNP) GEORGIA ASSURANCE, INC. T1 No $25.40 GA
American Health Advantage of Tennessee (HMO I-SNP) AMERICAN HEALTH PLAN, INC. T1 No $27.70 TN
Simpra Advantage Nursing Home Plan (PPO I-SNP) SIMPRA ADVANTAGE, INC. T1 No $27.70 AL
American Health Advantage of Oklahoma (HMO I-SNP) OKLAHOMA SUPERIOR SELECT, INC. T1 No $28.20 OK
NHC Advantage (HMO I-SNP) NHC ADVANTAGE, LLC T1 No $31.00 MO, NC, SC, TN
Perennial Advantage Strive (HMO I-SNP) PERENNIAL ADVANTAGE OF OHIO, INC. T1 No $31.40 OH
Perennial Advantage Strive (HMO I-SNP) PERENNIAL ADVANTAGE OF COLORADO, INC. T1 No $32.70 PA
American Health Advantage of Pennsylvania (HMO I-SNP) AMERICAN HEALTH PLAN OF PENNSYLVANIA INC T1 No $32.70 PA
Lagniappe Advantage (PPO I-SNP) LAGNIAPPE ADVANTAGE INSURANCE COMPANY T1 No $32.90 LA
American Health Advantage of Louisiana (HMO I-SNP) DIGNITY CARE CORPORATION T1 No $32.90 LA
Hamaspik Medicare Select (HMO D-SNP) HAMASPIK, INC. T1 No $34.50 NY
Perennial Advantage Strive (HMO I-SNP) PERENNIAL ADVANTAGE OF COLORADO, INC. T1 No $35.20 CO
PruittHealth Premier (HMO I-SNP) PRUITTHEALTH PREMIER NORTH CAROLINA, LLC T1 No $35.70 SC
PruittHealth Premier (HMO I-SNP) PRUITTHEALTH PREMIER NORTH CAROLINA, LLC T1 No $36.20 NC
Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP) LIBERTY ADVANTAGE, LLC T1 No $36.20 NC
American Health Advantage of Utah (HMO I-SNP) AMERICAN HEALTH PLAN OF UT, INC. T1 No $37.60 UT
American Health Advantage of Idaho (HMO I-SNP) AMERICAN HEALTH PLAN OF UT, INC. T1 No $37.60 ID
American Health Advantage of Indiana (HMO I-SNP) AMERICAN HEALTH PLAN OF INDIANA INC T1 No $38.40 IN
Iowa Health Advantage (HMO I-SNP) AMERICAN HEALTH PLAN OF IOWA INC T1 No $41.50 IA
Iowa Health Advantage Choice (HMO I-SNP) AMERICAN HEALTH PLAN OF IOWA INC T1 No $41.50 IA
American Health Advantage of Missouri (HMO I-SNP) AMERICAN HEALTH PLAN OF MISSOURI, INC. T1 No $43.00 MO
American Health Advantage of Missouri Choice (HMO I-SNP) AMERICAN HEALTH PLAN OF MISSOURI, INC. T1 No $43.00 MO
Kansas Health Advantage (HMO I-SNP) KANSAS SUPERIOR SELECT, INC. T1 No $55.20 KS
Kansas Health Advantage Choice (HMO I-SNP) KANSAS SUPERIOR SELECT, INC. T1 No $55.20 KS
Medicare BlueEssential (PPO) EXCELLUS HEALTH PLAN, INC. T5 No $0 NY
Medicare BlueActive (PPO) EXCELLUS HEALTH PLAN, INC. T5 No $0 NY
Medicare BlueVital (PPO) EXCELLUS HEALTH PLAN, INC. T5 No $0 NY
Univera SeniorChoice Basic (HMO) EXCELLUS HEALTH PLAN, INC. T5 No $0 NY

Frequently Asked Questions

Is betaine 1000 MG Powder for Oral Solution [Cystadane] covered by Medicare Part D?

Yes, betaine 1000 MG Powder for Oral Solution [Cystadane] is covered by 227 Medicare Part D plans (4.5% of all Part D formularies).

What tier is betaine 1000 MG Powder for Oral Solution [Cystadane] on Medicare Part D plans?

betaine 1000 MG Powder for Oral Solution [Cystadane] averages Tier 3.5 across Part D plans, ranging from Tier 1 to Tier 5.

Does betaine 1000 MG Powder for Oral Solution [Cystadane] require prior authorization?

0% of Part D formularies require prior authorization for betaine 1000 MG Powder for Oral Solution [Cystadane]. Step therapy: 0%. Quantity limits: 0%.

How much does Medicare spend on betaine 1000 MG Powder for Oral Solution [Cystadane]?

In 2023, total Medicare Part D spending on betaine 1000 MG Powder for Oral Solution [Cystadane] was $2,900,642, covering 89 beneficiaries. The average spend per beneficiary was $32,591.48.

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