budesonide 4 MG Delayed Release Oral Capsule [Tarpeyo]

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budesonide

RxCUI: 2587889

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.
1.2%
Plan Coverage
61
Plans Covering
T4.4
Avg Tier
100%
Prior Auth Required

What the CMS Formulary Data Shows for budesonide 4 MG Delayed Release Oral Capsule [Tarpeyo]

Per the CMS 2026 Part D formulary file, budesonide 4 MG Delayed Release Oral Capsule [Tarpeyo] (RxNorm concept RXCUI 2587889, generic name budesonide) appears on 19 distinct formulary files spanning 61 Medicare Part D plan offerings - 1.2% 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 4.4.

Real-world access to budesonide 4 MG Delayed Release Oral Capsule [Tarpeyo] depends on utilization management as much as tier placement: 100% of covering formularies require prior authorization. 0% require step therapy. 36.8% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 61,841 Part D beneficiaries filled budesonide 4 MG Delayed Release Oral Capsule [Tarpeyo] in 2023, with total plan-and-beneficiary spending of $33,914,751 and an average per-beneficiary annual cost of $548.42. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry budesonide 4 MG Delayed Release Oral Capsule [Tarpeyo] today.

Coverage Details

Formularies covering
19
Plans covering
61
Coverage rate
1.2%
Tier range
Tier 1 – Tier 5
Average tier
Tier 4, Non-Preferred

Restrictions

Prior authorization required
100% of formularies
Step therapy required
0% of formularies
Quantity limits
36.8% of formularies

2023 Medicare Spending

Beneficiaries
61,841
Total spending
$33,914,751
Avg per beneficiary
$548.42

Tier Distribution Across Plans

3 plans
Tier 1, Preferred Generic
1 plans
Tier 2, Generic
57 plans
Tier 5, Specialty

Medicare Advantage Plans (MA-PD) Covering budesonide 4 MG Delayed Release Oral Capsule [Tarpeyo]

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

Plan Insurer Tier PA Premium States
SeniorCare Complete (HMO D-SNP) SOUTH COUNTRY HEALTH ALLIANCE T1 Yes $0 MN
AbilityCare (HMO D-SNP) SOUTH COUNTRY HEALTH ALLIANCE T1 Yes $0 MN
Alameda Alliance Wellness (HMO D-SNP) ALAMEDA ALLIANCE FOR HEALTH T1 Yes $0 CA
CalOptima Health OneCare Complete (HMO D-SNP) ORANGE COUNTY HEALTH AUTHORITY T2 Yes $0 CA
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T5 Yes $0 UT
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T5 Yes $0 NV
Select Health Medicare Dual (HMO D-SNP) SELECTHEALTH, INC. T5 Yes $0 UT
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T5 Yes $0 UT
Select Health Medicare + Kroger (HMO) SELECTHEALTH, INC. T5 Yes $0 NV
Select Health Medicare + Kroger (HMO) SELECTHEALTH, INC. T5 Yes $0 UT
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T5 Yes $0 CO
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T5 Yes $0 CO
Select Health Medicare + Kroger (HMO) SELECTHEALTH, INC. T5 Yes $0 CO
Select Health Medicare Flex (HMO) SELECTHEALTH, INC. T5 Yes $0 CO
Select Health Medicare + Kroger (HMO) SELECTHEALTH, INC. T5 Yes $0 CO
Select Health Medicare Active (HMO) SELECTHEALTH, INC. T5 Yes $0 CO
Select Health Medicare Dual (HMO D-SNP) SELECTHEALTH, INC. T5 Yes $0 NV
Select Health Medicare Wellness (HMO) SELECTHEALTH, INC. T5 Yes $0 NV
Medicare BlueEssential (PPO) EXCELLUS HEALTH PLAN, INC. T5 Yes $0 NY
Medicare BlueActive (PPO) EXCELLUS HEALTH PLAN, INC. T5 Yes $0 NY
Medicare BlueVital (PPO) EXCELLUS HEALTH PLAN, INC. T5 Yes $0 NY
Univera SeniorChoice Basic (HMO) EXCELLUS HEALTH PLAN, INC. T5 Yes $0 NY
Univera SeniorChoice Extra (HMO) EXCELLUS HEALTH PLAN, INC. T5 Yes $0 NY
Medicare Blue Choice Core (HMO) EXCELLUS HEALTH PLAN, INC. T5 Yes $0 NY
Univera Medicare Dual (HMO D-SNP) EXCELLUS HEALTH PLAN COMMUNITY CARE LLC T5 Yes $0 NY
Medicare Blue Dual (HMO D-SNP) EXCELLUS HEALTH PLAN COMMUNITY CARE LLC T5 Yes $0 NY
Network Health Select (PPO) NETWORK HEALTH INSURANCE CORPORATION T5 Yes $0 WI
Network Health Go (PPO) NETWORK HEALTH INSURANCE CORPORATION T5 Yes $0 WI
Network Health Anywhere (PPO) NETWORK HEALTH INSURANCE CORPORATION T5 Yes $0 WI
Network Health Choice (PPO) NETWORK HEALTH INSURANCE CORPORATION T5 Yes $0 WI
Network Health Zero (PPO) NETWORK HEALTH INSURANCE CORPORATION T5 Yes $0 WI
Troy Medicare (HMO) TROY HEALTH, INC. T5 Yes $0 NC
Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) TROY HEALTH, INC. T5 Yes $0 NC
Contra Costa Health Care Plus (HMO D-SNP) CONTRA COSTA COUNTY MEDICAL SERVICE DBA CONTRA COSTA HEALTH T5 Yes $0 CA
Keystone First VIP Choice (HMO D-SNP) VISTA HEALTH PLAN, INC. T5 Yes $0 PA
AmeriHealth Caritas VIP Care (HMO D-SNP) VISTA HEALTH PLAN, INC. T5 Yes $0 PA
First Choice VIP Care (HMO D-SNP) SELECT HEALTH OF SOUTH CAROLINA, INC. T5 Yes $0 SC
AmeriHealth Caritas VIP Care (HMO D-SNP) AmeriHealth Caritas VIP Next, Inc. T5 Yes $0 DE
AmeriHealth Caritas VIP Care Choice (HMO D-SNP) AmeriHealth Caritas VIP Next, Inc. T5 Yes $0 DE
AmeriHealth Caritas VIP Care (HMO D-SNP) AMERIHEALTH CARITAS FLORIDA INC T5 Yes $0 FL
AmeriHealth Caritas VIP Care (HMO D-SNP) AMERIHEALTH CARITAS LOUISIANA, INC. T5 Yes $0 LA
AmeriHealth Caritas VIP Care (HMO D-SNP) AMERIHEALTH CARITAS NORTH CAROLINA, INC. T5 Yes $0 NC
AmeriHealth Caritas VIP Care (HMO D-SNP) AMERIHEALTH MICHIGAN, INC. T5 Yes $0 MI
Healthy Mississippi Premier Advantage (HMO-POS) Healthy Mississippi, Inc. T5 Yes $0 MS
CDPHP $0 Medicare Rx (HMO) CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC. T5 Yes $0 NY
CareOregon Advantage Plus (HMO D-SNP) HEALTH PLAN OF CAREOREGON, INC. T5 Yes $0 OR
Network Health Cares (PPO D-SNP) NETWORK HEALTH INSURANCE CORPORATION T5 Yes $21.10 WI
Univera SeniorChoice Core (PPO) EXCELLUS HEALTH PLAN, INC. T5 Yes $33.00 NY
Univera SeniorChoice Advanced (HMO-POS) EXCELLUS HEALTH PLAN, INC. T5 Yes $36.90 NY
Network Health PlusRx (PPO) NETWORK HEALTH INSURANCE CORPORATION T5 Yes $38.60 WI

Frequently Asked Questions

Is budesonide 4 MG Delayed Release Oral Capsule [Tarpeyo] covered by Medicare Part D?

Yes, budesonide 4 MG Delayed Release Oral Capsule [Tarpeyo] is covered by 61 Medicare Part D plans (1.2% of all Part D formularies).

What tier is budesonide 4 MG Delayed Release Oral Capsule [Tarpeyo] on Medicare Part D plans?

budesonide 4 MG Delayed Release Oral Capsule [Tarpeyo] averages Tier 4.4 across Part D plans, ranging from Tier 1 to Tier 5.

Does budesonide 4 MG Delayed Release Oral Capsule [Tarpeyo] require prior authorization?

100% of Part D formularies require prior authorization for budesonide 4 MG Delayed Release Oral Capsule [Tarpeyo]. Step therapy: 0%. Quantity limits: 36.8%.

How much does Medicare spend on budesonide 4 MG Delayed Release Oral Capsule [Tarpeyo]?

In 2023, total Medicare Part D spending on budesonide 4 MG Delayed Release Oral Capsule [Tarpeyo] was $33,914,751, covering 61,841 beneficiaries. The average spend per beneficiary was $548.42.

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