Medicare Part D coverage · caffeine · RxCUI 1293639
caffeine 100 MG / ergotamine tartrate 2 MG Rectal Suppository [Migergot]
Per the CMS 2026 Part D formulary file, caffeine 100 MG / ergotamine tartrate 2 MG Rectal Suppository [Migergot] is covered by 402 Medicare Part D plans (8% of enrollable products), averaging Tier 4.3, with prior authorization required on 0% of covering formularies.
- 8%
- Plan coverage
- 402
- Plans covering
- T4.3
- Avg tier
- 0%
- Prior auth required
What the CMS Formulary Data Shows for caffeine 100 MG / ergotamine tartrate 2 MG Rectal Suppository [Migergot]
Per the CMS 2026 Part D formulary file, caffeine 100 MG / ergotamine tartrate 2 MG Rectal Suppository [Migergot] (RxNorm concept RXCUI 1293639, generic name caffeine) appears on 20 distinct formulary files spanning 402 Medicare Part D plan offerings - 8% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 6, with a cross-plan average of Tier 4.3.
Real-world access to caffeine 100 MG / ergotamine tartrate 2 MG Rectal Suppository [Migergot] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 35% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 96 Part D beneficiaries filled caffeine 100 MG / ergotamine tartrate 2 MG Rectal Suppository [Migergot] in 2023, with total plan-and-beneficiary spending of $2,376,123 and an average per-beneficiary annual cost of $24,751.28. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry caffeine 100 MG / ergotamine tartrate 2 MG Rectal Suppository [Migergot] today.
Coverage Details
- Formularies covering
- 20
- Plans covering
- 402
- Coverage rate
- 8%
- Tier range
- Tier 1 – Tier 6
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 35% of formularies
2023 Medicare Spending
- Beneficiaries
- 96
- Total spending
- $2,376,123
- Avg per beneficiary
- $24,751.28
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering caffeine 100 MG / ergotamine tartrate 2 MG Rectal Suppository [Migergot]
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| CareAdvantage (HMO D-SNP) | SAN Mateo Health Commission | T1 | No | $0 | CA |
| CalOptima Health OneCare Complete (HMO D-SNP) | Orange County Health Authority | T1 | No | $0 | CA |
| Freedom VIP Care (HMO C-SNP) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Freedom VIP Savings (HMO C-SNP) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Freedom VIP Savings (HMO C-SNP) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Freedom VIP Rewards (HMO C-SNP) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Freedom VIP Rewards (HMO C-SNP) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Optimum Diamond Rewards (HMO C-SNP) | Optimum Healthcare, Inc. | T4 | No | $0 | FL |
| Optimum Diamond Savings (HMO C-SNP) | Optimum Healthcare, Inc. | T4 | No | $0 | FL |
| Optimum Diamond Rewards (HMO C-SNP) | Optimum Healthcare, Inc. | T4 | No | $0 | FL |
| Optimum Diamond (HMO C-SNP) | Optimum Healthcare, Inc. | T4 | No | $0 | FL |
| Freedom Medi-Medi Partial (HMO D-SNP) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Freedom Medi-Medi Full (HMO D-SNP) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Optimum Emerald Partial (HMO D-SNP) | Optimum Healthcare, Inc. | T4 | No | $0 | FL |
| Optimum Emerald Full (HMO D-SNP) | Optimum Healthcare, Inc. | T4 | No | $0 | FL |
| Freedom Medicare Plan Rx (HMO) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Freedom Medicare Plan Rx (HMO) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Freedom VIP Savings COPD (HMO C-SNP) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Freedom VIP Savings COPD (HMO C-SNP) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T4 | No | $0 | FL |
Show the next 30 plans
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Freedom Máximo (HMO-POS) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Freedom Máximo (HMO-POS) | Freedom Health, Inc. | T4 | No | $0 | FL |
| Optimum Gold Rewards Plan (HMO) | Optimum Healthcare, Inc. | T4 | No | $0 | FL |
| Optimum Platinum Plan (HMO) | Optimum Healthcare, Inc. | T4 | No | $0 | FL |
| Optimum Gold Plan (HMO) | Optimum Healthcare, Inc. | T4 | No | $0 | FL |
| Optimum Gold Rewards Plan (HMO) | Optimum Healthcare, Inc. | T4 | No | $0 | FL |
| Optimum Gold Rewards Plan (HMO) | Optimum Healthcare, Inc. | T4 | No | $0 | FL |
| Optimum Diamond Rewards COPD (HMO C-SNP) | Optimum Healthcare, Inc. | T4 | No | $0 | FL |
| Optimum Diamond Savings COPD (HMO C-SNP) | Optimum Healthcare, Inc. | T4 | No | $0 | FL |
| Optimum Gold Plus Plan (HMO) | Optimum Healthcare, Inc. | T4 | No | $0 | FL |
| Optimum Diamond Rewards COPD (HMO C-SNP) | Optimum Healthcare, Inc. | T4 | No | $0 | FL |
| Medicare BlueEssential (PPO) | Excellus Health Plan, Inc. | T4 | No | $0 | NY |
| Medicare BlueActive (PPO) | Excellus Health Plan, Inc. | T4 | No | $0 | NY |
| Medicare BlueVital (PPO) | Excellus Health Plan, Inc. | T4 | No | $0 | NY |
| Univera SeniorChoice Basic (HMO) | Excellus Health Plan, Inc. | T4 | No | $0 | NY |
| Univera SeniorChoice Extra (HMO) | Excellus Health Plan, Inc. | T4 | No | $0 | NY |
| Medicare Blue Choice Core (HMO) | Excellus Health Plan, Inc. | T4 | No | $0 | NY |
| Univera Medicare Dual (HMO D-SNP) | Excellus Health Plan Community Care LLC | T4 | No | $0 | NY |
| Medicare Blue Dual (HMO D-SNP) | Excellus Health Plan Community Care LLC | T4 | No | $0 | NY |
| CDPHP $0 Medicare Rx (HMO) | Capital District Physicians' Health Plan, Inc. | T4 | No | $0 | NY |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is caffeine 100 MG / ergotamine tartrate 2 MG Rectal Suppository [Migergot] covered by Medicare Part D?
Yes, caffeine 100 MG / ergotamine tartrate 2 MG Rectal Suppository [Migergot] is covered by 402 Medicare Part D plans (8% of all Part D formularies).
What tier is caffeine 100 MG / ergotamine tartrate 2 MG Rectal Suppository [Migergot] on Medicare Part D plans?
caffeine 100 MG / ergotamine tartrate 2 MG Rectal Suppository [Migergot] averages Tier 4.3 across Part D plans, ranging from Tier 1 to Tier 6.
Does caffeine 100 MG / ergotamine tartrate 2 MG Rectal Suppository [Migergot] require prior authorization?
0% of Part D formularies require prior authorization for caffeine 100 MG / ergotamine tartrate 2 MG Rectal Suppository [Migergot]. Step therapy: 0%. Quantity limits: 35%.
How much does Medicare spend on caffeine 100 MG / ergotamine tartrate 2 MG Rectal Suppository [Migergot]?
In 2023, total Medicare Part D spending on caffeine 100 MG / ergotamine tartrate 2 MG Rectal Suppository [Migergot] was $2,376,123, covering 96 beneficiaries. The average spend per beneficiary was $24,751.28.
Read our methodology - how this data is sourced, computed, and verified.
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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.
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