caffeine 100 MG / ergotamine tartrate 2 MG Rectal Suppository [Migergot]

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caffeine

RxCUI: 1293639

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.
8%
Plan Coverage
403
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 403 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
403
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

2 plans
Tier 1, Preferred Generic
72 plans
Tier 4, Non-Preferred
26 plans
Tier 5, Specialty

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
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

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 403 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.

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