Medicare Part D coverage · candesartan cilexetil · RxCUI 153822
candesartan cilexetil 4 MG Oral Tablet
Per the CMS 2026 Part D formulary file, candesartan cilexetil 4 MG Oral Tablet is covered by 5,013 Medicare Part D plans (99.2% of enrollable products), averaging Tier 2.4, with prior authorization required on 0% of covering formularies.
- 99.2%
- Plan coverage
- 5,013
- Plans covering
- T2.4
- Avg tier
- 0%
- Prior auth required
What the CMS Formulary Data Shows for candesartan cilexetil 4 MG Oral Tablet
Per the CMS 2026 Part D formulary file, candesartan cilexetil 4 MG Oral Tablet (RxNorm concept RXCUI 153822, generic name candesartan cilexetil) appears on 325 distinct formulary files spanning 5,013 Medicare Part D plan offerings - 99.2% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 6, with a cross-plan average of Tier 2.4.
Real-world access to candesartan cilexetil 4 MG Oral Tablet depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 54.5% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 109,771 Part D beneficiaries filled candesartan cilexetil 4 MG Oral Tablet in 2023, with total plan-and-beneficiary spending of $54,006,031 and an average per-beneficiary annual cost of $491.99. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry candesartan cilexetil 4 MG Oral Tablet today.
Coverage Details
- Formularies covering
- 325
- Plans covering
- 5,013
- Coverage rate
- 99.2%
- Tier range
- Tier 1 – Tier 6
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 54.5% of formularies
2023 Medicare Spending
- Beneficiaries
- 109,771
- Total spending
- $54,006,031
- Avg per beneficiary
- $491.99
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering candesartan cilexetil 4 MG Oral Tablet
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| UHC Dual Complete IA-S001 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T1 | No | $0 | IA |
| UHC Dual Complete MO-S001 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T1 | No | $0 | MO |
| UHC Dual Complete NE-S001 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T1 | No | $0 | NE |
| UHC Dual Complete KS-S001 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T1 | No | $0 | KS |
| UHC Dual Complete MO-S3 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T1 | No | $0 | MO |
| UHC Dual Complete KS-Q1 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T1 | No | $0 | KS |
| UHC Dual Complete TN-S001 (HMO-POS D-SNP) | Unitedhealthcare Plan OF THE River Valley, Inc. | T1 | No | $0 | TN |
| UHC Dual Complete TN-Y001 (HMO-POS D-SNP) | Unitedhealthcare Plan OF THE River Valley, Inc. | T1 | No | $0 | TN |
| UHC Dual Complete TN-Y2 (HMO-POS D-SNP) | Unitedhealthcare Plan OF THE River Valley, Inc. | T1 | No | $0 | TN |
| AARP Medicare Advantage from UHC MI-0001 (PPO) | Unitedhealthcare Insurance Company | T1 | No | $0 | MI |
| UHC Dual Complete NM-Y1 (PPO D-SNP) | Unitedhealthcare Insurance Company | T1 | No | $0 | NM |
| UHC Dual Complete NM-S1 (PPO D-SNP) | Unitedhealthcare Insurance Company | T1 | No | $0 | NM |
| UHC Dual Complete NM-V1 (PPO D-SNP) | Unitedhealthcare Insurance Company | T1 | No | $0 | NM |
| UHC Dual Complete AZ-S001 (HMO-POS D-SNP) | Arizona Physicians IPA, Inc. | T1 | No | $0 | AZ |
| UHC Dual Complete AZ-Y001 (HMO-POS D-SNP) | Arizona Physicians IPA, Inc. | T1 | No | $0 | AZ |
| UHC Dual Complete VA-Y4 (PPO D-SNP) | Care Improvement Plus South Central Insurance Co. | T1 | No | $0 | VA |
| AARP Medicare Advantage from UHC AL-0001 (HMO-POS) | Unitedhealthcare OF THE Midlands, Inc. | T1 | No | $0 | AL |
| AARP Medicare Advantage from UHC CA-0002 (HMO-POS) | UHC OF California | T1 | No | $0 | CA |
| UHC Sharp Medicare Advantage CA-001P (HMO-POS) | UHC OF California | T1 | No | $0 | CA |
| AARP Medicare Advantage from UHC CA-003P (HMO-POS) | UHC OF California | T1 | No | $0 | CA |
Show the next 30 plans
Showing top 50 of 100 plans.
Frequently Asked Questions
Is candesartan cilexetil 4 MG Oral Tablet covered by Medicare Part D?
Yes, candesartan cilexetil 4 MG Oral Tablet is covered by 5,013 Medicare Part D plans (99.2% of all Part D formularies).
What tier is candesartan cilexetil 4 MG Oral Tablet on Medicare Part D plans?
candesartan cilexetil 4 MG Oral Tablet averages Tier 2.4 across Part D plans, ranging from Tier 1 to Tier 6.
Does candesartan cilexetil 4 MG Oral Tablet require prior authorization?
0% of Part D formularies require prior authorization for candesartan cilexetil 4 MG Oral Tablet. Step therapy: 0%. Quantity limits: 54.5%.
How much does Medicare spend on candesartan cilexetil 4 MG Oral Tablet?
In 2023, total Medicare Part D spending on candesartan cilexetil 4 MG Oral Tablet was $54,006,031, covering 109,771 beneficiaries. The average spend per beneficiary was $491.99.
Read our methodology - how this data is sourced, computed, and verified.
Nationwide similar Part D drugs
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.
Closest average formulary tier
Similar prior-authorization rate
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