carvedilol 12.5 MG Oral Tablet
carvedilol
RxCUI: 200032
What the CMS Formulary Data Shows for carvedilol 12.5 MG Oral Tablet
Per the CMS 2026 Part D formulary file, carvedilol 12.5 MG Oral Tablet (RxNorm concept RXCUI 200032, generic name carvedilol) appears on 330 distinct formulary files spanning 5,067 Medicare Part D plan offerings - 100% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 6, with a cross-plan average of Tier 1.1.
Real-world access to carvedilol 12.5 MG Oral Tablet 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 3,511,938 Part D beneficiaries filled carvedilol 12.5 MG Oral Tablet in 2023, with total plan-and-beneficiary spending of $178,694,094 and an average per-beneficiary annual cost of $50.88. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry carvedilol 12.5 MG Oral Tablet today.
Coverage Details
- Formularies covering
- 330
- Plans covering
- 5,067
- Coverage rate
- 100%
- Tier range
- Tier 1 – Tier 6
- Average tier
- Tier 1, Preferred Generic
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 3,511,938
- Total spending
- $178,694,094
- Avg per beneficiary
- $50.88
Tier Distribution Across Plans
Standalone Drug Plans (PDP) Covering carvedilol 12.5 MG Oral Tablet
2 standalone prescription drug plans include this drug.
| Plan | Insurer | Tier | PA | ST | Premium | States |
|---|---|---|---|---|---|---|
| AARP Medicare Rx Preferred from UHC (PDP) | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | T1 | No | No | $0 | - |
| AARP Medicare Rx Preferred from UHC (PDP) | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | T1 | No | No | $0 | - |
Medicare Advantage Plans (MA-PD) Covering carvedilol 12.5 MG Oral Tablet
98 Medicare Advantage plans with Part D drug coverage include this drug.
Frequently Asked Questions
Is carvedilol 12.5 MG Oral Tablet covered by Medicare Part D?
Yes, carvedilol 12.5 MG Oral Tablet is covered by 5,067 Medicare Part D plans (100% of all Part D formularies).
What tier is carvedilol 12.5 MG Oral Tablet on Medicare Part D plans?
carvedilol 12.5 MG Oral Tablet averages Tier 1.1 across Part D plans, ranging from Tier 1 to Tier 6.
Does carvedilol 12.5 MG Oral Tablet require prior authorization?
0% of Part D formularies require prior authorization for carvedilol 12.5 MG Oral Tablet. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on carvedilol 12.5 MG Oral Tablet?
In 2023, total Medicare Part D spending on carvedilol 12.5 MG Oral Tablet was $178,694,094, covering 3,511,938 beneficiaries. The average spend per beneficiary was $50.88.
Read our methodology - how this data is sourced, computed, and verified.