Medicare Part D coverage · chlordiazepoxide hydrochloride · RxCUI 905516
chlordiazepoxide hydrochloride 5 MG Oral Capsule
Per the CMS 2026 Part D formulary file, chlordiazepoxide hydrochloride 5 MG Oral Capsule is covered by 1,349 Medicare Part D plans (26.7% of enrollable products), averaging Tier 1.7, with prior authorization required on 8.8% of covering formularies.
- 26.7%
- Plan coverage
- 1,349
- Plans covering
- T1.7
- Avg tier
- 8.8%
- Prior auth required
What the CMS Formulary Data Shows for chlordiazepoxide hydrochloride 5 MG Oral Capsule
Per the CMS 2026 Part D formulary file, chlordiazepoxide hydrochloride 5 MG Oral Capsule (RxNorm concept RXCUI 905516, generic name chlordiazepoxide hydrochloride) appears on 114 distinct formulary files spanning 1,349 Medicare Part D plan offerings - 26.7% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 1.7.
Real-world access to chlordiazepoxide hydrochloride 5 MG Oral Capsule depends on utilization management as much as tier placement: 8.8% of covering formularies require prior authorization. 0% require step therapy. 89.5% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 25,948 Part D beneficiaries filled chlordiazepoxide hydrochloride 5 MG Oral Capsule in 2023, with total plan-and-beneficiary spending of $1,142,073 and an average per-beneficiary annual cost of $44.01. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry chlordiazepoxide hydrochloride 5 MG Oral Capsule today.
Coverage Details
- Formularies covering
- 114
- Plans covering
- 1,349
- Coverage rate
- 26.7%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 8.8% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 89.5% of formularies
2023 Medicare Spending
- Beneficiaries
- 25,948
- Total spending
- $1,142,073
- Avg per beneficiary
- $44.01
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering chlordiazepoxide hydrochloride 5 MG Oral Capsule
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| PruittHealth Premier D-SNP (HMO D-SNP) | Pruitthealth Premier, Inc. | T1 | No | $0 | GA |
| KeyCare Advantage Plus (HMO C-SNP) | Isnp Ventures, LLC | T1 | No | $0 | MD |
| Premier Care (HMO-POS I-SNP) | Lifeworks Advantage, LLC | T1 | No | $0 | VA |
| Premier Care (HMO I-SNP) | Align Senior Care California Inc. | T1 | No | $0 | CA |
| Advantage Care (HMO) | Align Senior Care California Inc. | T1 | No | $0 | CA |
| Premier Care (HMO-POS I-SNP) | Align Senior Care MI, LLC | T1 | No | $0 | MI |
| Premier Care (HMO I-SNP) | Align Senior Care Florida, Inc. | T1 | No | $0 | FL |
| Perennial Advantage Freedom (HMO-POS) | Perennial Advantage OF Colorado, Inc. | T1 | No | $0 | CO |
| Perennial Advantage Premier (HMO-POS I-SNP) | Perennial Advantage OF Colorado, Inc. | T1 | No | $0 | CO |
| Perennial Advantage Freedom (HMO) | Perennial Advantage OF Colorado, Inc. | T1 | No | $0 | PA |
| Perennial Advantage Premier (HMO I-SNP) | Perennial Advantage OF Colorado, Inc. | T1 | No | $0 | PA |
| Perennial Advantage Freedom (HMO-POS) | Perennial Advantage OF Ohio, Inc. | T1 | No | $0 | OH |
| Perennial Advantage Premier (HMO-POS I-SNP) | Perennial Advantage OF Ohio, Inc. | T1 | No | $0 | OH |
| ProCare Advantage - Diabetes Care Management (HMO-POS C-SNP) | Procare Advantage, LLC | T1 | No | $0 | TX |
| PruittHealth Premier Advantage (HMO I-SNP) | Pruitthealth Premier, Inc. | T1 | No | $0 | GA |
| Senior Health Plan Silver Plus (HMO) | Communitycare Government Programs, Inc. | T1 | No | $0 | OK |
| Senior Health Plan Oklahoma Dual Complete (HMO D-SNP) | Communitycare Government Programs, Inc. | T1 | No | $0 | OK |
| Community First Medicare Advantage Alamo Plan (HMO) | Community First Health Plans, Inc. | T1 | No | $0 | TX |
| Community First Medicare Advantage D-SNP (HMO D-SNP) | Community First Health Plans, Inc. | T1 | No | $0 | TX |
| Community DualCare Aligned (HMO D-SNP) | Community Health Choice Texas, Inc. | T1 | No | $0 | TX |
Show the next 30 plans
| Community DualCare Access (HMO D-SNP) | Community Health Choice Texas, Inc. | T1 | No | $0 | TX |
| El Paso Health Medicare Advantage Dual (HMO D-SNP) | EL Paso First Health Plans, Inc. | T1 | No | $0 | TX |
| El Paso Health Total (HMO) | EL Paso First Health Plans, Inc. | T1 | No | $0 | TX |
| El Paso Health Giveback (HMO) | EL Paso First Health Plans, Inc. | T1 | No | $0 | TX |
| Liberty Medicare Advantage (HMO C-SNP) | Liberty Advantage, LLC | T1 | No | $0 | NC |
| Peak Advantage Vista (PPO) | Peak Health Insurance Corporation | T1 | No | $0 | PA, WV |
| SECUR Edge (HMO I-SNP) | Secur Inc | T1 | No | $0 | FL |
| Simpra Advantage Dual Care (PPO D-SNP) | Simpra Advantage, Inc. | T1 | No | $0 | AL |
| CareAdvantage (HMO D-SNP) | SAN Mateo Health Commission | T1 | No | $0 | CA |
| Alignment Health the ONE + Walgreens (HMO) | Alignment Health Plan OF Arizona, Inc. | T1 | No | $0 | AZ |
| Alignment Health the ONE + Walgreens (HMO) | Alignment Health Plan OF Arizona, Inc. | T1 | No | $0 | AZ |
| Alignment Health Heart & Diabetes (HMO C-SNP) | Alignment Health Plan OF Arizona, Inc. | T1 | No | $0 | AZ |
| Alignment Health smartHMO (HMO) | Alignment Health Plan OF Arizona, Inc. | T1 | No | $0 | AZ |
| Alignment Health My Choice (HMO) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health Platinum + Instacart (HMO) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health Heart & Diabetes (HMO C-SNP) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health AllCare Preferred (HMO) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health smartHMO (HMO) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health Platinum + Instacart (HMO-POS) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health My Choice (HMO) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health Harmony (HMO) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health Balance (HMO C-SNP) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health the ONE (HMO) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health the ONE + Walgreens (HMO) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health smartHMO (HMO) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health smartHMO (HMO) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health CommUnity (HMO) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health smartSavings (HMO) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health Heart & Diabetes Care (HMO C-SNP) | Alignment Health Plan | T1 | No | $0 | CA |
| Alignment Health My Choice Select (HMO) | Alignment Health Plan | T1 | No | $0 | CA |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is chlordiazepoxide hydrochloride 5 MG Oral Capsule covered by Medicare Part D?
Yes, chlordiazepoxide hydrochloride 5 MG Oral Capsule is covered by 1,349 Medicare Part D plans (26.7% of all Part D formularies).
What tier is chlordiazepoxide hydrochloride 5 MG Oral Capsule on Medicare Part D plans?
chlordiazepoxide hydrochloride 5 MG Oral Capsule averages Tier 1.7 across Part D plans, ranging from Tier 1 to Tier 4.
Does chlordiazepoxide hydrochloride 5 MG Oral Capsule require prior authorization?
8.8% of Part D formularies require prior authorization for chlordiazepoxide hydrochloride 5 MG Oral Capsule. Step therapy: 0%. Quantity limits: 89.5%.
How much does Medicare spend on chlordiazepoxide hydrochloride 5 MG Oral Capsule?
In 2023, total Medicare Part D spending on chlordiazepoxide hydrochloride 5 MG Oral Capsule was $1,142,073, covering 25,948 beneficiaries. The average spend per beneficiary was $44.01.
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
- 24 HR venlafaxine 150 MG Extended Release Oral Capsule T1.7
- clonazepam 0.5 MG Oral Tablet T1.7
- dexamethasone 0.001 MG/MG / neomycin 0.0035 MG/MG / polymyxin B 10 UNT/MG Ophthalmic Ointment T1.7
- ketoconazole 20 MG/ML Medicated Shampoo T1.7
- lorazepam 0.5 MG Oral Tablet T1.7
- sotalol hydrochloride 80 MG Oral Tablet T1.7
Similar prior-authorization rate
- nafcillin 2000 MG Injection 8.9% PA
- 2 ML clindamycin 150 MG/ML Injection 8.9% PA
- adapalene 0.001 MG/MG / benzoyl peroxide 0.025 MG/MG Topical Gel 8.9% PA
- nafcillin 1000 MG Injection 9% PA
- magnesium chloride 0.00148 MEQ/ML / potassium chloride 0.00497 MEQ/ML / sodium acetate 0.027 MEQ/ML / sodium chloride 0.0899 MEQ/ML / sodium gluconate 5.02 MG/ML Injectable Solution [Plasmalyte A] 8.6% PA
- ceftazidime 200 MG/ML Injectable Solution 8.6% PA