Medicare Part D coverage · chlordiazepoxide hydrochloride · RxCUI 905369
chlordiazepoxide hydrochloride 10 MG Oral Capsule
Per the CMS 2026 Part D formulary file, chlordiazepoxide hydrochloride 10 MG Oral Capsule is covered by 1,351 Medicare Part D plans (26.7% of enrollable products), averaging Tier 1.7, with prior authorization required on 8.7% of covering formularies.
- 26.7%
- Plan coverage
- 1,351
- Plans covering
- T1.7
- Avg tier
- 8.7%
- Prior auth required
What the CMS Formulary Data Shows for chlordiazepoxide hydrochloride 10 MG Oral Capsule
Per the CMS 2026 Part D formulary file, chlordiazepoxide hydrochloride 10 MG Oral Capsule (RxNorm concept RXCUI 905369, generic name chlordiazepoxide hydrochloride) appears on 115 distinct formulary files spanning 1,351 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 10 MG Oral Capsule depends on utilization management as much as tier placement: 8.7% of covering formularies require prior authorization. 0% require step therapy. 88.7% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 25,948 Part D beneficiaries filled chlordiazepoxide hydrochloride 10 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 10 MG Oral Capsule today.
Coverage Details
- Formularies covering
- 115
- Plans covering
- 1,351
- Coverage rate
- 26.7%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 8.7% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 88.7% 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 10 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 10 MG Oral Capsule covered by Medicare Part D?
Yes, chlordiazepoxide hydrochloride 10 MG Oral Capsule is covered by 1,351 Medicare Part D plans (26.7% of all Part D formularies).
What tier is chlordiazepoxide hydrochloride 10 MG Oral Capsule on Medicare Part D plans?
chlordiazepoxide hydrochloride 10 MG Oral Capsule averages Tier 1.7 across Part D plans, ranging from Tier 1 to Tier 4.
Does chlordiazepoxide hydrochloride 10 MG Oral Capsule require prior authorization?
8.7% of Part D formularies require prior authorization for chlordiazepoxide hydrochloride 10 MG Oral Capsule. Step therapy: 0%. Quantity limits: 88.7%.
How much does Medicare spend on chlordiazepoxide hydrochloride 10 MG Oral Capsule?
In 2023, total Medicare Part D spending on chlordiazepoxide hydrochloride 10 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
- 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
- ceftazidime 1000 MG Injection 8.6% PA
- naproxen 25 MG/ML Oral Suspension 8.6% PA
- 2 ML gentamicin 40 MG/ML Injection 8.6% PA
- aztreonam 1000 MG Injection 8.5% PA