Medicare Part D coverage · cholestyramine resin · RxCUI 848949

cholestyramine resin 4000 MG Powder for Oral Suspension [Questran]

Per the CMS 2026 Part D formulary file, cholestyramine resin 4000 MG Powder for Oral Suspension [Questran] is covered by 6 Medicare Part D plans (0.1% of enrollable products), averaging Tier 2, with prior authorization required on 0% of covering formularies.

0.1%
Plan coverage
6
Plans covering
T2
Avg tier
0%
Prior auth required

Verify with CMS →

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.

What the CMS Formulary Data Shows for cholestyramine resin 4000 MG Powder for Oral Suspension [Questran]

Per the CMS 2026 Part D formulary file, cholestyramine resin 4000 MG Powder for Oral Suspension [Questran] (RxNorm concept RXCUI 848949, generic name cholestyramine resin) appears on 1 distinct formulary file spanning 6 Medicare Part D plan offerings - 0.1% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 2 to Tier 2, with a cross-plan average of Tier 2.

Real-world access to cholestyramine resin 4000 MG Powder for Oral Suspension [Questran] 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 186,287 Part D beneficiaries filled cholestyramine resin 4000 MG Powder for Oral Suspension [Questran] in 2023, with total plan-and-beneficiary spending of $47,685,796 and an average per-beneficiary annual cost of $255.98. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry cholestyramine resin 4000 MG Powder for Oral Suspension [Questran] today.

Coverage Details

Formularies covering
1
Plans covering
6
Coverage rate
0.1%
Tier range
Tier 2, Generic
Average tier
Tier 2, Generic

Restrictions

Prior authorization required
0% of formularies
Step therapy required
0% of formularies
Quantity limits
0% of formularies

2023 Medicare Spending

Beneficiaries
186,287
Total spending
$47,685,796
Avg per beneficiary
$255.98

Tier Distribution Across Plans

6 plans
Tier 2, Generic

Medicare Advantage Plans (MA-PD) Covering cholestyramine resin 4000 MG Powder for Oral Suspension [Questran]

6 Medicare Advantage plans with Part D drug coverage include this drug.

Plan Insurer Tier PA Premium States
Keystone 65 Select Rx (HMO) Keystone Health Plan East, Inc. T2 No $47.00 PA
Keystone 65 Preferred Rx (HMO) Keystone Health Plan East, Inc. T2 No $59.70 PA
Keystone 65 Select Rx (HMO) Keystone Health Plan East, Inc. T2 No $63.50 PA
Keystone 65 Preferred Rx (HMO) Keystone Health Plan East, Inc. T2 No $79.70 PA
Personal Choice 65 Rx (PPO) QCC Insurance Company T2 No $102.20 PA
Personal Choice 65 Rx (PPO) QCC Insurance Company T2 No $112.70 PA

Frequently Asked Questions

Is cholestyramine resin 4000 MG Powder for Oral Suspension [Questran] covered by Medicare Part D?

Yes, cholestyramine resin 4000 MG Powder for Oral Suspension [Questran] is covered by 6 Medicare Part D plans (0.1% of all Part D formularies).

What tier is cholestyramine resin 4000 MG Powder for Oral Suspension [Questran] on Medicare Part D plans?

cholestyramine resin 4000 MG Powder for Oral Suspension [Questran] averages Tier 2 across Part D plans, ranging from Tier 2 to Tier 2.

Does cholestyramine resin 4000 MG Powder for Oral Suspension [Questran] require prior authorization?

0% of Part D formularies require prior authorization for cholestyramine resin 4000 MG Powder for Oral Suspension [Questran]. Step therapy: 0%. Quantity limits: 0%.

How much does Medicare spend on cholestyramine resin 4000 MG Powder for Oral Suspension [Questran]?

In 2023, total Medicare Part D spending on cholestyramine resin 4000 MG Powder for Oral Suspension [Questran] was $47,685,796, covering 186,287 beneficiaries. The average spend per beneficiary was $255.98.

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.

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