Medicare Part D coverage · ciprofloxacin · RxCUI 213226
ciprofloxacin 100 MG/ML Oral Suspension [Cipro]
Per the CMS 2026 Part D formulary file, ciprofloxacin 100 MG/ML Oral Suspension [Cipro] is covered by 261 Medicare Part D plans (5.2% of enrollable products), averaging Tier 3.7, with prior authorization required on 0% of covering formularies.
- 5.2%
- Plan coverage
- 261
- Plans covering
- T3.7
- Avg tier
- 0%
- Prior auth required
What the CMS Formulary Data Shows for ciprofloxacin 100 MG/ML Oral Suspension [Cipro]
Per the CMS 2026 Part D formulary file, ciprofloxacin 100 MG/ML Oral Suspension [Cipro] (RxNorm concept RXCUI 213226, generic name ciprofloxacin) appears on 20 distinct formulary files spanning 261 Medicare Part D plan offerings - 5.2% 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 3.7.
Real-world access to ciprofloxacin 100 MG/ML Oral Suspension [Cipro] 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 1,810 Part D beneficiaries filled ciprofloxacin 100 MG/ML Oral Suspension [Cipro] in 2023, with total plan-and-beneficiary spending of $396,416 and an average per-beneficiary annual cost of $219.01. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry ciprofloxacin 100 MG/ML Oral Suspension [Cipro] today.
Coverage Details
- Formularies covering
- 20
- Plans covering
- 261
- Coverage rate
- 5.2%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 1,810
- Total spending
- $396,416
- Avg per beneficiary
- $219.01
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering ciprofloxacin 100 MG/ML Oral Suspension [Cipro]
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Hamaspik Medicare Choice (HMO D-SNP) | Hamaspik, Inc. | T1 | No | $0 | NY |
| Hamaspik Medicare Select (HMO D-SNP) | Hamaspik, Inc. | T1 | No | $34.50 | NY |
| BlueCare Plus (HMO D-SNP) | Volunteer State Health Plan | T3 | No | $0 | TN |
| BlueCare Plus Choice (HMO D-SNP) | Volunteer State Health Plan | T3 | No | $0 | TN |
| BlueCare Plus Select (HMO D-SNP) | Volunteer State Health Plan | T3 | No | $0 | TN |
| Independent Health's Assure Advantage (HMO C-SNP) | Independent Health Association, Inc. | T3 | No | $46.50 | NY |
| Independent Health's Medicare Family Choice (HMO I-SNP) | Independent Health Association, Inc. | T3 | No | $58.80 | NY |
| Independent Health's Encompass 65 RED 043 (HMO) | Independent Health Association, Inc. | T3 | No | $190.00 | NY |
| Clover Health Choice (PPO) | Clover Insurance Company | T4 | No | $0 | TX |
| Clover Health LiveHealthy (PPO) | Clover Insurance Company | T4 | No | $0 | GA |
| Clover Health LiveHealthy (PPO) | Clover Insurance Company | T4 | No | $0 | SC |
| Clover Health Choice (PPO) | Clover Insurance Company | T4 | No | $0 | PA |
| Clover Health LiveHealthy Giveback (PPO) | Clover Insurance Company | T4 | No | $0 | GA, SC |
| Clover Health Choice (PPO) | Clover Insurance Company | T4 | No | $0 | NJ |
| Clover Health Choice (PPO) | Clover Insurance Company | T4 | No | $0 | NJ |
| Clover Health Choice Giveback (PPO) | Clover Insurance Company | T4 | No | $0 | NJ |
| Clover Health Classic (HMO) | Clover HMO OF NEW Jersey Inc. | T4 | No | $0 | NJ |
| Martin's Point Generations Advantage Prime (HMO-POS) | Martin's Point Generations Advantage, Inc. | T4 | No | $0 | ME |
| Martin's Point Generations Advantage Essential (HMO-POS) | Martin's Point Generations Advantage, Inc. | T4 | No | $0 | ME |
| MetroPlus Advantage Plan (HMO D-SNP) | Metroplus Health Plan, Inc. | T4 | No | $0 | NY |
Show the next 30 plans
| MVP Medicare Complete Wellness with Part D (PPO) | MVP Health Plan, Inc. | T4 | No | $0 | NY |
| MVP Medicare Complete Wellness with Part D (PPO) | MVP Health Plan, Inc. | T4 | No | $0 | NY |
| Devoted Core 001 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T4 | No | $0 | FL |
| Devoted Core 002 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T4 | No | $0 | FL |
| Devoted Core 003 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T4 | No | $0 | FL |
| Devoted Core 005 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T4 | No | $0 | FL |
| Devoted Giveback 013 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T4 | No | $0 | FL |
| Devoted Giveback 014 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T4 | No | $0 | FL |
| Devoted Giveback 015 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T4 | No | $0 | FL |
| Devoted Giveback 018 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T4 | No | $0 | FL |
| Devoted Core 025 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T4 | No | $0 | FL |
| Devoted Core 027 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T4 | No | $0 | FL |
| Devoted Core 029 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T4 | No | $0 | FL |
| Devoted Giveback 031 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T4 | No | $0 | FL |
| Devoted Giveback 032 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T4 | No | $0 | FL |
| Devoted Giveback 035 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T4 | No | $0 | FL |
| Devoted Core 036 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T4 | No | $0 | FL |
| Devoted Giveback 045 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T4 | No | $0 | FL |
| Devoted Core 046 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T4 | No | $0 | FL |
| Devoted Giveback 049 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T4 | No | $0 | FL |
| Devoted Core 050 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T4 | No | $0 | FL |
| Devoted Giveback 051 FL (HMO) | Devoted Health Plan OF Florida, Inc. | T4 | No | $0 | FL |
| Devoted Core 001 AZ (HMO) | Devoted Health Plan OF Arizona, Inc. | T4 | No | $0 | AZ |
| Devoted C-snp 011 AZ (HMO C-snp) | Devoted Health Plan OF Arizona, Inc. | T4 | No | $0 | AZ |
| Devoted Dual 019 FL (HMO D-snp) | Devoted Health Plan OF Florida, Inc. | T4 | No | $0 | FL |
| Devoted Dual 024 FL (HMO D-snp) | Devoted Health Plan OF Florida, Inc. | T4 | No | $0 | FL |
| Devoted Dual 033 FL (HMO D-snp) | Devoted Health Plan OF Florida, Inc. | T4 | No | $0 | FL |
| Devoted Dual 034 FL (HMO D-snp) | Devoted Health Plan OF Florida, Inc. | T4 | No | $0 | FL |
| Devoted Dual Plus 042 FL (HMO D-snp) | Devoted Health Plan OF Florida, Inc. | T4 | No | $0 | FL |
| Devoted Dual 043 FL (HMO D-snp) | Devoted Health Plan OF Florida, Inc. | T4 | No | $0 | FL |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is ciprofloxacin 100 MG/ML Oral Suspension [Cipro] covered by Medicare Part D?
Yes, ciprofloxacin 100 MG/ML Oral Suspension [Cipro] is covered by 261 Medicare Part D plans (5.2% of all Part D formularies).
What tier is ciprofloxacin 100 MG/ML Oral Suspension [Cipro] on Medicare Part D plans?
ciprofloxacin 100 MG/ML Oral Suspension [Cipro] averages Tier 3.7 across Part D plans, ranging from Tier 1 to Tier 4.
Does ciprofloxacin 100 MG/ML Oral Suspension [Cipro] require prior authorization?
0% of Part D formularies require prior authorization for ciprofloxacin 100 MG/ML Oral Suspension [Cipro]. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on ciprofloxacin 100 MG/ML Oral Suspension [Cipro]?
In 2023, total Medicare Part D spending on ciprofloxacin 100 MG/ML Oral Suspension [Cipro] was $396,416, covering 1,810 beneficiaries. The average spend per beneficiary was $219.01.
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
- droxidopa 200 MG Oral Capsule T3.7
- lactulose 10000 MG Powder for Oral Solution [Kristalose] T3.7
- zonisamide 20 MG/ML Oral Suspension [Zonisade] T3.7
- lisdexamfetamine dimesylate 40 MG Chewable Tablet T3.7
- mometasone furoate 0.025 MG/ACTUAT / olopatadine hydrochloride 0.665 MG/ACTUAT Metered Dose Nasal Spray [Ryaltris] T3.7
- roflumilast 3 MG/ML Topical Foam [Zoryve] T3.7