Medicare Part D coverage · colchicine · RxCUI 2663988

colchicine 0.5 MG Oral Tablet [Lodoco]

Per the CMS 2026 Part D formulary file, colchicine 0.5 MG Oral Tablet [Lodoco] is covered by 19 Medicare Part D plans (0.4% of enrollable products), averaging Tier 3.6, with prior authorization required on 100% of covering formularies.

0.4%
Plan coverage
19
Plans covering
T3.6
Avg tier
100%
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 colchicine 0.5 MG Oral Tablet [Lodoco]

Per the CMS 2026 Part D formulary file, colchicine 0.5 MG Oral Tablet [Lodoco] (RxNorm concept RXCUI 2663988, generic name colchicine) appears on 14 distinct formulary files spanning 19 Medicare Part D plan offerings - 0.4% 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 3.6.

Real-world access to colchicine 0.5 MG Oral Tablet [Lodoco] depends on utilization management as much as tier placement: 100% of covering formularies require prior authorization. 0% require step therapy. 71.4% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 553,640 Part D beneficiaries filled colchicine 0.5 MG Oral Tablet [Lodoco] in 2023, with total plan-and-beneficiary spending of $99,038,149 and an average per-beneficiary annual cost of $178.89. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry colchicine 0.5 MG Oral Tablet [Lodoco] today.

Coverage Details

Formularies covering
14
Plans covering
19
Coverage rate
0.4%
Tier range
Tier 1 – Tier 4
Average tier
Tier 4, Non-Preferred

Restrictions

Prior authorization required
100% of formularies
Step therapy required
0% of formularies
Quantity limits
71.4% of formularies

2023 Medicare Spending

Beneficiaries
553,640
Total spending
$99,038,149
Avg per beneficiary
$178.89

Tier Distribution Across Plans

3 plans
Tier 1, Preferred Generic
16 plans
Tier 4, Non-Preferred

Medicare Advantage Plans (MA-PD) Covering colchicine 0.5 MG Oral Tablet [Lodoco]

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

Plan Insurer Tier PA Premium States
SeniorCare Complete (HMO D-SNP) South Country Health Alliance T1 Yes $0 MN
AbilityCare (HMO D-SNP) South Country Health Alliance T1 Yes $0 MN
Alameda Alliance Wellness (HMO D-SNP) Alameda Alliance FOR Health T1 Yes $0 CA
Troy Medicare (HMO) Troy Health, Inc. T4 Yes $0 NC
Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) Troy Health, Inc. T4 Yes $0 NC
Contra Costa Health Care Plus (HMO D-SNP) Contra Costa County Medical Service DBA Contra Costa Health T4 Yes $0 CA
Keystone First VIP Choice (HMO D-SNP) Vista Health Plan, Inc. T4 Yes $0 PA
AmeriHealth Caritas VIP Care (HMO D-SNP) Vista Health Plan, Inc. T4 Yes $0 PA
First Choice VIP Care (HMO D-SNP) Select Health OF South Carolina, Inc. T4 Yes $0 SC
AmeriHealth Caritas VIP Care (HMO D-SNP) AmeriHealth Caritas VIP Next, Inc. T4 Yes $0 DE
AmeriHealth Caritas VIP Care Choice (HMO D-SNP) AmeriHealth Caritas VIP Next, Inc. T4 Yes $0 DE
AmeriHealth Caritas VIP Care (HMO D-SNP) Amerihealth Caritas Florida, Inc. T4 Yes $0 FL
AmeriHealth Caritas VIP Care (HMO D-SNP) Amerihealth Caritas Louisiana, Inc. T4 Yes $0 LA
AmeriHealth Caritas VIP Care (HMO D-SNP) Amerihealth Caritas North Carolina, Inc. T4 Yes $0 NC
AmeriHealth Caritas VIP Care (HMO D-SNP) Amerihealth Michigan, Inc. T4 Yes $0 MI
CareOregon Advantage Plus (HMO D-SNP) Health Plan OF Careoregon, Inc. T4 Yes $0 OR
Independent Health's Assure Advantage (HMO C-SNP) Independent Health Association, Inc. T4 Yes $46.50 NY
Independent Health's Medicare Family Choice (HMO I-SNP) Independent Health Association, Inc. T4 Yes $58.80 NY
Independent Health's Encompass 65 RED 043 (HMO) Independent Health Association, Inc. T4 Yes $190.00 NY

Frequently Asked Questions

Is colchicine 0.5 MG Oral Tablet [Lodoco] covered by Medicare Part D?

Yes, colchicine 0.5 MG Oral Tablet [Lodoco] is covered by 19 Medicare Part D plans (0.4% of all Part D formularies).

What tier is colchicine 0.5 MG Oral Tablet [Lodoco] on Medicare Part D plans?

colchicine 0.5 MG Oral Tablet [Lodoco] averages Tier 3.6 across Part D plans, ranging from Tier 1 to Tier 4.

Does colchicine 0.5 MG Oral Tablet [Lodoco] require prior authorization?

100% of Part D formularies require prior authorization for colchicine 0.5 MG Oral Tablet [Lodoco]. Step therapy: 0%. Quantity limits: 71.4%.

How much does Medicare spend on colchicine 0.5 MG Oral Tablet [Lodoco]?

In 2023, total Medicare Part D spending on colchicine 0.5 MG Oral Tablet [Lodoco] was $99,038,149, covering 553,640 beneficiaries. The average spend per beneficiary was $178.89.

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

Similar prior-authorization rate

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