colchicine 0.5 MG Oral Tablet [Lodoco]
colchicine
RxCUI: 2663988
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 $99,039,830 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
- $99,039,830
- Avg per beneficiary
- $178.89
Tier Distribution Across Plans
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 $99,039,830, covering 553,640 beneficiaries. The average spend per beneficiary was $178.89.
Read our methodology - how this data is sourced, computed, and verified.