colchicine 0.6 MG Oral Capsule [Mitigare]

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colchicine

RxCUI: 1550946

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.
4.3%
Plan Coverage
217
Plans Covering
T2.6
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for colchicine 0.6 MG Oral Capsule [Mitigare]

Per the CMS 2026 Part D formulary file, colchicine 0.6 MG Oral Capsule [Mitigare] (RxNorm concept RXCUI 1550946, generic name colchicine) appears on 11 distinct formulary files spanning 217 Medicare Part D plan offerings - 4.3% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 2 to Tier 3, with a cross-plan average of Tier 2.6.

Real-world access to colchicine 0.6 MG Oral Capsule [Mitigare] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 100% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 553,640 Part D beneficiaries filled colchicine 0.6 MG Oral Capsule [Mitigare] 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 0.6 MG Oral Capsule [Mitigare] today.

Coverage Details

Formularies covering
11
Plans covering
217
Coverage rate
4.3%
Tier range
Tier 2 – Tier 3
Average tier
Tier 3, Preferred Brand

Restrictions

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

2023 Medicare Spending

Beneficiaries
553,640
Total spending
$99,039,830
Avg per beneficiary
$178.89

Tier Distribution Across Plans

29 plans
Tier 2, Generic
71 plans
Tier 3, Preferred Brand

Medicare Advantage Plans (MA-PD) Covering colchicine 0.6 MG Oral Capsule [Mitigare]

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

Plan Insurer Tier PA Premium States
BlueCare Plus (HMO D-SNP) VOLUNTEER STATE HEALTH PLAN T2 No $0 TN
BlueCare Plus Choice (HMO D-SNP) VOLUNTEER STATE HEALTH PLAN T2 No $0 TN
BlueCare Plus Select (HMO D-SNP) VOLUNTEER STATE HEALTH PLAN T2 No $0 TN
Prominence Plus (HMO) PROMINENCE HEALTHFIRST T2 No $0 NV
Prominence Plus (HMO) PROMINENCE HEALTHFIRST T2 No $0 NV
Prominence Dual (HMO D-SNP) PROMINENCE HEALTHFIRST T2 No $0 NV
Prominence Dual (HMO D-SNP) PROMINENCE HEALTHFIRST T2 No $0 NV
Prominence Giveback (HMO) PROMINENCE HEALTHFIRST T2 No $0 NV
Prominence Plus (HMO) PROMINENCE HEALTHFIRST OF FLORIDA INC T2 No $0 FL
Prominence Giveback (HMO) PROMINENCE HEALTHFIRST OF FLORIDA INC T2 No $0 FL
Prominence Plus (HMO) PROMINENCE HEALTHFIRST OF TEXAS T2 No $0 TX
Prominence Plus (HMO) PROMINENCE HEALTHFIRST OF TEXAS T2 No $0 TX
Prominence Dual (HMO D-SNP) PROMINENCE HEALTHFIRST OF TEXAS T2 No $0 TX
Prominence Extra Help (HMO) PROMINENCE HEALTHFIRST OF TEXAS T2 No $0 TX
Prominence Beyond (HMO) PROMINENCE HEALTHFIRST OF TEXAS T2 No $0 TX
Prominence Giveback (HMO) PROMINENCE HEALTHFIRST OF TEXAS T2 No $0 TX
Prominence Giveback (HMO) PROMINENCE HEALTHFIRST OF TEXAS T2 No $0 TX
Prominence Dual (HMO D-SNP) PROMINENCE HEALTHFIRST OF TEXAS T2 No $0 TX
Prominence Beyond (HMO-POS) PROMINENCE HEALTHFIRST OF TEXAS T2 No $0 TX
Prominence Dual (HMO D-SNP) PROMINENCE HEALTHFIRST OF FLORIDA INC T2 No $0 FL
Prominence Diabetes and Heart Giveback (HMO C-SNP) PROMINENCE HEALTHFIRST T2 No $0 NV
Prominence Diabetes and Heart Giveback (HMO C-SNP) PROMINENCE HEALTHFIRST OF FLORIDA INC T2 No $0 FL
Prominence Diabetes and Heart Giveback (HMO C-SNP) PROMINENCE HEALTHFIRST OF TEXAS T2 No $0 TX
Prominence Diabetes and Heart Care Plus (HMO C-SNP) PROMINENCE HEALTHFIRST OF TEXAS T2 No $0 TX
Prominence Diabetes and Heart Giveback (HMO C-SNP) PROMINENCE HEALTHFIRST OF TEXAS T2 No $0 TX
Prominence Extra Help (HMO) PROMINENCE HEALTHFIRST T2 No $4.20 NV
Prominence Extra Help (HMO) PROMINENCE HEALTHFIRST OF FLORIDA INC T2 No $4.80 FL
Prominence Extra Help (HMO) PROMINENCE HEALTHFIRST OF TEXAS T2 No $4.80 TX
Prominence Extra Help (HMO) PROMINENCE HEALTHFIRST T2 No $9.50 NV
HealthSpring Preferred (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T3 No $0 AZ
HealthSpring Alliance (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T3 No $0 AZ
HealthSpring Preferred Savings (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T3 No $0 AZ
HealthSpring Preferred Full Savings (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T3 No $0 AZ
HealthSpring Preferred GA (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring Preferred Savings (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring Preferred Savings (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring Preferred Savings (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring Preferred Savings (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 MO
HealthSpring Preferred Savings (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 MO
HealthSpring Premier (HMO-POS) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 UT
HealthSpring Preferred (HMO) CIGNA HEALTHCARE OF COLORADO, INC. T3 No $0 NM
HealthSpring Preferred (HMO) CIGNA HEALTHCARE OF COLORADO, INC. T3 No $0 OH
HealthSpring Preferred (HMO) CIGNA HEALTHCARE OF COLORADO, INC. T3 No $0 KY, OH

Frequently Asked Questions

Is colchicine 0.6 MG Oral Capsule [Mitigare] covered by Medicare Part D?

Yes, colchicine 0.6 MG Oral Capsule [Mitigare] is covered by 217 Medicare Part D plans (4.3% of all Part D formularies).

What tier is colchicine 0.6 MG Oral Capsule [Mitigare] on Medicare Part D plans?

colchicine 0.6 MG Oral Capsule [Mitigare] averages Tier 2.6 across Part D plans, ranging from Tier 2 to Tier 3.

Does colchicine 0.6 MG Oral Capsule [Mitigare] require prior authorization?

0% of Part D formularies require prior authorization for colchicine 0.6 MG Oral Capsule [Mitigare]. Step therapy: 0%. Quantity limits: 100%.

How much does Medicare spend on colchicine 0.6 MG Oral Capsule [Mitigare]?

In 2023, total Medicare Part D spending on colchicine 0.6 MG Oral Capsule [Mitigare] was $99,039,830, covering 553,640 beneficiaries. The average spend per beneficiary was $178.89.

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