Medicare Part D coverage · cyclosporine, · RxCUI 835911
cyclosporine, modified 100 MG Oral Capsule [Neoral]
Per the CMS 2026 Part D formulary file, cyclosporine, modified 100 MG Oral Capsule [Neoral] is covered by 120 Medicare Part D plans (2.4% of enrollable products), averaging Tier 3.1, with prior authorization required on 100% of covering formularies.
- 2.4%
- Plan coverage
- 120
- Plans covering
- T3.1
- Avg tier
- 100%
- Prior auth required
What the CMS Formulary Data Shows for cyclosporine, modified 100 MG Oral Capsule [Neoral]
Per the CMS 2026 Part D formulary file, cyclosporine, modified 100 MG Oral Capsule [Neoral] (RxNorm concept RXCUI 835911, generic name cyclosporine,) appears on 8 distinct formulary files spanning 120 Medicare Part D plan offerings - 2.4% 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 3.1.
Real-world access to cyclosporine, modified 100 MG Oral Capsule [Neoral] depends on utilization management as much as tier placement: 100% 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 492,479 Part D beneficiaries filled cyclosporine, modified 100 MG Oral Capsule [Neoral] in 2023, with total plan-and-beneficiary spending of $1,501,664,198 and an average per-beneficiary annual cost of $3,049.19. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry cyclosporine, modified 100 MG Oral Capsule [Neoral] today.
Coverage Details
- Formularies covering
- 8
- Plans covering
- 120
- Coverage rate
- 2.4%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 100% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 492,479
- Total spending
- $1,501,664,198
- Avg per beneficiary
- $3,049.19
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering cyclosporine, modified 100 MG Oral Capsule [Neoral]
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 | Yes | $0 | NY |
| CalOptima Health OneCare Complete (HMO D-SNP) | Orange County Health Authority | T1 | Yes | $0 | CA |
| Hamaspik Medicare Select (HMO D-SNP) | Hamaspik, Inc. | T1 | Yes | $34.50 | NY |
| MMM Supremo (HMO C-SNP) | MMM Healthcare, LLC | T3 | Yes | $0 | PR |
| MMM Diamante Platino (HMO D-SNP) | MMM Healthcare, LLC | T3 | Yes | $0 | PR |
| MMM Unico (HMO-POS) | MMM Healthcare, LLC | T3 | Yes | $0 | PR |
| MMM Elite (HMO-POS) | MMM Healthcare, LLC | T3 | Yes | $0 | PR |
| MMM Deluxe (HMO-POS) | MMM Healthcare, LLC | T3 | Yes | $0 | PR |
| MMM Dorado Platino (HMO D-SNP) | MMM Healthcare, LLC | T3 | Yes | $0 | PR |
| PMC Premier Platino (HMO D-SNP) | MMM Healthcare, LLC | T3 | Yes | $0 | PR |
| PMC Max (HMO-POS) | MMM Healthcare, LLC | T3 | Yes | $0 | PR |
| MMM Plenitud (HMO-POS) | MMM Healthcare, LLC | T3 | Yes | $0 | PR |
| MMM Valioso (HMO-POS) | MMM Healthcare, LLC | T3 | Yes | $0 | PR |
| MMM Combo Platino (HMO D-SNP) | MMM Healthcare, LLC | T3 | Yes | $0 | PR |
| MMM Flexi Platino (HMO D-SNP) | MMM Healthcare, LLC | T3 | Yes | $0 | PR |
| MMM Grandioso (HMO-POS) | MMM Healthcare, LLC | T3 | Yes | $0 | PR |
| MMM Mega Flex (HMO-POS) | MMM Healthcare, LLC | T3 | Yes | $0 | PR |
| MMM Relax Platino (HMO D-SNP) | MMM Healthcare, LLC | T3 | Yes | $0 | PR |
| MMM Balance (HMO-POS) | MMM Healthcare, LLC | T3 | Yes | $0 | PR |
| Medicare BlueEssential (PPO) | Excellus Health Plan, Inc. | T4 | Yes | $0 | NY |
Show the next 30 plans
| Medicare BlueActive (PPO) | Excellus Health Plan, Inc. | T4 | Yes | $0 | NY |
| Medicare BlueVital (PPO) | Excellus Health Plan, Inc. | T4 | Yes | $0 | NY |
| Univera SeniorChoice Basic (HMO) | Excellus Health Plan, Inc. | T4 | Yes | $0 | NY |
| Univera SeniorChoice Extra (HMO) | Excellus Health Plan, Inc. | T4 | Yes | $0 | NY |
| Medicare Blue Choice Core (HMO) | Excellus Health Plan, Inc. | T4 | Yes | $0 | NY |
| Univera Medicare Dual (HMO D-SNP) | Excellus Health Plan Community Care LLC | T4 | Yes | $0 | NY |
| Medicare Blue Dual (HMO D-SNP) | Excellus Health Plan Community Care LLC | T4 | Yes | $0 | NY |
| Óptimo Plus (PPO) | Triple S Advantage, Inc. | T4 | Yes | $0 | PR |
| Contigo Plus (HMO C-SNP) | Triple S Advantage, Inc. | T4 | Yes | $0 | PR |
| Brillante (HMO-POS) | Triple S Advantage, Inc. | T4 | Yes | $0 | PR |
| Enlace Plus (HMO) | Triple S Advantage, Inc. | T4 | Yes | $0 | PR |
| ContigoEnMente (HMO C-SNP) | Triple S Advantage, Inc. | T4 | Yes | $0 | PR |
| Ahorro Plus (HMO) | Triple S Advantage, Inc. | T4 | Yes | $0 | PR |
| CDPHP $0 Medicare Rx (HMO) | Capital District Physicians' Health Plan, Inc. | T4 | Yes | $0 | NY |
| SCAN Connections (HMO D-SNP) | Scan Health Plan | T4 | Yes | $0 | CA |
| SCAN Connections at Home (HMO D-SNP) | Scan Health Plan | T4 | Yes | $0 | CA |
| SCAN Classic (HMO) | Scan Health Plan Nevada, Inc. | T4 | Yes | $0 | NV |
| SCAN Balance (HMO C-SNP) | Scan Health Plan Nevada, Inc. | T4 | Yes | $0 | NV |
| SCAN Strive (HMO C-SNP) | Scan Health Plan Nevada, Inc. | T4 | Yes | $0 | NV |
| SCAN MyChoice (HMO) | Scan Health Plan Nevada, Inc. | T4 | Yes | $0 | NV |
| SCAN Classic (HMO) | Scan Desert Health Plan, Inc. | T4 | Yes | $0 | AZ |
| SCAN Balance (HMO C-SNP) | Scan Desert Health Plan, Inc. | T4 | Yes | $0 | AZ |
| SCAN Embrace (HMO-POS I-SNP) | Scan Desert Health Plan, Inc. | T4 | Yes | $0 | AZ |
| SCAN Strive (HMO C-SNP) | Scan Desert Health Plan, Inc. | T4 | Yes | $0 | AZ |
| SCAN MyChoice (HMO) | Scan Desert Health Plan, Inc. | T4 | Yes | $0 | AZ |
| SCAN Classic WA (HMO) | Scan Health Plan (WA) | T4 | Yes | $0 | WA |
| SCAN MyChoice WA (HMO) | Scan Health Plan (WA) | T4 | Yes | $0 | WA |
| SCAN Classic (HMO) | Scan Health Plan (NM) | T4 | Yes | $0 | NM |
| SCAN Balance (HMO C-SNP) | Scan Health Plan (NM) | T4 | Yes | $0 | NM |
| SCAN Strive (HMO C-SNP) | Scan Health Plan (NM) | T4 | Yes | $0 | NM |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is cyclosporine, modified 100 MG Oral Capsule [Neoral] covered by Medicare Part D?
Yes, cyclosporine, modified 100 MG Oral Capsule [Neoral] is covered by 120 Medicare Part D plans (2.4% of all Part D formularies).
What tier is cyclosporine, modified 100 MG Oral Capsule [Neoral] on Medicare Part D plans?
cyclosporine, modified 100 MG Oral Capsule [Neoral] averages Tier 3.1 across Part D plans, ranging from Tier 1 to Tier 4.
Does cyclosporine, modified 100 MG Oral Capsule [Neoral] require prior authorization?
100% of Part D formularies require prior authorization for cyclosporine, modified 100 MG Oral Capsule [Neoral]. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on cyclosporine, modified 100 MG Oral Capsule [Neoral]?
In 2023, total Medicare Part D spending on cyclosporine, modified 100 MG Oral Capsule [Neoral] was $1,501,664,198, covering 492,479 beneficiaries. The average spend per beneficiary was $3,049.19.
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
- metronidazole 7.5 MG/ML Topical Lotion T3.1
- rifaximin 200 MG Oral Tablet [XIFAXAN] T3.1
- 5 ML hydromorphone hydrochloride 10 MG/ML Injection T3.1
- ospemifene 60 MG Oral Tablet [Osphena] T3.1
- 24 HR pramipexole dihydrochloride 0.75 MG Extended Release Oral Tablet T3.1
- levonorgestrel 0.000729 MG/HR Intrauterine System [Kyleena] T3.1
Similar prior-authorization rate
- sodium phenylbutyrate 0.483 MG/MG Oral Pellet [Pheburane] 100% PA
- formoterol fumarate 0.01 MG/ML Inhalation Solution [Perforomist] 100% PA
- lusutrombopag 3 MG Oral Tablet [Mulpleta] 100% PA
- 12 HR tapentadol 100 MG Extended Release Oral Tablet [Nucynta] 100% PA
- {14 (24 HR lamotrigine 100 MG Extended Release Oral Tablet [Lamictal]) / 7 (24 HR lamotrigine 200 MG Extended Release Oral Tablet [Lamictal]) / 14 (24 HR lamotrigine 50 MG Extended Release Oral Tablet [Lamictal]) } Pack [Lamictal XR Green Patient Titration Kit (for Patients Taking Carbamazepine, Phenytoin, Phenobarbital, or Primidone, and Not Taking Valproate)] 100% PA
- eltrombopag 25 MG Oral Tablet [Promacta] 100% PA