cyclosporine, modified 100 MG/ML Oral Solution [Neoral]
cyclosporine, modified
RxCUI: 835899
What the CMS Formulary Data Shows for cyclosporine, modified 100 MG/ML Oral Solution [Neoral]
Per the CMS 2026 Part D formulary file, cyclosporine, modified 100 MG/ML Oral Solution [Neoral] (RxNorm concept RXCUI 835899, generic name cyclosporine, modified) appears on 5 distinct formulary files spanning 99 Medicare Part D plan offerings - 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 2.6.
Real-world access to cyclosporine, modified 100 MG/ML Oral Solution [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/ML Oral Solution [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/ML Oral Solution [Neoral] today.
Coverage Details
- Formularies covering
- 5
- Plans covering
- 99
- Coverage rate
- 2%
- 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/ML Oral Solution [Neoral]
99 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 |
| 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 |
| 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 |
| SCAN MyChoice (HMO) | SCAN HEALTH PLAN (NM) | T4 | Yes | $0 | NM |
| SCAN Classic (HMO) | SCAN HEALTH PLAN | T4 | Yes | $0 | CA |
| SCAN Classic (HMO) | SCAN HEALTH PLAN | T4 | Yes | $0 | CA |
| SCAN Classic (HMO) | SCAN HEALTH PLAN | T4 | Yes | $0 | CA |
| SCAN Classic (HMO) | SCAN HEALTH PLAN | T4 | Yes | $0 | CA |
| SCAN Classic (HMO) | SCAN HEALTH PLAN | T4 | Yes | $0 | CA |
| SCAN Classic (HMO) | SCAN HEALTH PLAN | T4 | Yes | $0 | CA |
| SCAN Classic (HMO) | SCAN HEALTH PLAN | T4 | Yes | $0 | CA |
| SCAN Balance (HMO C-SNP) | SCAN HEALTH PLAN | T4 | Yes | $0 | CA |
Frequently Asked Questions
Is cyclosporine, modified 100 MG/ML Oral Solution [Neoral] covered by Medicare Part D?
Yes, cyclosporine, modified 100 MG/ML Oral Solution [Neoral] is covered by 99 Medicare Part D plans (2% of all Part D formularies).
What tier is cyclosporine, modified 100 MG/ML Oral Solution [Neoral] on Medicare Part D plans?
cyclosporine, modified 100 MG/ML Oral Solution [Neoral] averages Tier 2.6 across Part D plans, ranging from Tier 1 to Tier 4.
Does cyclosporine, modified 100 MG/ML Oral Solution [Neoral] require prior authorization?
100% of Part D formularies require prior authorization for cyclosporine, modified 100 MG/ML Oral Solution [Neoral]. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on cyclosporine, modified 100 MG/ML Oral Solution [Neoral]?
In 2023, total Medicare Part D spending on cyclosporine, modified 100 MG/ML Oral Solution [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.