Medicare Part D coverage · dalbavancin · RxCUI 1539248
dalbavancin 500 MG Injection [Dalvance]
Per the CMS 2026 Part D formulary file, dalbavancin 500 MG Injection [Dalvance] is covered by 117 Medicare Part D plans (2.3% of enrollable products), averaging Tier 3.7, with prior authorization required on 0% of covering formularies.
- 2.3%
- Plan coverage
- 117
- Plans covering
- T3.7
- Avg tier
- 0%
- Prior auth required
What the CMS Formulary Data Shows for dalbavancin 500 MG Injection [Dalvance]
Per the CMS 2026 Part D formulary file, dalbavancin 500 MG Injection [Dalvance] (RxNorm concept RXCUI 1539248, generic name dalbavancin) appears on 3 distinct formulary files spanning 117 Medicare Part D plan offerings - 2.3% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 5, with a cross-plan average of Tier 3.7.
Real-world access to dalbavancin 500 MG Injection [Dalvance] depends on utilization management as much as tier placement: 0% 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 1,299 Part D beneficiaries filled dalbavancin 500 MG Injection [Dalvance] in 2023, with total plan-and-beneficiary spending of $13,677,432 and an average per-beneficiary annual cost of $10,529.20. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry dalbavancin 500 MG Injection [Dalvance] today.
Coverage Details
- Formularies covering
- 3
- Plans covering
- 117
- Coverage rate
- 2.3%
- Tier range
- Tier 1 – Tier 5
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 1,299
- Total spending
- $13,677,432
- Avg per beneficiary
- $10,529.20
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering dalbavancin 500 MG Injection [Dalvance]
100 Medicare Advantage plans with Part D drug coverage include this drug.
Show the next 30 plans
Showing top 50 of 100 plans.
Frequently Asked Questions
Is dalbavancin 500 MG Injection [Dalvance] covered by Medicare Part D?
Yes, dalbavancin 500 MG Injection [Dalvance] is covered by 117 Medicare Part D plans (2.3% of all Part D formularies).
What tier is dalbavancin 500 MG Injection [Dalvance] on Medicare Part D plans?
dalbavancin 500 MG Injection [Dalvance] averages Tier 3.7 across Part D plans, ranging from Tier 1 to Tier 5.
Does dalbavancin 500 MG Injection [Dalvance] require prior authorization?
0% of Part D formularies require prior authorization for dalbavancin 500 MG Injection [Dalvance]. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on dalbavancin 500 MG Injection [Dalvance]?
In 2023, total Medicare Part D spending on dalbavancin 500 MG Injection [Dalvance] was $13,677,432, covering 1,299 beneficiaries. The average spend per beneficiary was $10,529.20.
Read our methodology - how this data is sourced, computed, and verified.
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