Medicare Part D coverage · deflazacort · RxCUI 153098
deflazacort 6 MG Oral Tablet
Per the CMS 2026 Part D formulary file, deflazacort 6 MG Oral Tablet is covered by 833 Medicare Part D plans (16.5% of enrollable products), averaging Tier 4.5, with prior authorization required on 96.2% of covering formularies.
- 16.5%
- Plan coverage
- 833
- Plans covering
- T4.5
- Avg tier
- 96.2%
- Prior auth required
What the CMS Formulary Data Shows for deflazacort 6 MG Oral Tablet
Per the CMS 2026 Part D formulary file, deflazacort 6 MG Oral Tablet (RxNorm concept RXCUI 153098, generic name deflazacort) appears on 26 distinct formulary files spanning 833 Medicare Part D plan offerings - 16.5% 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 4.5.
Real-world access to deflazacort 6 MG Oral Tablet depends on utilization management as much as tier placement: 96.2% of covering formularies require prior authorization. 0% require step therapy. 30.8% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 99 Part D beneficiaries filled deflazacort 6 MG Oral Tablet in 2023, with total plan-and-beneficiary spending of $15,369,330 and an average per-beneficiary annual cost of $155,245.76. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry deflazacort 6 MG Oral Tablet today.
Coverage Details
- Formularies covering
- 26
- Plans covering
- 833
- Coverage rate
- 16.5%
- Tier range
- Tier 1 – Tier 5
- Average tier
- Tier 5, Specialty
Restrictions
- Prior authorization required
- 96.2% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 30.8% of formularies
2023 Medicare Spending
- Beneficiaries
- 99
- Total spending
- $15,369,330
- Avg per beneficiary
- $155,245.76
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering deflazacort 6 MG Oral Tablet
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| CalOptima Health OneCare Complete (HMO D-SNP) | Orange County Health Authority | T1 | Yes | $0 | CA |
| Mass General Brigham SCO (HMO D-SNP) | Mass General Brigham Health Plan, Inc | T1 | Yes | $0 | MA |
| Mass General Brigham One Care (HMO D-SNP) | Mass General Brigham Health Plan, Inc | T1 | Yes | $0 | MA |
| UHC Dual Complete IA-S001 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T5 | Yes | $0 | IA |
| UHC Dual Complete MO-S001 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T5 | Yes | $0 | MO |
| UHC Dual Complete NE-S001 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T5 | Yes | $0 | NE |
| UHC Dual Complete KS-S001 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T5 | Yes | $0 | KS |
| UHC Dual Complete MO-S3 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T5 | Yes | $0 | MO |
| UHC Dual Complete KS-Q1 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T5 | Yes | $0 | KS |
| UHC Dual Complete TN-S001 (HMO-POS D-SNP) | Unitedhealthcare Plan OF THE River Valley, Inc. | T5 | Yes | $0 | TN |
| UHC Dual Complete TN-Y001 (HMO-POS D-SNP) | Unitedhealthcare Plan OF THE River Valley, Inc. | T5 | Yes | $0 | TN |
| UHC Dual Complete TN-Y2 (HMO-POS D-SNP) | Unitedhealthcare Plan OF THE River Valley, Inc. | T5 | Yes | $0 | TN |
| AARP Medicare Advantage from UHC MI-0001 (PPO) | Unitedhealthcare Insurance Company | T5 | Yes | $0 | MI |
| UHC Dual Complete NM-Y1 (PPO D-SNP) | Unitedhealthcare Insurance Company | T5 | Yes | $0 | NM |
| UHC Dual Complete NM-S1 (PPO D-SNP) | Unitedhealthcare Insurance Company | T5 | Yes | $0 | NM |
| UHC Dual Complete NM-V1 (PPO D-SNP) | Unitedhealthcare Insurance Company | T5 | Yes | $0 | NM |
| UHC Dual Complete AZ-S001 (HMO-POS D-SNP) | Arizona Physicians IPA, Inc. | T5 | Yes | $0 | AZ |
| UHC Dual Complete AZ-Y001 (HMO-POS D-SNP) | Arizona Physicians IPA, Inc. | T5 | Yes | $0 | AZ |
| UHC Dual Complete VA-Y4 (PPO D-SNP) | Care Improvement Plus South Central Insurance Co. | T5 | Yes | $0 | VA |
| AARP Medicare Advantage from UHC AL-0001 (HMO-POS) | Unitedhealthcare OF THE Midlands, Inc. | T5 | Yes | $0 | AL |
Show the next 30 plans
Showing top 50 of 100 plans.
Frequently Asked Questions
Is deflazacort 6 MG Oral Tablet covered by Medicare Part D?
Yes, deflazacort 6 MG Oral Tablet is covered by 833 Medicare Part D plans (16.5% of all Part D formularies).
What tier is deflazacort 6 MG Oral Tablet on Medicare Part D plans?
deflazacort 6 MG Oral Tablet averages Tier 4.5 across Part D plans, ranging from Tier 1 to Tier 5.
Does deflazacort 6 MG Oral Tablet require prior authorization?
96.2% of Part D formularies require prior authorization for deflazacort 6 MG Oral Tablet. Step therapy: 0%. Quantity limits: 30.8%.
How much does Medicare spend on deflazacort 6 MG Oral Tablet?
In 2023, total Medicare Part D spending on deflazacort 6 MG Oral Tablet was $15,369,330, covering 99 beneficiaries. The average spend per beneficiary was $155,245.76.
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
- risperidone 37.5 MG Injection [Risperdal] T4.5
- efinaconazole 100 MG/ML Topical Solution [Jublia] T4.5
- letermovir 20 MG Oral Pellet [Prevymis] T4.5
- tedizolid phosphate 200 MG Injection [Sivextro] T4.5
- 0.5 ML tbo-filgrastim 0.6 MG/ML Prefilled Syringe [Granix] T4.5
- 0.8 ML tbo-filgrastim 0.6 MG/ML Prefilled Syringe [Granix] T4.5
Similar prior-authorization rate
- solriamfetol 75 MG Oral Tablet [Sunosi] 96.2% PA
- droxidopa 100 MG Oral Capsule 96.2% PA
- droxidopa 300 MG Oral Capsule 96.2% PA
- dasatinib 100 MG Oral Tablet [Phyrago] 96.2% PA
- tolvaptan 15 MG Oral Tablet 96.3% PA
- sapropterin dihydrochloride 500 MG Powder for Oral Solution [Zelvysia] 96.1% PA