Medicare Part D coverage · demeclocycline hydrochloride · RxCUI 905347

demeclocycline hydrochloride 300 MG Oral Tablet

Per the CMS 2026 Part D formulary file, demeclocycline hydrochloride 300 MG Oral Tablet is covered by 2,268 Medicare Part D plans (44.9% of enrollable products), averaging Tier 3, with prior authorization required on 0.6% of covering formularies.

44.9%
Plan coverage
2,268
Plans covering
T3
Avg tier
0.6%
Prior auth required

Verify with CMS →

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.

What the CMS Formulary Data Shows for demeclocycline hydrochloride 300 MG Oral Tablet

Per the CMS 2026 Part D formulary file, demeclocycline hydrochloride 300 MG Oral Tablet (RxNorm concept RXCUI 905347, generic name demeclocycline hydrochloride) appears on 155 distinct formulary files spanning 2,268 Medicare Part D plan offerings - 44.9% 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.

Real-world access to demeclocycline hydrochloride 300 MG Oral Tablet depends on utilization management as much as tier placement: 0.6% 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 2,089 Part D beneficiaries filled demeclocycline hydrochloride 300 MG Oral Tablet in 2023, with total plan-and-beneficiary spending of $5,883,090 and an average per-beneficiary annual cost of $2,816.22. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry demeclocycline hydrochloride 300 MG Oral Tablet today.

Coverage Details

Formularies covering
155
Plans covering
2,268
Coverage rate
44.9%
Tier range
Tier 1 – Tier 4
Average tier
Tier 3, Preferred Brand

Restrictions

Prior authorization required
0.6% of formularies
Step therapy required
0% of formularies
Quantity limits
0% of formularies

2023 Medicare Spending

Beneficiaries
2,089
Total spending
$5,883,090
Avg per beneficiary
$2,816.22

Tier Distribution Across Plans

94 plans
Tier 1, Preferred Generic
6 plans
Tier 2, Generic

Medicare Advantage Plans (MA-PD) Covering demeclocycline hydrochloride 300 MG Oral Tablet

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

Plan Insurer Tier PA Premium States
Sentara Community Complete Select (HMO D-SNP) Sentara Health Plans T1 No $0 VA
Sentara Community Complete (HMO D-SNP) Sentara Health Plans T1 No $0 VA
ElderServe MAP (HMO D-SNP) Elderserve Health, Inc. T1 No $0 NY
Cooperative Advantage (HMO D-SNP) Group Health Cooperative OF EAU Claire T1 No $0 WI
Longevity Health Plan (PPO I-SNP) Longevity Health Plan OF NEW Jersey Insurance Comp T1 No $0 NJ
Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP) Upper Peninsula Health Plan, LLC T1 No $0 MI
CareSource Dual Advantage (HMO D-SNP) Caresource Georgia Co. T1 No $0 GA
HAP CareSource MI Coordinated Health (HMO D-SNP) HAP Caresource T1 No $0 MI
CareAdvantage (HMO D-SNP) SAN Mateo Health Commission T1 No $0 CA
Gold Coast Health Plan Total Care Advantage (HMO D-SNP) Ventura County Medi-Cal Managed Care Commission T1 No $0 CA
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) Health Care Service Corporation T1 No $0 NM
Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) Health Care Service Corporation T1 No $0 NM
SecureBlue (HMO D-SNP) HMO Minnesota T1 No $0 MN
Hamaspik Medicare Choice (HMO D-SNP) Hamaspik, Inc. T1 No $0 NY
PHP (HMO C-snp) Aids Healthcare Foundation T1 No $0 CA
Elevate Medicare Choice (HMO D-SNP) Denver Health Medical Plan, Inc. T1 No $0 CO
AllCare Advantage Redwood Rx (HMO D-SNP) Allcare Health Plan, Inc. T1 No $0 OR
PrimeWest Senior Health Complete (HMO D-SNP) Primewest Rural MN Health Care Access Initiative T1 No $0 MN
Prime Health Complete (HMO D-SNP) Primewest Rural MN Health Care Access Initiative T1 No $0 MN
DualConnect (HMO D-SNP) Santa Clara County Health Authority T1 No $0 CA
Show the next 30 plans
VNS Health Total (HMO D-SNP) VNS Choice T1 No $0 NY
Alterwood Advantage Dual Secure (HMO D-SNP) Alterwood Advantage, Inc. T1 No $0 MD
Nascentia Dual Advantage (HMO D-SNP) Visiting Nurse Association OF Central NEW York T1 No $0 NY
Provider Partners Pennsylvania Community Plan (HMO I-SNP) Provider Partners Health Plan OF Pennsylvania, Inc T1 No $0 PA
Provider Partners North Carolina Community Plan (HMO I-SNP) Provider Partners Health Plan OF North Carolina T1 No $0 NC
Provider Partners Indiana Community Plan (HMO I-SNP) Provider Partners Health Plan OF Indiana T1 No $0 IN
Provider Partners Missouri Community Plan (HMO I-SNP) Provider Partners Health Plan OF Missouri, Inc. T1 No $0 MO
Abilis Health Community (HMO I-SNP) Signature Advantage, LLC T1 No $0 KY, TN
Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) Arkansas Superior Select, Inc. T1 No $0 AR
Community Care's Partnership Program (HMO D-SNP) Community Care Health Plan, Inc. T1 No $0 WI
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 No $0 MA
Mass General Brigham One Care (HMO D-SNP) Mass General Brigham Health Plan, Inc T1 No $0 MA
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) Gateway Health Plan, Inc. T1 No $0 PA
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) Gateway Health Plan, Inc. T1 No $0 PA
Highmark Health Options Duals (HMO D-SNP) Highmark Health Options West Virginia Inc. T1 No $0 WV
Highmark Health Options Duals (HMO D-SNP) Highmark Bcbsd, Inc. T1 No $0 DE
Longevity Health Plan (HMO I-SNP) Longevity Health Plan OF Florida, Inc. T1 No $4.80 FL
American Health Advantage of Florida (HMO I-SNP) American Health Plan OF FL, Inc. T1 No $4.80 FL
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) Hcsc Insurance Services Company T1 No $4.80 TX
Gold Dialysis & Kidney Complete (HMO-POS C-SNP) Gold Kidney OF Florida Inc T1 No $4.80 FL
Provider Partners Texas Advantage Plan (HMO I-SNP) Provider Partners Health Plan OF Texas, Inc. T1 No $4.80 TX
Texas Independence Health Plan, Inc. (HMO I-SNP) Texas Independence Health Plan, Inc. T1 No $4.80 TX
Texas Independence Community Plan (HMO I-SNP) Texas Independence Health Plan, Inc. T1 No $4.80 TX
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) GHS Insurance Company T1 No $5.00 OK
Longevity Health Plan (HMO I-SNP) Longevity Health Plan OF Michigan, Inc. T1 No $8.80 MI
Tribute Select (HMO-POS I-SNP) Arkansas Superior Select, Inc. T1 No $8.90 AR
ATRIO Special Needs Plan (HMO D-SNP) Atrio Health Plans T1 No $10.50 OR
ATRIO Special Needs Plan (HMO D-SNP) Atrio Health Plans T1 No $10.50 OR
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) Gateway Health Plan, Inc. T1 No $13.10 PA

Showing top 50 of 100 plans.

Frequently Asked Questions

Is demeclocycline hydrochloride 300 MG Oral Tablet covered by Medicare Part D?

Yes, demeclocycline hydrochloride 300 MG Oral Tablet is covered by 2,268 Medicare Part D plans (44.9% of all Part D formularies).

What tier is demeclocycline hydrochloride 300 MG Oral Tablet on Medicare Part D plans?

demeclocycline hydrochloride 300 MG Oral Tablet averages Tier 3 across Part D plans, ranging from Tier 1 to Tier 4.

Does demeclocycline hydrochloride 300 MG Oral Tablet require prior authorization?

0.6% of Part D formularies require prior authorization for demeclocycline hydrochloride 300 MG Oral Tablet. Step therapy: 0%. Quantity limits: 0%.

How much does Medicare spend on demeclocycline hydrochloride 300 MG Oral Tablet?

In 2023, total Medicare Part D spending on demeclocycline hydrochloride 300 MG Oral Tablet was $5,883,090, covering 2,089 beneficiaries. The average spend per beneficiary was $2,816.22.

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.

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