Medicare Part D coverage · demeclocycline hydrochloride · RxCUI 905341
demeclocycline hydrochloride 150 MG Oral Tablet
Per the CMS 2026 Part D formulary file, demeclocycline hydrochloride 150 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
What the CMS Formulary Data Shows for demeclocycline hydrochloride 150 MG Oral Tablet
Per the CMS 2026 Part D formulary file, demeclocycline hydrochloride 150 MG Oral Tablet (RxNorm concept RXCUI 905341, 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 150 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 150 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 150 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
Medicare Advantage Plans (MA-PD) Covering demeclocycline hydrochloride 150 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 150 MG Oral Tablet covered by Medicare Part D?
Yes, demeclocycline hydrochloride 150 MG Oral Tablet is covered by 2,268 Medicare Part D plans (44.9% of all Part D formularies).
What tier is demeclocycline hydrochloride 150 MG Oral Tablet on Medicare Part D plans?
demeclocycline hydrochloride 150 MG Oral Tablet averages Tier 3 across Part D plans, ranging from Tier 1 to Tier 4.
Does demeclocycline hydrochloride 150 MG Oral Tablet require prior authorization?
0.6% of Part D formularies require prior authorization for demeclocycline hydrochloride 150 MG Oral Tablet. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on demeclocycline hydrochloride 150 MG Oral Tablet?
In 2023, total Medicare Part D spending on demeclocycline hydrochloride 150 MG Oral Tablet was $5,883,090, covering 2,089 beneficiaries. The average spend per beneficiary was $2,816.22.
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
- {1 (aprepitant 125 MG Oral Capsule) / 2 (aprepitant 80 MG Oral Capsule) } Pack T3
- atovaquone 150 MG/ML Oral Suspension T3
- chlorpromazine hydrochloride 10 MG Oral Tablet T3
- nitroglycerin 0.004 MG/MG Rectal Ointment T3
- raltegravir 25 MG Chewable Tablet [Isentress] T3
- risperidone 2 MG Disintegrating Oral Tablet T3
Similar prior-authorization rate
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- 0.8 ML chikungunya virus antigen, recombinant Senegal strain 37997 0.05 MG/ML Prefilled Syringe [Vimkunya] 0.6% PA
- latanoprostene bunod 0.24 MG/ML Ophthalmic Solution [Vyzulta] 0.6% PA
- isocarboxazid 10 MG Oral Tablet [Marplan] 0.6% PA
- etonogestrel 68 MG Drug Implant [Nexplanon] 0.6% PA
- 3 ML insulin lispro 50 UNT/ML / insulin lispro protamine, human 50 UNT/ML Pen Injector [Humalog Mix] 0.6% PA