dexlansoprazole 60 MG Delayed Release Oral Capsule

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dexlansoprazole

RxCUI: 833213

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.
41.5%
Plan Coverage
2,105
Plans Covering
T3.2
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for dexlansoprazole 60 MG Delayed Release Oral Capsule

Per the CMS 2026 Part D formulary file, dexlansoprazole 60 MG Delayed Release Oral Capsule (RxNorm concept RXCUI 833213, generic name dexlansoprazole) appears on 46 distinct formulary files spanning 2,105 Medicare Part D plan offerings - 41.5% 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 3.2.

Real-world access to dexlansoprazole 60 MG Delayed Release Oral Capsule depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 10.9% require step therapy. 84.8% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 178,875 Part D beneficiaries filled dexlansoprazole 60 MG Delayed Release Oral Capsule in 2023, with total plan-and-beneficiary spending of $315,328,215 and an average per-beneficiary annual cost of $1,762.84. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry dexlansoprazole 60 MG Delayed Release Oral Capsule today.

Coverage Details

Formularies covering
46
Plans covering
2,105
Coverage rate
41.5%
Tier range
Tier 1 – Tier 4
Average tier
Tier 3, Preferred Brand

Restrictions

Prior authorization required
0% of formularies
Step therapy required
10.9% of formularies
Quantity limits
84.8% of formularies

2023 Medicare Spending

Beneficiaries
178,875
Total spending
$315,328,215
Avg per beneficiary
$1,762.84

Tier Distribution Across Plans

18 plans
Tier 1, Preferred Generic
82 plans
Tier 2, Generic

Medicare Advantage Plans (MA-PD) Covering dexlansoprazole 60 MG Delayed Release Oral Capsule

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

Plan Insurer Tier PA Premium States
NaviCare (HMO D-SNP) FALLON COMMUNITY HEALTH PLAN T1 No $0 MA
Platino Blindao (HMO D-SNP) TRIPLE S ADVANTAGE, INC. T1 No $0 PR
Platino Enlace (HMO D-SNP) TRIPLE S ADVANTAGE, INC. T1 No $0 PR
PLATINO ADVANCE (HMO D-SNP) TRIPLE S ADVANTAGE, INC. T1 No $0 PR
PLATINO PLUS (HMO D-SNP) TRIPLE S ADVANTAGE, INC. T1 No $0 PR
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
Tufts Health One Care (HMO D-SNP) TUFTS HEALTH PUBLIC PLANS, INC. T1 No $0 MA
Tufts Health One Care CW (HMO D-SNP) TUFTS HEALTH PUBLIC PLANS, INC. T1 No $0 MA
Tufts Health Plan Senior Care Options (HMO D-SNP) TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION T1 No $0 MA
Tufts Health Plan Senior Care Options CW (HMO D-SNP) TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION T1 No $0 MA
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) GATEWAY HEALTH PLAN, INC. T1 No $13.10 PA
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) GATEWAY HEALTH PLAN, INC. T1 No $17.60 PA
Highmark Health Options Duals Select (HMO D-SNP) HIGHMARK BCBSD, INC. T1 No $31.20 DE
Wellpoint Medicare Advantage (HMO-POS) WELLPOINT WEST VIRGINIA , INC. T2 No $0 WV
Anthem Medicare Advantage 3 (HMO-POS) HealthKeepers, Inc. T2 No $0 VA
Anthem Medicare Advantage 3 (HMO-POS) HealthKeepers, Inc. T2 No $0 VA
Anthem Medicare Advantage 3 (HMO-POS) HealthKeepers, Inc. T2 No $0 VA
Wellpoint Medicare Advantage 2 (HMO-POS) WELLPOINT TENNESSEE, INC. T2 No $0 TN
Wellpoint Medicare Advantage 2 (HMO-POS) WELLPOINT TENNESSEE, INC. T2 No $0 TN
Wellpoint Medicare Advantage 2 (HMO-POS) WELLPOINT TENNESSEE, INC. T2 No $0 TN
Wellpoint Medicare Advantage 2 (HMO-POS) WELLPOINT TENNESSEE, INC. T2 No $0 TN
HealthSun HealthAdvantage Plan (HMO) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun MediMax (HMO) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun HealthAdvantage Plan (HMO) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun HealthAdvantage Plan (HMO) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun MediSun Plus (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun HealthAdvantage Plus (HMO) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun HealthAdvantage Plus (HMO) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun MediSun Extra (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun HealthAdvantage Plus (HMO) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun VitalCare (HMO C-SNP) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun VitalCare (HMO C-SNP) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun MediSun Full Dual Plus (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun MediSun Full Dual Extra (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL

Frequently Asked Questions

Is dexlansoprazole 60 MG Delayed Release Oral Capsule covered by Medicare Part D?

Yes, dexlansoprazole 60 MG Delayed Release Oral Capsule is covered by 2,105 Medicare Part D plans (41.5% of all Part D formularies).

What tier is dexlansoprazole 60 MG Delayed Release Oral Capsule on Medicare Part D plans?

dexlansoprazole 60 MG Delayed Release Oral Capsule averages Tier 3.2 across Part D plans, ranging from Tier 1 to Tier 4.

Does dexlansoprazole 60 MG Delayed Release Oral Capsule require prior authorization?

0% of Part D formularies require prior authorization for dexlansoprazole 60 MG Delayed Release Oral Capsule. Step therapy: 10.9%. Quantity limits: 84.8%.

How much does Medicare spend on dexlansoprazole 60 MG Delayed Release Oral Capsule?

In 2023, total Medicare Part D spending on dexlansoprazole 60 MG Delayed Release Oral Capsule was $315,328,215, covering 178,875 beneficiaries. The average spend per beneficiary was $1,762.84.

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