diclofenac potassium 50 MG Powder for Oral Solution
diclofenac potassium
RxCUI: 859063
What the CMS Formulary Data Shows for diclofenac potassium 50 MG Powder for Oral Solution
Per the CMS 2026 Part D formulary file, diclofenac potassium 50 MG Powder for Oral Solution (RxNorm concept RXCUI 859063, generic name diclofenac potassium) appears on 3 distinct formulary files spanning 23 Medicare Part D plan offerings - 0.5% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 2 to Tier 4, with a cross-plan average of Tier 3.
Real-world access to diclofenac potassium 50 MG Powder for Oral Solution depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 66.7% require step therapy. 100% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 147,980 Part D beneficiaries filled diclofenac potassium 50 MG Powder for Oral Solution in 2023, with total plan-and-beneficiary spending of $43,042,044 and an average per-beneficiary annual cost of $290.86. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry diclofenac potassium 50 MG Powder for Oral Solution today.
Coverage Details
- Formularies covering
- 3
- Plans covering
- 23
- Coverage rate
- 0.5%
- Tier range
- Tier 2 – Tier 4
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 66.7% of formularies
- Quantity limits
- 100% of formularies
2023 Medicare Spending
- Beneficiaries
- 147,980
- Total spending
- $43,042,044
- Avg per beneficiary
- $290.86
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering diclofenac potassium 50 MG Powder for Oral Solution
23 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Healthy Mississippi Premier Advantage (HMO-POS) | Healthy Mississippi, Inc. | T2 | No | $0 | MS |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T3 | No | $0 | UT |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T3 | No | $0 | NV |
| Select Health Medicare Dual (HMO D-SNP) | SELECTHEALTH, INC. | T3 | No | $0 | UT |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T3 | No | $0 | UT |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T3 | No | $0 | NV |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T3 | No | $0 | UT |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T3 | No | $0 | CO |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T3 | No | $0 | CO |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T3 | No | $0 | CO |
| Select Health Medicare Flex (HMO) | SELECTHEALTH, INC. | T3 | No | $0 | CO |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T3 | No | $0 | CO |
| Select Health Medicare Active (HMO) | SELECTHEALTH, INC. | T3 | No | $0 | CO |
| Select Health Medicare Dual (HMO D-SNP) | SELECTHEALTH, INC. | T3 | No | $0 | NV |
| Select Health Medicare Wellness (HMO) | SELECTHEALTH, INC. | T3 | No | $0 | NV |
| Network Health Select (PPO) | NETWORK HEALTH INSURANCE CORPORATION | T4 | No | $0 | WI |
| Network Health Go (PPO) | NETWORK HEALTH INSURANCE CORPORATION | T4 | No | $0 | WI |
| Network Health Anywhere (PPO) | NETWORK HEALTH INSURANCE CORPORATION | T4 | No | $0 | WI |
| Network Health Choice (PPO) | NETWORK HEALTH INSURANCE CORPORATION | T4 | No | $0 | WI |
| Network Health Zero (PPO) | NETWORK HEALTH INSURANCE CORPORATION | T4 | No | $0 | WI |
| Network Health Cares (PPO D-SNP) | NETWORK HEALTH INSURANCE CORPORATION | T4 | No | $21.10 | WI |
| Network Health PlusRx (PPO) | NETWORK HEALTH INSURANCE CORPORATION | T4 | No | $38.60 | WI |
| Network Health PremierRx (PPO) | NETWORK HEALTH INSURANCE CORPORATION | T4 | No | $92.80 | WI |
Frequently Asked Questions
Is diclofenac potassium 50 MG Powder for Oral Solution covered by Medicare Part D?
Yes, diclofenac potassium 50 MG Powder for Oral Solution is covered by 23 Medicare Part D plans (0.5% of all Part D formularies).
What tier is diclofenac potassium 50 MG Powder for Oral Solution on Medicare Part D plans?
diclofenac potassium 50 MG Powder for Oral Solution averages Tier 3 across Part D plans, ranging from Tier 2 to Tier 4.
Does diclofenac potassium 50 MG Powder for Oral Solution require prior authorization?
0% of Part D formularies require prior authorization for diclofenac potassium 50 MG Powder for Oral Solution. Step therapy: 66.7%. Quantity limits: 100%.
How much does Medicare spend on diclofenac potassium 50 MG Powder for Oral Solution?
In 2023, total Medicare Part D spending on diclofenac potassium 50 MG Powder for Oral Solution was $43,042,044, covering 147,980 beneficiaries. The average spend per beneficiary was $290.86.
Read our methodology - how this data is sourced, computed, and verified.