diclofenac potassium 25 MG Oral Tablet
diclofenac potassium
RxCUI: 857702
What the CMS Formulary Data Shows for diclofenac potassium 25 MG Oral Tablet
Per the CMS 2026 Part D formulary file, diclofenac potassium 25 MG Oral Tablet (RxNorm concept RXCUI 857702, generic name diclofenac potassium) appears on 1 distinct formulary file spanning 1 Medicare Part D plan offering - 0% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 1, with a cross-plan average of Tier 1.
Real-world access to diclofenac potassium 25 MG Oral Tablet depends on utilization management as much as tier placement: 0% 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 147,980 Part D beneficiaries filled diclofenac potassium 25 MG Oral Tablet 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 25 MG Oral Tablet today.
Coverage Details
- Formularies covering
- 1
- Plans covering
- 1
- Coverage rate
- 0%
- Tier range
- Tier 1, Preferred Generic
- Average tier
- Tier 1, Preferred Generic
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% 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 25 MG Oral Tablet
1 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Community Care's Partnership Program (HMO D-SNP) | COMMUNITY CARE HEALTH PLAN, INC. | T1 | No | $0 | WI |
Frequently Asked Questions
Is diclofenac potassium 25 MG Oral Tablet covered by Medicare Part D?
Yes, diclofenac potassium 25 MG Oral Tablet is covered by 1 Medicare Part D plans (0% of all Part D formularies).
What tier is diclofenac potassium 25 MG Oral Tablet on Medicare Part D plans?
diclofenac potassium 25 MG Oral Tablet averages Tier 1 across Part D plans, ranging from Tier 1 to Tier 1.
Does diclofenac potassium 25 MG Oral Tablet require prior authorization?
0% of Part D formularies require prior authorization for diclofenac potassium 25 MG Oral Tablet. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on diclofenac potassium 25 MG Oral Tablet?
In 2023, total Medicare Part D spending on diclofenac potassium 25 MG Oral Tablet 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.