digoxin 0.0625 MG Oral Tablet
digoxin
RxCUI: 245273
What the CMS Formulary Data Shows for digoxin 0.0625 MG Oral Tablet
Per the CMS 2026 Part D formulary file, digoxin 0.0625 MG Oral Tablet (RxNorm concept RXCUI 245273, generic name digoxin) appears on 55 distinct formulary files spanning 2,247 Medicare Part D plan offerings - 44.3% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 6, with a cross-plan average of Tier 3.
Real-world access to digoxin 0.0625 MG Oral Tablet depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 41.8% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 392,747 Part D beneficiaries filled digoxin 0.0625 MG Oral Tablet in 2023, with total plan-and-beneficiary spending of $49,740,189 and an average per-beneficiary annual cost of $126.65. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry digoxin 0.0625 MG Oral Tablet today.
Coverage Details
- Formularies covering
- 55
- Plans covering
- 2,247
- Coverage rate
- 44.3%
- Tier range
- Tier 1 – Tier 6
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 41.8% of formularies
2023 Medicare Spending
- Beneficiaries
- 392,747
- Total spending
- $49,740,189
- Avg per beneficiary
- $126.65
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering digoxin 0.0625 MG Oral Tablet
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Aetna Medicare Chronic Care (HMO C-SNP) | AETNA HEALTH OF OHIO INC. | T1 | No | $0 | OH |
| Aetna Medicare Chronic Care (HMO C-SNP) | AETNA HEALTH OF OHIO INC. | T1 | No | $0 | OH |
| Aetna Medicare Chronic Care (HMO C-SNP) | AETNA HEALTH OF OHIO INC. | T1 | No | $0 | OH |
| Aetna Medicare Chronic Care (HMO C-SNP) | AETNA HEALTH OF OHIO INC. | T1 | No | $0 | OH |
| Aetna Medicare Chronic Care (PPO C-SNP) | SILVERSCRIPT INSURANCE COMPANY | T1 | No | $0 | GA |
| Aetna Medicare Chronic Care (HMO C-SNP) | COVENTRY HEALTH CARE OF MISSOURI, INC. | T1 | No | $0 | KS, MO |
| Aetna Medicare Chronic Care (HMO C-SNP) | COVENTRY HEALTH CARE OF MISSOURI, INC. | T1 | No | $0 | IL |
| Aetna Medicare Chronic Care (HMO C-SNP) | COVENTRY HEALTH CARE OF MISSOURI, INC. | T1 | No | $0 | MO |
| Aetna Medicare Chronic Care (HMO C-SNP) | AETNA BETTER HEALTH INC. (GA) | T1 | No | $0 | NC |
| Aetna Medicare Chronic Care (HMO C-SNP) | AETNA BETTER HEALTH INC. (GA) | T1 | No | $0 | SC |
| Aetna Medicare Chronic Care (HMO C-SNP) | AETNA HEALTH OF MICHIGAN INC. | T1 | No | $0 | MI |
| Aetna Medicare Chronic Care (HMO C-SNP) | AETNA BETTER HEALTH, INC. (LA) | T1 | No | $0 | LA |
| Aetna Medicare Chronic Care (HMO C-SNP) | AETNA HEALTH INC. (NY) | T1 | No | $0 | NY |
| Aetna Medicare Prime Chronic Care (HMO C-SNP) | AETNA HEALTH INC. (PA) | T1 | No | $0 | AZ |
| Aetna Medicare Chronic Care (HMO C-SNP) | AETNA HEALTH INC. (PA) | T1 | No | $0 | NV |
| Aetna Medicare Chronic Care (HMO C-SNP) | AETNA HEALTH INC. (PA) | T1 | No | $0 | PA |
| Aetna Medicare Chronic Care (HMO C-SNP) | AETNA HEALTH INC. (PA) | T1 | No | $0 | DE |
| Aetna Medicare Prime Chronic Care (HMO C-SNP) | AETNA HEALTH INC. (TX) | T1 | No | $0 | TX |
| Aetna Medicare Prime Chronic Care (HMO C-SNP) | AETNA HEALTH INC. (TX) | T1 | No | $0 | TX |
| Aetna Medicare Chronic Care (HMO C-SNP) | AETNA HEALTH INC. (GA) | T1 | No | $0 | GA |
| 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 |
| Allina Health Aetna Medicare Chronic (PPO C-SNP) | ALLINA HEALTH AND AETNA INSURANCE COMPANY | T1 | No | $0 | MN |
| Hamaspik Medicare Choice (HMO D-SNP) | HAMASPIK, INC. | T1 | No | $0 | NY |
| CalOptima Health OneCare Complete (HMO D-SNP) | ORANGE COUNTY HEALTH AUTHORITY | T1 | No | $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 |
| Aetna Medicare Prime Chronic Total (HMO C-SNP) | AETNA HEALTH INC. (TX) | T1 | No | $3.90 | TX |
| Aetna Medicare Chronic Care Total (HMO C-SNP) | AETNA HEALTH INC. (PA) | T1 | No | $7.40 | DE |
| Aetna Medicare Prime Chronic Total (HMO C-SNP) | COVENTRY HEALTH CARE OF ILLINOIS, INC. | T1 | No | $15.20 | IL |
| Aetna Medicare Chronic Care Total (HMO C-SNP) | AETNA BETTER HEALTH INC. (GA) | T1 | No | $17.20 | SC |
| Aetna Medicare Chronic Care Total (HMO C-SNP) | AETNA HEALTH OF OHIO INC. | T1 | No | $28.40 | OH |
| Aetna Medicare Chronic Care Total (HMO C-SNP) | AETNA HEALTH OF OHIO INC. | T1 | No | $28.60 | OH |
| Aetna Medicare Chronic Care Total (HMO C-SNP) | AETNA HEALTH OF OHIO INC. | T1 | No | $28.60 | OH |
| Aetna Medicare Chronic Care Total (HMO C-SNP) | AETNA HEALTH OF OHIO INC. | T1 | No | $28.60 | OH |
| Aetna Medicare Chronic Care Total (HMO C-SNP) | AETNA HEALTH OF OHIO INC. | T1 | No | $28.70 | OH |
| Aetna Medicare Chronic Care Value (HMO C-SNP) | AETNA HEALTH INC. (PA) | T1 | No | $28.80 | PA |
| Aetna Medicare Chronic Care Value (HMO C-SNP) | AETNA HEALTH INC. (PA) | T1 | No | $29.70 | PA |
| Aetna Medicare Chronic Care Value (HMO C-SNP) | AETNA HEALTH INC. (PA) | T1 | No | $32.70 | PA |
| Hamaspik Medicare Select (HMO D-SNP) | HAMASPIK, INC. | T1 | No | $34.50 | NY |
| Aetna Medicare Chronic Care Value (HMO C-SNP) | AETNA BETTER HEALTH INC. (GA) | T1 | No | $36.20 | NC |
| Aetna Medicare Chronic Care Total (HMO C-SNP) | AETNA HEALTH OF MICHIGAN INC. | T1 | No | $38.40 | IN |
| Aetna Medicare Chronic Care Total (HMO C-SNP) | AETNA HEALTH OF MICHIGAN INC. | T1 | No | $38.40 | IN |
| Allina Health Aetna Medicare Value (PPO C-SNP) | ALLINA HEALTH AND AETNA INSURANCE COMPANY | T1 | No | $41.50 | MN |
| Aetna Medicare Chronic Care Total (HMO C-SNP) | COVENTRY HEALTH CARE OF MISSOURI, INC. | T1 | No | $55.20 | KS |
| Aetna Medicare Signature (HMO) | AETNA HEALTH OF CALIFORNIA INC. | T2 | No | $0 | CA |
| Aetna Medicare Signature (HMO) | AETNA HEALTH OF CALIFORNIA INC. | T2 | No | $0 | CA |
| Aetna Medicare Signature Extra (HMO-POS) | AETNA HEALTH OF CALIFORNIA INC. | T2 | No | $0 | CA |
| Aetna Medicare Prime (HMO-POS) | AETNA HEALTH OF CALIFORNIA INC. | T2 | No | $0 | CA |
| Aetna Medicare Prime (HMO-POS) | AETNA HEALTH OF CALIFORNIA INC. | T2 | No | $0 | CA |
Frequently Asked Questions
Is digoxin 0.0625 MG Oral Tablet covered by Medicare Part D?
Yes, digoxin 0.0625 MG Oral Tablet is covered by 2,247 Medicare Part D plans (44.3% of all Part D formularies).
What tier is digoxin 0.0625 MG Oral Tablet on Medicare Part D plans?
digoxin 0.0625 MG Oral Tablet averages Tier 3 across Part D plans, ranging from Tier 1 to Tier 6.
Does digoxin 0.0625 MG Oral Tablet require prior authorization?
0% of Part D formularies require prior authorization for digoxin 0.0625 MG Oral Tablet. Step therapy: 0%. Quantity limits: 41.8%.
How much does Medicare spend on digoxin 0.0625 MG Oral Tablet?
In 2023, total Medicare Part D spending on digoxin 0.0625 MG Oral Tablet was $49,740,189, covering 392,747 beneficiaries. The average spend per beneficiary was $126.65.
Read our methodology - how this data is sourced, computed, and verified.