Medicare Part D coverage · digoxin · RxCUI 197606
digoxin 0.25 MG Oral Tablet
Per the CMS 2026 Part D formulary file, digoxin 0.25 MG Oral Tablet is covered by 5,052 Medicare Part D plans (100% of enrollable products), averaging Tier 1.7, with prior authorization required on 2.4% of covering formularies.
- 100%
- Plan coverage
- 5,052
- Plans covering
- T1.7
- Avg tier
- 2.4%
- Prior auth required
What the CMS Formulary Data Shows for digoxin 0.25 MG Oral Tablet
Per the CMS 2026 Part D formulary file, digoxin 0.25 MG Oral Tablet (RxNorm concept RXCUI 197606, generic name digoxin) appears on 328 distinct formulary files spanning 5,052 Medicare Part D plan offerings - 100% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 6, with a cross-plan average of Tier 1.7.
Real-world access to digoxin 0.25 MG Oral Tablet depends on utilization management as much as tier placement: 2.4% of covering formularies require prior authorization. 0% require step therapy. 48.2% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 392,747 Part D beneficiaries filled digoxin 0.25 MG Oral Tablet in 2023, with total plan-and-beneficiary spending of $49,736,784 and an average per-beneficiary annual cost of $126.64. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry digoxin 0.25 MG Oral Tablet today.
Coverage Details
- Formularies covering
- 328
- Plans covering
- 5,052
- Coverage rate
- 100%
- Tier range
- Tier 1 – Tier 6
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 2.4% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 48.2% of formularies
2023 Medicare Spending
- Beneficiaries
- 392,747
- Total spending
- $49,736,784
- Avg per beneficiary
- $126.64
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering digoxin 0.25 MG Oral Tablet
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| UHC Complete Care WI-1 (PPO C-SNP) | Unitedhealthcare Insurance Company | T1 | No | $0 | WI |
| UHC Complete Care AL-5 (HMO-POS C-SNP) | Unitedhealthcare OF THE Midlands, Inc. | T1 | No | $0 | AL |
| UHC Complete Care CA-15P (HMO-POS C-SNP) | UHC OF California | T1 | No | $0 | CA |
| UHC Complete Care CA-18P (HMO-POS C-SNP) | UHC OF California | T1 | No | $0 | CA |
| UHC Complete Care CA-19P (HMO-POS C-SNP) | UHC OF California | T1 | No | $0 | CA |
| UHC Complete Care CA-20P (HMO-POS C-SNP) | UHC OF California | T1 | No | $0 | CA |
| UHC Complete Care CA-27P (HMO-POS C-SNP) | UHC OF California | T1 | No | $0 | CA |
| UHC Complete Care NV-4 (HMO-POS C-SNP) | UnitedHealthcare Benefits of Texas, Inc. | T1 | No | $0 | NV |
| UHC Complete Care AZ-1P (HMO-POS C-SNP) | UnitedHealthcare Benefits of Texas, Inc. | T1 | No | $0 | AZ |
| UHC Complete Care AZ-3P (HMO-POS C-SNP) | UnitedHealthcare Benefits of Texas, Inc. | T1 | No | $0 | AZ |
| UHC Complete Care CO-1P (HMO-POS C-SNP) | UnitedHealthcare Benefits of Texas, Inc. | T1 | No | $0 | CO |
| UHC Complete Care CO-2P (HMO-POS C-SNP) | UnitedHealthcare Benefits of Texas, Inc. | T1 | No | $0 | CO |
| UHC Complete Care TX-24 (HMO-POS C-SNP) | UnitedHealthcare Benefits of Texas, Inc. | T1 | No | $0 | TX |
| UHC Complete Care TX-3P (HMO-POS C-SNP) | UnitedHealthcare Benefits of Texas, Inc. | T1 | No | $0 | TX |
| UHC Complete Care CO-19 (HMO-POS C-SNP) | UnitedHealthcare Benefits of Texas, Inc. | T1 | No | $0 | CO |
| UHC Complete Care Support NV-11 (HMO-POS C-SNP) | UnitedHealthcare Benefits of Texas, Inc. | T1 | No | $0 | NV |
| UHC Preferred Complete Care FL-0003 (HMO C-SNP) | Preferred Care Partners, Inc. | T1 | No | $0 | FL |
| UHC Complete Care FL-14 (HMO-POS C-SNP) | Preferred Care Partners, Inc. | T1 | No | $0 | FL |
| UHC Complete Care AR-5 (PPO C-SNP) | Care Improvement Plus South Central Insurance Co. | T1 | No | $0 | AR |
| UHC Complete Care GA-3 (PPO C-SNP) | Care Improvement Plus South Central Insurance Co. | T1 | No | $0 | GA |
Show the next 30 plans
| UHC Complete Care AR-6 (PPO C-SNP) | Care Improvement Plus South Central Insurance Co. | T1 | No | $0 | AR |
| Peoples Health Complete Care LA-5 (HMO-POS C-SNP) | Peoples Health, Inc. | T1 | No | $0 | LA |
| Peoples Health Complete Care LA-6 (HMO-POS C-SNP) | Peoples Health, Inc. | T1 | No | $0 | LA |
| Peoples Health Complete Care LA-7 (HMO-POS C-SNP) | Peoples Health, Inc. | T1 | No | $0 | LA |
| UHC Complete Care Support NM-1A (PPO C-SNP) | Sierra Health AND Life Insurance Company, Inc. | T1 | No | $0 | NM |
| UHC Complete Care Support EP-1A (PPO C-SNP) | Sierra Health AND Life Insurance Company, Inc. | T1 | No | $0 | NM |
| UHC Complete Care Support NM-2A (PPO C-SNP) | Sierra Health AND Life Insurance Company, Inc. | T1 | No | $0 | NM |
| UHC Complete Care MO-1 (PPO C-SNP) | Sierra Health AND Life Insurance Company, Inc. | T1 | No | $0 | MO |
| UHC Complete Care SC-1 (PPO C-SNP) | Sierra Health AND Life Insurance Company, Inc. | T1 | No | $0 | SC |
| UHC Complete Care NM-11 (PPO C-SNP) | Sierra Health AND Life Insurance Company, Inc. | T1 | No | $0 | NM |
| UHC Complete Care MN-7 (PPO C-SNP) | Sierra Health AND Life Insurance Company, Inc. | T1 | No | $0 | MN |
| UHC Complete Care IN-21 (HMO-POS C-SNP) | Unitedhealthcare OF THE Midlands, Inc. | T1 | No | $0 | IN |
| UHC Complete Care KS-4 (HMO-POS C-SNP) | Unitedhealthcare OF THE Midlands, Inc. | T1 | No | $0 | KS |
| UHC Complete Care NY-30 (HMO-POS C-SNP) | Unitedhealthcare OF NEW York, Inc. | T1 | No | $0 | NY |
| UHC Complete Care NY-31 (HMO-POS C-SNP) | Unitedhealthcare OF NEW York, Inc. | T1 | No | $0 | NY |
| UHC Complete Care NY-33 (HMO-POS C-SNP) | Unitedhealthcare OF NEW York, Inc. | T1 | No | $0 | NY |
| UHC Complete Care OR-5 (HMO-POS C-SNP) | UnitedHealthcare Benefits of Texas, Inc. | T1 | No | $0 | OR |
| UHC Complete Care WA-13 (HMO-POS C-SNP) | UnitedHealthcare Benefits of Texas, Inc. | T1 | No | $0 | WA |
| UHC Complete Care TX-2P (HMO-POS C-SNP) | Unitedhealthcare Community Plan OF Texas, L.L.C. | T1 | No | $0 | TX |
| UHC Complete Care TX-16 (HMO-POS C-SNP) | Physicians Health Choice OF Texas, LLC | T1 | No | $0 | TX |
| UHC Complete Care TX-17 (HMO-POS C-SNP) | Physicians Health Choice OF Texas, LLC | T1 | No | $0 | TX |
| UHC Complete Care TX-18 (HMO-POS C-SNP) | Physicians Health Choice OF Texas, LLC | T1 | No | $0 | TX |
| UHC Complete Care TX-19 (HMO-POS C-SNP) | Physicians Health Choice OF Texas, LLC | T1 | No | $0 | TX |
| UHC Complete Care UT-6 (HMO-POS C-SNP) | Unitedhealthcare OF THE Rockies, Inc. | T1 | No | $0 | UT |
| UHC Complete Care ID-12 (HMO-POS C-SNP) | Unitedhealthcare OF THE Rockies, Inc. | T1 | No | $0 | ID |
| UHC Complete Care ID-13 (HMO-POS C-SNP) | Unitedhealthcare OF THE Rockies, Inc. | T1 | No | $0 | ID |
| UHC Complete Care MA-7 (HMO-POS C-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T1 | No | $0 | MA |
| UHC Complete Care ME-6 (HMO-POS C-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T1 | No | $0 | ME |
| UHC Complete Care RI-4 (HMO-POS C-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T1 | No | $0 | RI |
| UHC Complete Care OK-8 (HMO-POS C-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T1 | No | $0 | OK |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is digoxin 0.25 MG Oral Tablet covered by Medicare Part D?
Yes, digoxin 0.25 MG Oral Tablet is covered by 5,052 Medicare Part D plans (100% of all Part D formularies).
What tier is digoxin 0.25 MG Oral Tablet on Medicare Part D plans?
digoxin 0.25 MG Oral Tablet averages Tier 1.7 across Part D plans, ranging from Tier 1 to Tier 6.
Does digoxin 0.25 MG Oral Tablet require prior authorization?
2.4% of Part D formularies require prior authorization for digoxin 0.25 MG Oral Tablet. Step therapy: 0%. Quantity limits: 48.2%.
How much does Medicare spend on digoxin 0.25 MG Oral Tablet?
In 2023, total Medicare Part D spending on digoxin 0.25 MG Oral Tablet was $49,736,784, covering 392,747 beneficiaries. The average spend per beneficiary was $126.64.
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
- cefadroxil 500 MG Oral Capsule T1.7
- fluconazole 150 MG Oral Tablet T1.7
- nystatin 100000 UNT/ML Topical Cream T1.7
- dexamethasone 1 MG/ML / neomycin 3.5 MG/ML / polymyxin B 10000 UNT/ML Ophthalmic Suspension T1.7
- penicillin V potassium 50 MG/ML Oral Solution T1.7
- potassium chloride 10 MEQ Extended Release Oral Capsule T1.7
Similar prior-authorization rate
- 200 ACTUAT ipratropium bromide 0.017 MG/ACTUAT Metered Dose Inhaler [Atrovent] 2.4% PA
- felbamate 120 MG/ML Oral Suspension 2.4% PA
- 20 ML potassium chloride 2 MEQ/ML Injection 2.4% PA
- glycopyrrolate 0.2 MG/ML Oral Solution 2.4% PA
- 2.4 ML aripiprazole 300 MG/ML Prefilled Syringe [Abilify] 2.3% PA
- 3.2 ML aripiprazole 300 MG/ML Prefilled Syringe [Abilify] 2.3% PA