Medicare Part D coverage · digoxin · RxCUI 309889
digoxin 0.25 MG Oral Tablet [Lanoxin]
Per the CMS 2026 Part D formulary file, digoxin 0.25 MG Oral Tablet [Lanoxin] is covered by 97 Medicare Part D plans (1.9% of enrollable products), averaging Tier 3.2, with prior authorization required on 0% of covering formularies.
- 1.9%
- Plan coverage
- 97
- Plans covering
- T3.2
- Avg tier
- 0%
- Prior auth required
What the CMS Formulary Data Shows for digoxin 0.25 MG Oral Tablet [Lanoxin]
Per the CMS 2026 Part D formulary file, digoxin 0.25 MG Oral Tablet [Lanoxin] (RxNorm concept RXCUI 309889, generic name digoxin) appears on 5 distinct formulary files spanning 97 Medicare Part D plan offerings - 1.9% 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 digoxin 0.25 MG Oral Tablet [Lanoxin] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 20% 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 [Lanoxin] 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 [Lanoxin] today.
Coverage Details
- Formularies covering
- 5
- Plans covering
- 97
- Coverage rate
- 1.9%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 20% 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 [Lanoxin]
97 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Hamaspik Medicare Choice (HMO D-SNP) | Hamaspik, Inc. | T1 | No | $0 | NY |
| Hamaspik Medicare Select (HMO D-SNP) | Hamaspik, Inc. | T1 | No | $34.50 | NY |
| SCAN Connections (HMO D-SNP) | Scan Health Plan | T3 | No | $0 | CA |
| SCAN Connections at Home (HMO D-SNP) | Scan Health Plan | T3 | No | $0 | CA |
| SCAN Classic (HMO) | Scan Health Plan Nevada, Inc. | T3 | No | $0 | NV |
| SCAN Balance (HMO C-SNP) | Scan Health Plan Nevada, Inc. | T3 | No | $0 | NV |
| SCAN Strive (HMO C-SNP) | Scan Health Plan Nevada, Inc. | T3 | No | $0 | NV |
| SCAN MyChoice (HMO) | Scan Health Plan Nevada, Inc. | T3 | No | $0 | NV |
| SCAN Classic (HMO) | Scan Desert Health Plan, Inc. | T3 | No | $0 | AZ |
| SCAN Balance (HMO C-SNP) | Scan Desert Health Plan, Inc. | T3 | No | $0 | AZ |
| SCAN Embrace (HMO-POS I-SNP) | Scan Desert Health Plan, Inc. | T3 | No | $0 | AZ |
| SCAN Strive (HMO C-SNP) | Scan Desert Health Plan, Inc. | T3 | No | $0 | AZ |
| SCAN MyChoice (HMO) | Scan Desert Health Plan, Inc. | T3 | No | $0 | AZ |
| SCAN Classic WA (HMO) | Scan Health Plan (WA) | T3 | No | $0 | WA |
| SCAN MyChoice WA (HMO) | Scan Health Plan (WA) | T3 | No | $0 | WA |
| SCAN Classic (HMO) | Scan Health Plan (NM) | T3 | No | $0 | NM |
| SCAN Balance (HMO C-SNP) | Scan Health Plan (NM) | T3 | No | $0 | NM |
| SCAN Strive (HMO C-SNP) | Scan Health Plan (NM) | T3 | No | $0 | NM |
| SCAN MyChoice (HMO) | Scan Health Plan (NM) | T3 | No | $0 | NM |
| SCAN Classic (HMO) | Scan Health Plan | T3 | No | $0 | CA |
Show the next 30 plans
| SCAN Classic (HMO) | Scan Health Plan | T3 | No | $0 | CA |
| SCAN Classic (HMO) | Scan Health Plan | T3 | No | $0 | CA |
| SCAN Classic (HMO) | Scan Health Plan | T3 | No | $0 | CA |
| SCAN Classic (HMO) | Scan Health Plan | T3 | No | $0 | CA |
| SCAN Classic (HMO) | Scan Health Plan | T3 | No | $0 | CA |
| SCAN Classic (HMO) | Scan Health Plan | T3 | No | $0 | CA |
| SCAN Balance (HMO C-SNP) | Scan Health Plan | T3 | No | $0 | CA |
| SCAN Prime (HMO) | Scan Health Plan | T3 | No | $0 | CA |
| SCAN Classic (HMO) | Scan Health Plan | T3 | No | $0 | CA |
| SCAN Balance (HMO C-SNP) | Scan Health Plan | T3 | No | $0 | CA |
| SCAN Classic (HMO) | Scan Health Plan | T3 | No | $0 | CA |
| SCAN Balance (HMO C-SNP) | Scan Health Plan | T3 | No | $0 | CA |
| SCAN Alta (HMO) | Scan Health Plan | T3 | No | $0 | CA |
| SCAN Venture (HMO) | Scan Health Plan | T3 | No | $0 | CA |
| SCAN Venture (HMO) | Scan Health Plan | T3 | No | $0 | CA |
| SCAN Embrace (HMO I-SNP) | Scan Health Plan | T3 | No | $0 | CA |
| SCAN Embrace (HMO I-SNP) | Scan Health Plan | T3 | No | $0 | CA |
| SCAN Embrace (HMO-POS I-SNP) | Scan Health Plan | T3 | No | $0 | CA |
| SCAN Affirm partnered with Included LGBTQ+ Health (HMO) | Scan Health Plan | T3 | No | $0 | CA |
| SCAN Affirm partnered with Included LGBTQ+ Health (HMO) | Scan Health Plan | T3 | No | $0 | CA |
| SCAN Strive (HMO C-SNP) | Scan Health Plan | T3 | No | $0 | CA |
| SCAN Strive (HMO C-SNP) | Scan Health Plan | T3 | No | $0 | CA |
| SCAN Inspired by women for women (HMO) | Scan Health Plan | T3 | No | $0 | CA |
| SCAN Classic (HMO) | Scan Health Plan | T3 | No | $0 | CA |
| SCAN Balance (HMO C-SNP) | Scan Health Plan | T3 | No | $0 | CA |
| SCAN Balance (HMO C-SNP) | Scan Health Plan | T3 | No | $0 | CA |
| SCAN Balance (HMO C-SNP) | Scan Health Plan | T3 | No | $0 | CA |
| SCAN Balance (HMO C-SNP) | Scan Health Plan | T3 | No | $0 | CA |
| SCAN Affirm partnered with Included LGBTQ+ Health (HMO) | Scan Health Plan | T3 | No | $0 | CA |
| SCAN MyChoice (HMO) | Scan Health Plan | T3 | No | $0 | CA |
Showing top 50 of 97 plans.
Frequently Asked Questions
Is digoxin 0.25 MG Oral Tablet [Lanoxin] covered by Medicare Part D?
Yes, digoxin 0.25 MG Oral Tablet [Lanoxin] is covered by 97 Medicare Part D plans (1.9% of all Part D formularies).
What tier is digoxin 0.25 MG Oral Tablet [Lanoxin] on Medicare Part D plans?
digoxin 0.25 MG Oral Tablet [Lanoxin] averages Tier 3.2 across Part D plans, ranging from Tier 1 to Tier 4.
Does digoxin 0.25 MG Oral Tablet [Lanoxin] require prior authorization?
0% of Part D formularies require prior authorization for digoxin 0.25 MG Oral Tablet [Lanoxin]. Step therapy: 0%. Quantity limits: 20%.
How much does Medicare spend on digoxin 0.25 MG Oral Tablet [Lanoxin]?
In 2023, total Medicare Part D spending on digoxin 0.25 MG Oral Tablet [Lanoxin] 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
- 0.5 ML diazepam 5 MG/ML Rectal Gel T3.2
- phenytoin sodium 30 MG Extended Release Oral Capsule [Dilantin] T3.2
- alanine 8.8 MG/ML / arginine 4.89 MG/ML / glucose 50 MG/ML / glycine 4.38 MG/ML / histidine 2.04 MG/ML / isoleucine 2.55 MG/ML / leucine 3.11 MG/ML / lysine 2.47 MG/ML / methionine 1.7 MG/ML / phenylalanine 2.38 MG/ML / proline 2.89 MG/ML / serine 2.13 MG/ML / threonine 1.79 MG/ML / tryptophan 0.77 MG/ML / tyrosine 0.17 MG/ML / valine 2.47 MG/ML Injectable Solution [Clinimix 4.25/5] T3.2
- alanine 10.4 MG/ML / arginine 5.75 MG/ML / glucose 200 MG/ML / glycine 5.15 MG/ML / histidine 2.4 MG/ML / isoleucine 3 MG/ML / leucine 3.65 MG/ML / lysine 2.9 MG/ML / methionine 2 MG/ML / phenylalanine 2.8 MG/ML / proline 3.4 MG/ML / serine 2.5 MG/ML / threonine 2.1 MG/ML / tryptophan 0.9 MG/ML / tyrosine 0.2 MG/ML / valine 2.9 MG/ML Injectable Solution [Clinimix 5/20] T3.2
- citric acid 68.6 MG/ML / magnesium oxide 20 MG/ML / picosulfate sodium 0.0571 MG/ML Oral Solution [Clenpiq] T3.2
- fluorometholone acetate 1 MG/ML Ophthalmic Suspension [Flarex] T3.2