Medicare Part D coverage · digoxin · RxCUI 393245
digoxin 0.05 MG/ML Oral Solution
Per the CMS 2026 Part D formulary file, digoxin 0.05 MG/ML Oral Solution is covered by 3,935 Medicare Part D plans (77.9% of enrollable products), averaging Tier 2.9, with prior authorization required on 1.7% of covering formularies.
- 77.9%
- Plan coverage
- 3,935
- Plans covering
- T2.9
- Avg tier
- 1.7%
- Prior auth required
What the CMS Formulary Data Shows for digoxin 0.05 MG/ML Oral Solution
Per the CMS 2026 Part D formulary file, digoxin 0.05 MG/ML Oral Solution (RxNorm concept RXCUI 393245, generic name digoxin) appears on 233 distinct formulary files spanning 3,935 Medicare Part D plan offerings - 77.9% of enrollable Part D products, mid-range placement; shopping across contracts changes access. Tier placement ranges from Tier 1 to Tier 6, with a cross-plan average of Tier 2.9.
Real-world access to digoxin 0.05 MG/ML Oral Solution depends on utilization management as much as tier placement: 1.7% of covering formularies require prior authorization. 0% require step therapy. 27% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 392,747 Part D beneficiaries filled digoxin 0.05 MG/ML Oral Solution 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 0.05 MG/ML Oral Solution today.
Coverage Details
- Formularies covering
- 233
- Plans covering
- 3,935
- Coverage rate
- 77.9%
- Tier range
- Tier 1 – Tier 6
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 1.7% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 27% 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 0.05 MG/ML Oral Solution
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 |
Show the next 30 plans
| 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 |
| Freedom VIP Care (HMO C-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom VIP Savings (HMO C-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom VIP Savings (HMO C-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom VIP Rewards (HMO C-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom VIP Rewards (HMO C-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Optimum Diamond Rewards (HMO C-SNP) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Optimum Diamond Savings (HMO C-SNP) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Optimum Diamond Rewards (HMO C-SNP) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Optimum Diamond (HMO C-SNP) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Freedom Medi-Medi Partial (HMO D-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Medi-Medi Full (HMO D-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Optimum Emerald Partial (HMO D-SNP) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Optimum Emerald Full (HMO D-SNP) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Freedom Medicare Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Medicare Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom VIP Savings COPD (HMO C-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom VIP Savings COPD (HMO C-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is digoxin 0.05 MG/ML Oral Solution covered by Medicare Part D?
Yes, digoxin 0.05 MG/ML Oral Solution is covered by 3,935 Medicare Part D plans (77.9% of all Part D formularies).
What tier is digoxin 0.05 MG/ML Oral Solution on Medicare Part D plans?
digoxin 0.05 MG/ML Oral Solution averages Tier 2.9 across Part D plans, ranging from Tier 1 to Tier 6.
Does digoxin 0.05 MG/ML Oral Solution require prior authorization?
1.7% of Part D formularies require prior authorization for digoxin 0.05 MG/ML Oral Solution. Step therapy: 0%. Quantity limits: 27%.
How much does Medicare spend on digoxin 0.05 MG/ML Oral Solution?
In 2023, total Medicare Part D spending on digoxin 0.05 MG/ML Oral Solution 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
- atazanavir 150 MG Oral Capsule T2.9
- efavirenz 600 MG / emtricitabine 200 MG / tenofovir disoproxil fumarate 300 MG Oral Tablet T2.9
- lopinavir 100 MG / ritonavir 25 MG Oral Tablet T2.9
- lurasidone hydrochloride 120 MG Oral Tablet T2.9
- molindone hydrochloride 10 MG Oral Tablet T2.9
- mycophenolic acid 180 MG Delayed Release Oral Tablet T2.9
Similar prior-authorization rate
- 1 ML denosumab-bnht 60 MG/ML Prefilled Syringe [Conexxence] 1.7% PA
- doxepin 3 MG Oral Tablet 1.6% PA
- 50/50 Release 24 HR methylphenidate hydrochloride 10 MG Extended Release Oral Capsule 1.6% PA
- 8 HR carbidopa 23.75 MG / levodopa 95 MG Extended Release Oral Capsule [Rytary] 1.8% PA
- 3 ML insulin lispro 100 UNT/ML Pen Injector [Admelog] 1.8% PA
- 24 HR dexmethylphenidate hydrochloride 25 MG Extended Release Oral Capsule 1.8% PA