donepezil hydrochloride 23 MG Oral Tablet
donepezil hydrochloride
RxCUI: 1100184
What the CMS Formulary Data Shows for donepezil hydrochloride 23 MG Oral Tablet
Per the CMS 2026 Part D formulary file, donepezil hydrochloride 23 MG Oral Tablet (RxNorm concept RXCUI 1100184, generic name donepezil hydrochloride) appears on 210 distinct formulary files spanning 3,661 Medicare Part D plan offerings - 72.3% of enrollable Part D products, mid-range placement; shopping across contracts changes access. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 2.3.
Real-world access to donepezil hydrochloride 23 MG Oral Tablet depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 1.4% require step therapy. 62.4% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 1,468,151 Part D beneficiaries filled donepezil hydrochloride 23 MG Oral Tablet in 2023, with total plan-and-beneficiary spending of $119,677,286 and an average per-beneficiary annual cost of $81.52. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry donepezil hydrochloride 23 MG Oral Tablet today.
Coverage Details
- Formularies covering
- 210
- Plans covering
- 3,661
- Coverage rate
- 72.3%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 1.4% of formularies
- Quantity limits
- 62.4% of formularies
2023 Medicare Spending
- Beneficiaries
- 1,468,151
- Total spending
- $119,677,286
- Avg per beneficiary
- $81.52
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering donepezil hydrochloride 23 MG Oral Tablet
100 Medicare Advantage plans with Part D drug coverage include this drug.
Frequently Asked Questions
Is donepezil hydrochloride 23 MG Oral Tablet covered by Medicare Part D?
Yes, donepezil hydrochloride 23 MG Oral Tablet is covered by 3,661 Medicare Part D plans (72.3% of all Part D formularies).
What tier is donepezil hydrochloride 23 MG Oral Tablet on Medicare Part D plans?
donepezil hydrochloride 23 MG Oral Tablet averages Tier 2.3 across Part D plans, ranging from Tier 1 to Tier 4.
Does donepezil hydrochloride 23 MG Oral Tablet require prior authorization?
0% of Part D formularies require prior authorization for donepezil hydrochloride 23 MG Oral Tablet. Step therapy: 1.4%. Quantity limits: 62.4%.
How much does Medicare spend on donepezil hydrochloride 23 MG Oral Tablet?
In 2023, total Medicare Part D spending on donepezil hydrochloride 23 MG Oral Tablet was $119,677,286, covering 1,468,151 beneficiaries. The average spend per beneficiary was $81.52.
Read our methodology - how this data is sourced, computed, and verified.