donepezil hydrochloride 5 MG Oral Tablet
donepezil hydrochloride
RxCUI: 997229
What the CMS Formulary Data Shows for donepezil hydrochloride 5 MG Oral Tablet
Per the CMS 2026 Part D formulary file, donepezil hydrochloride 5 MG Oral Tablet (RxNorm concept RXCUI 997229, generic name donepezil hydrochloride) appears on 330 distinct formulary files spanning 5,067 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 1.3.
Real-world access to donepezil hydrochloride 5 MG Oral Tablet depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 47.3% 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 5 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 5 MG Oral Tablet today.
Coverage Details
- Formularies covering
- 330
- Plans covering
- 5,067
- Coverage rate
- 100%
- Tier range
- Tier 1 – Tier 6
- Average tier
- Tier 1, Preferred Generic
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 47.3% of formularies
2023 Medicare Spending
- Beneficiaries
- 1,468,151
- Total spending
- $119,677,286
- Avg per beneficiary
- $81.52
Tier Distribution Across Plans
Standalone Drug Plans (PDP) Covering donepezil hydrochloride 5 MG Oral Tablet
2 standalone prescription drug plans include this drug.
| Plan | Insurer | Tier | PA | ST | Premium | States |
|---|---|---|---|---|---|---|
| AARP Medicare Rx Preferred from UHC (PDP) | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | T1 | No | No | $0 | - |
| AARP Medicare Rx Preferred from UHC (PDP) | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | T1 | No | No | $0 | - |
Medicare Advantage Plans (MA-PD) Covering donepezil hydrochloride 5 MG Oral Tablet
98 Medicare Advantage plans with Part D drug coverage include this drug.
Frequently Asked Questions
Is donepezil hydrochloride 5 MG Oral Tablet covered by Medicare Part D?
Yes, donepezil hydrochloride 5 MG Oral Tablet is covered by 5,067 Medicare Part D plans (100% of all Part D formularies).
What tier is donepezil hydrochloride 5 MG Oral Tablet on Medicare Part D plans?
donepezil hydrochloride 5 MG Oral Tablet averages Tier 1.3 across Part D plans, ranging from Tier 1 to Tier 6.
Does donepezil hydrochloride 5 MG Oral Tablet require prior authorization?
0% of Part D formularies require prior authorization for donepezil hydrochloride 5 MG Oral Tablet. Step therapy: 0%. Quantity limits: 47.3%.
How much does Medicare spend on donepezil hydrochloride 5 MG Oral Tablet?
In 2023, total Medicare Part D spending on donepezil hydrochloride 5 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.