doxepin 6 MG Oral Tablet [Silenor]
doxepin
RxCUI: 966795
What the CMS Formulary Data Shows for doxepin 6 MG Oral Tablet [Silenor]
Per the CMS 2026 Part D formulary file, doxepin 6 MG Oral Tablet [Silenor] (RxNorm concept RXCUI 966795, generic name doxepin) appears on 1 distinct formulary file spanning 2 Medicare Part D plan offerings - 0% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 1, with a cross-plan average of Tier 1.
Real-world access to doxepin 6 MG Oral Tablet [Silenor] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 100% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 276,316 Part D beneficiaries filled doxepin 6 MG Oral Tablet [Silenor] in 2023, with total plan-and-beneficiary spending of $78,817,401 and an average per-beneficiary annual cost of $285.24. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry doxepin 6 MG Oral Tablet [Silenor] today.
Coverage Details
- Formularies covering
- 1
- Plans covering
- 2
- Coverage rate
- 0%
- Tier range
- Tier 1, Preferred Generic
- Average tier
- Tier 1, Preferred Generic
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 100% of formularies
2023 Medicare Spending
- Beneficiaries
- 276,316
- Total spending
- $78,817,401
- Avg per beneficiary
- $285.24
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering doxepin 6 MG Oral Tablet [Silenor]
2 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 |
Frequently Asked Questions
Is doxepin 6 MG Oral Tablet [Silenor] covered by Medicare Part D?
Yes, doxepin 6 MG Oral Tablet [Silenor] is covered by 2 Medicare Part D plans (0% of all Part D formularies).
What tier is doxepin 6 MG Oral Tablet [Silenor] on Medicare Part D plans?
doxepin 6 MG Oral Tablet [Silenor] averages Tier 1 across Part D plans, ranging from Tier 1 to Tier 1.
Does doxepin 6 MG Oral Tablet [Silenor] require prior authorization?
0% of Part D formularies require prior authorization for doxepin 6 MG Oral Tablet [Silenor]. Step therapy: 0%. Quantity limits: 100%.
How much does Medicare spend on doxepin 6 MG Oral Tablet [Silenor]?
In 2023, total Medicare Part D spending on doxepin 6 MG Oral Tablet [Silenor] was $78,817,401, covering 276,316 beneficiaries. The average spend per beneficiary was $285.24.
Read our methodology - how this data is sourced, computed, and verified.