doxycycline hyclate 80 MG Delayed Release Oral Tablet

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doxycycline hyclate

RxCUI: 2122343

Important: Drug coverage and costs vary by plan and location. Verify coverage directly with your Medicare plan before filling a prescription. This is informational data only and should not replace advice from your healthcare provider or pharmacist.
0.4%
Plan Coverage
18
Plans Covering
T1.3
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for doxycycline hyclate 80 MG Delayed Release Oral Tablet

Per the CMS 2026 Part D formulary file, doxycycline hyclate 80 MG Delayed Release Oral Tablet (RxNorm concept RXCUI 2122343, generic name doxycycline hyclate) appears on 3 distinct formulary files spanning 18 Medicare Part D plan offerings - 0.4% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 2, with a cross-plan average of Tier 1.3.

Real-world access to doxycycline hyclate 80 MG Delayed Release Oral Tablet depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 0% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 4,121,486 Part D beneficiaries filled doxycycline hyclate 80 MG Delayed Release Oral Tablet in 2023, with total plan-and-beneficiary spending of $117,340,524 and an average per-beneficiary annual cost of $28.47. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry doxycycline hyclate 80 MG Delayed Release Oral Tablet today.

Coverage Details

Formularies covering
3
Plans covering
18
Coverage rate
0.4%
Tier range
Tier 1 – Tier 2
Average tier
Tier 1, Preferred Generic

Restrictions

Prior authorization required
0% of formularies
Step therapy required
0% of formularies
Quantity limits
0% of formularies

2023 Medicare Spending

Beneficiaries
4,121,486
Total spending
$117,340,524
Avg per beneficiary
$28.47

Tier Distribution Across Plans

2 plans
Tier 1, Preferred Generic
16 plans
Tier 2, Generic

Medicare Advantage Plans (MA-PD) Covering doxycycline hyclate 80 MG Delayed Release Oral Tablet

18 Medicare Advantage plans with Part D drug coverage include this drug.

Plan Insurer Tier PA Premium States
CareAdvantage (HMO D-SNP) SAN MATEO HEALTH COMMISSION T1 No $0 CA
Community Care's Partnership Program (HMO D-SNP) COMMUNITY CARE HEALTH PLAN, INC. T1 No $0 WI
MMM Supremo (HMO C-SNP) MMM HEALTHCARE, LLC T2 No $0 PR
MMM Diamante Platino (HMO D-SNP) MMM HEALTHCARE, LLC T2 No $0 PR
MMM Unico (HMO-POS) MMM HEALTHCARE, LLC T2 No $0 PR
MMM Elite (HMO-POS) MMM HEALTHCARE, LLC T2 No $0 PR
MMM Deluxe (HMO-POS) MMM HEALTHCARE, LLC T2 No $0 PR
MMM Dorado Platino (HMO D-SNP) MMM HEALTHCARE, LLC T2 No $0 PR
PMC Premier Platino (HMO D-SNP) MMM HEALTHCARE, LLC T2 No $0 PR
PMC Max (HMO-POS) MMM HEALTHCARE, LLC T2 No $0 PR
MMM Plenitud (HMO-POS) MMM HEALTHCARE, LLC T2 No $0 PR
MMM Valioso (HMO-POS) MMM HEALTHCARE, LLC T2 No $0 PR
MMM Combo Platino (HMO D-SNP) MMM HEALTHCARE, LLC T2 No $0 PR
MMM Flexi Platino (HMO D-SNP) MMM HEALTHCARE, LLC T2 No $0 PR
MMM Grandioso (HMO-POS) MMM HEALTHCARE, LLC T2 No $0 PR
MMM Mega Flex (HMO-POS) MMM HEALTHCARE, LLC T2 No $0 PR
MMM Relax Platino (HMO D-SNP) MMM HEALTHCARE, LLC T2 No $0 PR
MMM Balance (HMO-POS) MMM HEALTHCARE, LLC T2 No $0 PR

Frequently Asked Questions

Is doxycycline hyclate 80 MG Delayed Release Oral Tablet covered by Medicare Part D?

Yes, doxycycline hyclate 80 MG Delayed Release Oral Tablet is covered by 18 Medicare Part D plans (0.4% of all Part D formularies).

What tier is doxycycline hyclate 80 MG Delayed Release Oral Tablet on Medicare Part D plans?

doxycycline hyclate 80 MG Delayed Release Oral Tablet averages Tier 1.3 across Part D plans, ranging from Tier 1 to Tier 2.

Does doxycycline hyclate 80 MG Delayed Release Oral Tablet require prior authorization?

0% of Part D formularies require prior authorization for doxycycline hyclate 80 MG Delayed Release Oral Tablet. Step therapy: 0%. Quantity limits: 0%.

How much does Medicare spend on doxycycline hyclate 80 MG Delayed Release Oral Tablet?

In 2023, total Medicare Part D spending on doxycycline hyclate 80 MG Delayed Release Oral Tablet was $117,340,524, covering 4,121,486 beneficiaries. The average spend per beneficiary was $28.47.

Data sourced from the Centers for Medicare & Medicaid Services (CMS). See our methodology for details. Retrieved and formatted by PlainMedicare Editorial