Medicare Part D coverage · edaravone · RxCUI 2602122
edaravone 21 MG/ML Oral Suspension [Radicava]
Per the CMS 2026 Part D formulary file, edaravone 21 MG/ML Oral Suspension [Radicava] is covered by 1,586 Medicare Part D plans (31.4% of enrollable products), averaging Tier 4, with prior authorization required on 99% of covering formularies.
- 31.4%
- Plan coverage
- 1,586
- Plans covering
- T4
- Avg tier
- 99%
- Prior auth required
What the CMS Formulary Data Shows for edaravone 21 MG/ML Oral Suspension [Radicava]
Per the CMS 2026 Part D formulary file, edaravone 21 MG/ML Oral Suspension [Radicava] (RxNorm concept RXCUI 2602122, generic name edaravone) appears on 99 distinct formulary files spanning 1,586 Medicare Part D plan offerings - 31.4% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 5, with a cross-plan average of Tier 4.
Real-world access to edaravone 21 MG/ML Oral Suspension [Radicava] depends on utilization management as much as tier placement: 99% of covering formularies require prior authorization. 0% require step therapy. 52.5% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 2,994 Part D beneficiaries filled edaravone 21 MG/ML Oral Suspension [Radicava] in 2023, with total plan-and-beneficiary spending of $293,678,844 and an average per-beneficiary annual cost of $98,089.13. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry edaravone 21 MG/ML Oral Suspension [Radicava] today.
Coverage Details
- Formularies covering
- 99
- Plans covering
- 1,586
- Coverage rate
- 31.4%
- Tier range
- Tier 1 – Tier 5
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 99% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 52.5% of formularies
2023 Medicare Spending
- Beneficiaries
- 2,994
- Total spending
- $293,678,844
- Avg per beneficiary
- $98,089.13
Tier Distribution Across Plans
Standalone Drug Plans (PDP) Covering edaravone 21 MG/ML Oral Suspension [Radicava]
5 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 | T5 | Yes | No | $0 | - |
| AARP Medicare Rx Preferred from UHC (PDP) | Unitedhealthcare INS. Co. & UHC INS. Co. OF NY | T5 | Yes | No | $0 | - |
| AARP Medicare Rx Saver from UHC (PDP) | Unitedhealthcare INS. Co. & UHC INS. Co. OF NY | T5 | Yes | No | $0 | - |
| AARP Medicare Rx Saver from UHC (PDP) | Unitedhealthcare INS. Co. & UHC INS. Co. OF NY | T5 | Yes | No | $0 | - |
| AARP Medicare Rx Saver from UHC (PDP) | Unitedhealthcare INS. Co. & UHC INS. Co. OF NY | T5 | Yes | No | $0 | - |
Medicare Advantage Plans (MA-PD) Covering edaravone 21 MG/ML Oral Suspension [Radicava]
95 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| ElderServe MAP (HMO D-SNP) | Elderserve Health, Inc. | T1 | Yes | $0 | NY |
| Cooperative Advantage (HMO D-SNP) | Group Health Cooperative OF EAU Claire | T1 | Yes | $0 | WI |
| Longevity Health Plan (PPO I-SNP) | Longevity Health Plan OF NEW Jersey Insurance Comp | T1 | Yes | $0 | NJ |
| Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP) | Upper Peninsula Health Plan, LLC | T1 | Yes | $0 | MI |
| CareSource Dual Advantage (HMO D-SNP) | Caresource Georgia Co. | T1 | Yes | $0 | GA |
| HAP CareSource MI Coordinated Health (HMO D-SNP) | HAP Caresource | T1 | Yes | $0 | MI |
| PruittHealth Premier D-SNP (HMO D-SNP) | Pruitthealth Premier, Inc. | T1 | Yes | $0 | GA |
| Simpra Advantage Dual Care (PPO D-SNP) | Simpra Advantage, Inc. | T1 | Yes | $0 | AL |
| SeniorCare Complete (HMO D-SNP) | South Country Health Alliance | T1 | Yes | $0 | MN |
| AbilityCare (HMO D-SNP) | South Country Health Alliance | T1 | Yes | $0 | MN |
| Alameda Alliance Wellness (HMO D-SNP) | Alameda Alliance FOR Health | T1 | Yes | $0 | CA |
| Mass General Brigham SCO (HMO D-SNP) | Mass General Brigham Health Plan, Inc | T1 | Yes | $0 | MA |
| Mass General Brigham One Care (HMO D-SNP) | Mass General Brigham Health Plan, Inc | T1 | Yes | $0 | MA |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | Yes | $0 | PA |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | Yes | $0 | PA |
| Highmark Health Options Duals (HMO D-SNP) | Highmark Health Options West Virginia Inc. | T1 | Yes | $0 | WV |
| Highmark Health Options Duals (HMO D-SNP) | Highmark Bcbsd, Inc. | T1 | Yes | $0 | DE |
| Tufts Health One Care (HMO D-SNP) | Tufts Health Public Plans, Inc. | T1 | Yes | $0 | MA |
| Tufts Health One Care CW (HMO D-SNP) | Tufts Health Public Plans, Inc. | T1 | Yes | $0 | MA |
| Tufts Health Plan Senior Care Options (HMO D-SNP) | Tufts Associated Health Maintenance Organization | T1 | Yes | $0 | MA |
Show the next 30 plans
| Tufts Health Plan Senior Care Options CW (HMO D-SNP) | Tufts Associated Health Maintenance Organization | T1 | Yes | $0 | MA |
| Longevity Health Plan (HMO I-SNP) | Longevity Health Plan OF Florida, Inc. | T1 | Yes | $4.80 | FL |
| Senior Care (HMO I-SNP) | Align Senior Care Florida, Inc. | T1 | Yes | $4.80 | FL |
| ProCare Advantage (HMO-POS I-SNP) | Procare Advantage, LLC | T1 | Yes | $4.80 | TX |
| ProCare Advantage - Kidney Care (HMO-POS C-SNP) | Procare Advantage, LLC | T1 | Yes | $4.80 | TX |
| American Health Advantage of Florida (HMO I-SNP) | American Health Plan OF FL, Inc. | T1 | Yes | $4.80 | FL |
| SECUR Advantage (HMO I-SNP) | Secur Inc | T1 | Yes | $4.80 | FL |
| SECUR Enhanced (HMO I-SNP) | Secur Inc | T1 | Yes | $4.80 | FL |
| Longevity Health Plan (HMO I-SNP) | Longevity Health Plan OF Michigan, Inc. | T1 | Yes | $8.80 | MI |
| Senior Care (HMO I-SNP) | Align Senior Care MI, LLC | T1 | Yes | $8.80 | MI |
| AgeRight Advantage Health Plan (HMO I-SNP) | Marquis Advantage, Inc. | T1 | Yes | $10.50 | OR, WA |
| Senior Care (HMO I-SNP) | Align Senior Care California Inc. | T1 | Yes | $12.00 | CA |
| Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | Yes | $13.10 | PA |
| Liberty Medicare Dual Plan (HMO D-SNP) | Liberty Advantage, LLC | T1 | Yes | $14.70 | NC |
| Longevity Health Plan (HMO I-SNP) | Longevity Health Plan OF Illinois, Inc. | T1 | Yes | $15.20 | IL |
| Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | Yes | $17.60 | PA |
| WellSense Added Value (HMO) | Boston Medical Center Health Plan, Inc. | T1 | Yes | $21.70 | NH |
| KeyCare Advantage (HMO I-SNP) | Isnp Ventures, LLC | T1 | Yes | $23.20 | MD |
| American Health Advantage of Mississippi (HMO I-SNP) | American Health Plan OF MS, Inc. | T1 | Yes | $23.80 | MS |
| Senior Care (HMO I-SNP) | Lifeworks Advantage, LLC | T1 | Yes | $24.60 | VA |
| PruittHealth Premier (HMO I-SNP) | Pruitthealth Premier, Inc. | T1 | Yes | $25.40 | GA |
| Georgia Health Advantage (HMO I-SNP) | Georgia Assurance, Inc. | T1 | Yes | $25.40 | GA |
| Georgia Health Advantage Choice (HMO I-SNP) | Georgia Assurance, Inc. | T1 | Yes | $25.40 | GA |
| American Health Advantage of Tennessee (HMO I-SNP) | American Health Plan, Inc. | T1 | Yes | $27.70 | TN |
| Simpra Advantage Nursing Home Plan (PPO I-SNP) | Simpra Advantage, Inc. | T1 | Yes | $27.70 | AL |
| American Health Advantage of Oklahoma (HMO I-SNP) | Oklahoma Superior Select, Inc. | T1 | Yes | $28.20 | OK |
| NHC Advantage (HMO I-SNP) | NHC Advantage, LLC | T1 | Yes | $31.00 | MO, NC, SC, TN |
| Highmark Health Options Duals Select (HMO D-SNP) | Highmark Bcbsd, Inc. | T1 | Yes | $31.20 | DE |
| Perennial Advantage Strive (HMO I-SNP) | Perennial Advantage OF Ohio, Inc. | T1 | Yes | $31.40 | OH |
| Perennial Advantage Strive (HMO I-SNP) | Perennial Advantage OF Colorado, Inc. | T1 | Yes | $32.70 | PA |
Showing top 50 of 95 plans.
Frequently Asked Questions
Is edaravone 21 MG/ML Oral Suspension [Radicava] covered by Medicare Part D?
Yes, edaravone 21 MG/ML Oral Suspension [Radicava] is covered by 1,586 Medicare Part D plans (31.4% of all Part D formularies).
What tier is edaravone 21 MG/ML Oral Suspension [Radicava] on Medicare Part D plans?
edaravone 21 MG/ML Oral Suspension [Radicava] averages Tier 4 across Part D plans, ranging from Tier 1 to Tier 5.
Does edaravone 21 MG/ML Oral Suspension [Radicava] require prior authorization?
99% of Part D formularies require prior authorization for edaravone 21 MG/ML Oral Suspension [Radicava]. Step therapy: 0%. Quantity limits: 52.5%.
How much does Medicare spend on edaravone 21 MG/ML Oral Suspension [Radicava]?
In 2023, total Medicare Part D spending on edaravone 21 MG/ML Oral Suspension [Radicava] was $293,678,844, covering 2,994 beneficiaries. The average spend per beneficiary was $98,089.13.
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
- erlotinib 150 MG Oral Tablet T4
- linezolid 20 MG/ML Oral Suspension T4
- 1 ML ustekinumab-kfce 90 MG/ML Prefilled Syringe [Yesintek] T4
- deutivacaftor 125 MG / tezacaftor 50 MG / vanzacaftor 10 MG Oral Tablet [Alyftrek] T4
- tirbanibulin 0.01 MG/MG Topical Ointment [Klisyri] T4
- somatropin 8 MG/ML Injectable Solution [Serostim] T4
Similar prior-authorization rate
- 3 ML liraglutide 6 MG/ML Pen Injector 99% PA
- 500 ML soybean oil 200 MG/ML Injection [Nutrilipid] 99% PA
- 3 ML icatibant 10 MG/ML Prefilled Syringe [Sajazir] 99% PA
- 0.5 ML ustekinumab 90 MG/ML Injection [Stelara] 99% PA
- selexipag 1.6 MG Oral Tablet [Uptravi] 99% PA
- {140 (selexipag 0.2 MG Oral Tablet [Uptravi]) / 60 (selexipag 0.8 MG Oral Tablet [Uptravi]) } Pack [Uptravi Titration Pack] 99% PA