Medicare Part D coverage · enalapril maleate · RxCUI 1435624
enalapril maleate 1 MG/ML Oral Solution
Per the CMS 2026 Part D formulary file, enalapril maleate 1 MG/ML Oral Solution is covered by 36 Medicare Part D plans (0.7% of enrollable products), averaging Tier 2.1, with prior authorization required on 0% of covering formularies.
- 0.7%
- Plan coverage
- 36
- Plans covering
- T2.1
- Avg tier
- 0%
- Prior auth required
What the CMS Formulary Data Shows for enalapril maleate 1 MG/ML Oral Solution
Per the CMS 2026 Part D formulary file, enalapril maleate 1 MG/ML Oral Solution (RxNorm concept RXCUI 1435624, generic name enalapril maleate) appears on 8 distinct formulary files spanning 36 Medicare Part D plan offerings - 0.7% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 2.1.
Real-world access to enalapril maleate 1 MG/ML Oral Solution depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 87.5% require step therapy. 87.5% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 482,684 Part D beneficiaries filled enalapril maleate 1 MG/ML Oral Solution in 2023, with total plan-and-beneficiary spending of $53,664,853 and an average per-beneficiary annual cost of $111.18. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry enalapril maleate 1 MG/ML Oral Solution today.
Coverage Details
- Formularies covering
- 8
- Plans covering
- 36
- Coverage rate
- 0.7%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 87.5% of formularies
- Quantity limits
- 87.5% of formularies
2023 Medicare Spending
- Beneficiaries
- 482,684
- Total spending
- $53,664,853
- Avg per beneficiary
- $111.18
Tier Distribution Across Plans
Standalone Drug Plans (PDP) Covering enalapril maleate 1 MG/ML Oral Solution
2 standalone prescription drug plans include this drug.
| Plan | Insurer | Tier | PA | ST | Premium | States |
|---|---|---|---|---|---|---|
| Blue Rx PDP Complete (PDP) | HM Health Insurance Company | T4 | No | No | $164.80 | - |
| Blue Rx PDP Plus (PDP) | HM Health Insurance Company | T4 | No | No | $193.20 | - |
Medicare Advantage Plans (MA-PD) Covering enalapril maleate 1 MG/ML Oral Solution
34 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| PHP (HMO C-snp) | Aids Healthcare Foundation | T1 | No | $0 | CA |
| VNS Health Total (HMO D-SNP) | VNS Choice | T1 | No | $0 | NY |
| Leon MediExtra (HMO) | Leon Health, Inc. | T1 | No | $0 | FL |
| Leon MediDual (HMO D-SNP) | Leon Health, Inc. | T1 | No | $0 | FL |
| Leon MediMore (HMO) | Leon Health, Inc. | T1 | No | $0 | FL |
| Leon MediMax (HMO D-SNP) | Leon Health, Inc. | T1 | No | $0 | FL |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | Gold Kidney OF Florida Inc | T1 | No | $4.80 | FL |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | Gold Kidney OF Arizona | T1 | No | $17.00 | AZ |
| VNS Health EasyCare Plus (HMO D-SNP) | VNS Choice | T1 | No | $51.60 | NY |
| Gold Heart & Diabetes (HMO-POS C-SNP) | Gold Kidney OF Florida Inc | T2 | No | $0 | FL |
| Gold Heart & Diabetes Complete (HMO-POS C-SNP) | Gold Kidney OF Florida Inc | T2 | No | $0 | FL |
| Gold Dialysis & Kidney (HMO-POS C-SNP) | Gold Kidney OF Florida Inc | T2 | No | $0 | FL |
| Gold Health (HMO-POS C-SNP) | Gold Kidney OF Florida Inc | T2 | No | $0 | FL |
| Gold Dialysis & Kidney (HMO-POS C-SNP) | Gold Kidney OF Florida Inc | T2 | No | $0 | FL |
| Gold Heart & Diabetes (HMO-POS C-SNP) | Gold Kidney OF Arizona | T2 | No | $0 | AZ |
| Gold Dialysis & Kidney (HMO-POS C-SNP) | Gold Kidney OF Arizona | T2 | No | $0 | AZ |
| Gold Heart & Diabetes (HMO-POS C-SNP) | Gold Kidney OF Arizona | T2 | No | $0 | AZ |
| Gold Dialysis & Kidney (HMO-POS C-SNP) | Gold Kidney OF Arizona | T2 | No | $0 | AZ |
| VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP) | Village Senior Services Corporation | T3 | No | $0 | NY |
| VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP) | Village Senior Services Corporation | T3 | No | $0 | NY |
Show the next 14 plans
| SummaCare Medicare Topaz (HMO) | Summacare Inc. | T4 | No | $0 | OH |
| SummaCare Medicare Quartz (HMO) | Summacare Inc. | T4 | No | $0 | OH |
| SummaCare Medicare Garnet (HMO) | Summacare Inc. | T4 | No | $35.00 | OH |
| SummaCare Medicare Ruby (HMO) | Summacare Inc. | T4 | No | $50.00 | OH |
| Security Blue HMO-POS Standard (HMO-POS) | Highmark Choice Company | T4 | No | $51.80 | PA |
| SummaCare Medicare Sapphire (HMO-POS) | Summacare Inc. | T4 | No | $83.00 | OH |
| Freedom Blue PPO Select (PPO) | Highmark Senior Health Company | T4 | No | $95.70 | PA |
| Security Blue HMO-POS Deluxe (HMO-POS) | Highmark Choice Company | T4 | No | $95.90 | PA |
| Freedom Blue PPO Standard (PPO) | Highmark Senior Health Company | T4 | No | $98.20 | PA |
| SummaCare Medicare Emerald (HMO-POS) | Summacare Inc. | T4 | No | $100.80 | OH |
| Freedom Blue PPO Select (PPO) | Highmark Senior Health Company | T4 | No | $115.70 | PA |
| Freedom Blue PPO Deluxe (PPO) | Highmark Senior Health Company | T4 | No | $122.40 | PA |
| Freedom Blue PPO Classic (PPO) | Highmark Senior Health Company | T4 | No | $140.90 | PA |
| Freedom Blue PPO Classic (PPO) | Highmark Senior Health Company | T4 | No | $145.40 | PA |
Frequently Asked Questions
Is enalapril maleate 1 MG/ML Oral Solution covered by Medicare Part D?
Yes, enalapril maleate 1 MG/ML Oral Solution is covered by 36 Medicare Part D plans (0.7% of all Part D formularies).
What tier is enalapril maleate 1 MG/ML Oral Solution on Medicare Part D plans?
enalapril maleate 1 MG/ML Oral Solution averages Tier 2.1 across Part D plans, ranging from Tier 1 to Tier 4.
Does enalapril maleate 1 MG/ML Oral Solution require prior authorization?
0% of Part D formularies require prior authorization for enalapril maleate 1 MG/ML Oral Solution. Step therapy: 87.5%. Quantity limits: 87.5%.
How much does Medicare spend on enalapril maleate 1 MG/ML Oral Solution?
In 2023, total Medicare Part D spending on enalapril maleate 1 MG/ML Oral Solution was $53,664,853, covering 482,684 beneficiaries. The average spend per beneficiary was $111.18.
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
- 24 HR divalproex sodium 500 MG Extended Release Oral Tablet T2.1
- amitriptyline hydrochloride 10 MG Oral Tablet T2.1
- amlodipine 10 MG / benazepril hydrochloride 20 MG Oral Capsule T2.1
- betamethasone 0.5 MG/ML / clotrimazole 10 MG/ML Topical Cream T2.1
- clarithromycin 250 MG Oral Tablet T2.1
- terconazole 4 MG/ML Vaginal Cream T2.1
Similar prior-authorization rate
- metronidazole 10 MG/ML Topical Cream [Noritate] 0% PA
- 24 HR minocycline 40 MG Extended Release Oral Capsule [Emrosi] 0% PA
- buspirone hydrochloride 10 MG Oral Capsule [Bucapsol] 0% PA
- diflunisal 375 MG Oral Tablet [Dolobid] 0% PA
- hydrocortisone 1 MG/ML Oral Solution [Khindivi] 0% PA
- indomethacin 50 MG Rectal Suppository [Indocin] 0% PA