erythromycin ethylsuccinate 400 MG Oral Tablet [E.E.S.]

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erythromycin ethylsuccinate

RxCUI: 863606

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.
18.6%
Plan Coverage
941
Plans Covering
T2.9
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for erythromycin ethylsuccinate 400 MG Oral Tablet [E.E.S.]

Per the CMS 2026 Part D formulary file, erythromycin ethylsuccinate 400 MG Oral Tablet [E.E.S.] (RxNorm concept RXCUI 863606, generic name erythromycin ethylsuccinate) appears on 73 distinct formulary files spanning 941 Medicare Part D plan offerings - 18.6% 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 2.9.

Real-world access to erythromycin ethylsuccinate 400 MG Oral Tablet [E.E.S.] 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 1,861 Part D beneficiaries filled erythromycin ethylsuccinate 400 MG Oral Tablet [E.E.S.] in 2023, with total plan-and-beneficiary spending of $4,499,767 and an average per-beneficiary annual cost of $2,417.93. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry erythromycin ethylsuccinate 400 MG Oral Tablet [E.E.S.] today.

Coverage Details

Formularies covering
73
Plans covering
941
Coverage rate
18.6%
Tier range
Tier 1 – Tier 4
Average tier
Tier 3, Preferred Brand

Restrictions

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

2023 Medicare Spending

Beneficiaries
1,861
Total spending
$4,499,767
Avg per beneficiary
$2,417.93

Tier Distribution Across Plans

24 plans
Tier 1, Preferred Generic
76 plans
Tier 2, Generic

Medicare Advantage Plans (MA-PD) Covering erythromycin ethylsuccinate 400 MG Oral Tablet [E.E.S.]

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

Plan Insurer Tier PA Premium States
Florida Complete Care-Duals VIP (HMO-POS D-SNP) HPMP OF FLORIDA, INC. T1 No $0 FL
Mercy Care Advantage (HMO D-SNP) MERCY CARE T1 No $0 AZ
Mercy Care Advantage (HMO D-SNP) MERCY CARE T1 No $0 AZ
Mercy Care Advantage (HMO D-SNP) MERCY CARE T1 No $0 AZ
Elderplan Plus Long-Term Care (HMO-POS D-SNP) ELDERPLAN, INC. T1 No $0 NY
Health Choice Pathway (HMO D-SNP) HEALTH CHOICE ARIZONA, INC. T1 No $0 AZ
Healthfirst CompleteCare (HMO D-SNP) HEALTHFIRST HEALTH PLAN, INC. T1 No $0 NY
IMCare Classic (HMO D-SNP) ITASCA MEDICAL CARE T1 No $0 MN
Johns Hopkins Advantage MD D-SNP (HMO D-SNP) HOPKINS HEALTH ADVANTAGE, INC. T1 No $0 MD
MetroPlus UltraCare (HMO D-SNP) METROPLUS HEALTH PLAN, INC. T1 No $0 NY
Senior Whole Health SCO (HMO D-SNP) SENIOR WHOLE HEALTH, LLC T1 No $0 MA
Senior Whole Health SCO NHC (HMO D-SNP) SENIOR WHOLE HEALTH, LLC T1 No $0 MA
Molina One Care (HMO D-SNP) SENIOR WHOLE HEALTH, LLC T1 No $0 MA
CCA One Care (HMO D-SNP) COMMONWEALTH CARE ALLIANCE, INC. T1 No $0 MA
CCA Senior Care Options (HMO D-SNP) COMMONWEALTH CARE ALLIANCE, INC. T1 No $0 MA
Mass General Brigham SCO (HMO D-SNP) MASS GENERAL BRIGHAM HEALTH PLAN, INC T1 No $0 MA
Mass General Brigham One Care (HMO D-SNP) MASS GENERAL BRIGHAM HEALTH PLAN, INC T1 No $0 MA
Florida Complete Care (HMO I-SNP) HPMP OF FLORIDA, INC. T1 No $4.80 FL
Florida Complete Care- In The Community (HMO-POS I-SNP) HPMP OF FLORIDA, INC. T1 No $4.80 FL
Elderplan For Medicaid Beneficiaries (HMO-POS D-SNP) ELDERPLAN, INC. T1 No $22.70 NY
VIVA Medicare Extra Value (HMO D-SNP) VIVA HEALTH, INC. T1 No $27.70 AL
VIVA Medicare Extra Care (HMO D-SNP) VIVA HEALTH, INC. T1 No $27.70 AL
Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP) ELDERPLAN, INC. T1 No $44.80 NY
MetroPlus Platinum Plan (HMO) METROPLUS HEALTH PLAN, INC. T1 No $58.80 NY
HealthSun HealthAdvantage Plan (HMO) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun MediMax (HMO) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun HealthAdvantage Plan (HMO) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun HealthAdvantage Plan (HMO) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun MediSun Plus (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun HealthAdvantage Plus (HMO) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun HealthAdvantage Plus (HMO) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun MediSun Extra (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun HealthAdvantage Plus (HMO) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun VitalCare (HMO C-SNP) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun VitalCare (HMO C-SNP) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun MediSun Full Dual Plus (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun MediSun Full Dual Extra (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL

Frequently Asked Questions

Is erythromycin ethylsuccinate 400 MG Oral Tablet [E.E.S.] covered by Medicare Part D?

Yes, erythromycin ethylsuccinate 400 MG Oral Tablet [E.E.S.] is covered by 941 Medicare Part D plans (18.6% of all Part D formularies).

What tier is erythromycin ethylsuccinate 400 MG Oral Tablet [E.E.S.] on Medicare Part D plans?

erythromycin ethylsuccinate 400 MG Oral Tablet [E.E.S.] averages Tier 2.9 across Part D plans, ranging from Tier 1 to Tier 4.

Does erythromycin ethylsuccinate 400 MG Oral Tablet [E.E.S.] require prior authorization?

0% of Part D formularies require prior authorization for erythromycin ethylsuccinate 400 MG Oral Tablet [E.E.S.]. Step therapy: 0%. Quantity limits: 0%.

How much does Medicare spend on erythromycin ethylsuccinate 400 MG Oral Tablet [E.E.S.]?

In 2023, total Medicare Part D spending on erythromycin ethylsuccinate 400 MG Oral Tablet [E.E.S.] was $4,499,767, covering 1,861 beneficiaries. The average spend per beneficiary was $2,417.93.

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