erythromycin lactobionate 500 MG Injection [Erythrocin]

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erythromycin lactobionate

RxCUI: 1668267

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.
45.4%
Plan Coverage
2,299
Plans Covering
T3.4
Avg Tier
1.4%
Prior Auth Required

What the CMS Formulary Data Shows for erythromycin lactobionate 500 MG Injection [Erythrocin]

Per the CMS 2026 Part D formulary file, erythromycin lactobionate 500 MG Injection [Erythrocin] (RxNorm concept RXCUI 1668267, generic name erythromycin lactobionate) appears on 146 distinct formulary files spanning 2,299 Medicare Part D plan offerings - 45.4% 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 3.4.

Real-world access to erythromycin lactobionate 500 MG Injection [Erythrocin] depends on utilization management as much as tier placement: 1.4% of covering formularies require prior authorization. 0% require step therapy. 0% apply quantity limits.

Medicare Part D spending dashboard figures are not published for this drug. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry erythromycin lactobionate 500 MG Injection [Erythrocin] today.

Coverage Details

Formularies covering
146
Plans covering
2,299
Coverage rate
45.4%
Tier range
Tier 1 – Tier 4
Average tier
Tier 3, Preferred Brand

Restrictions

Prior authorization required
1.4% of formularies
Step therapy required
0% of formularies
Quantity limits
0% of formularies

Tier Distribution Across Plans

41 plans
Tier 1, Preferred Generic
59 plans
Tier 2, Generic

Medicare Advantage Plans (MA-PD) Covering erythromycin lactobionate 500 MG Injection [Erythrocin]

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
Gold Coast Health Plan Total Care Advantage (HMO D-SNP) Ventura County Medi-Cal Managed Care Commission T1 No $0 CA
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) Health Care Service Corporation T1 No $0 NM
Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) Health Care Service Corporation T1 No $0 NM
Horizon NJ TotalCare (HMO D-SNP) HORIZON HEALTHCARE OF NEW JERSEY, INC. T1 No $0 NJ
SecureBlue (HMO D-SNP) HMO Minnesota T1 No $0 MN
Hamaspik Medicare Choice (HMO D-SNP) HAMASPIK, INC. T1 No $0 NY
SeniorCare Complete (HMO D-SNP) SOUTH COUNTRY HEALTH ALLIANCE T1 No $0 MN
AbilityCare (HMO D-SNP) SOUTH COUNTRY HEALTH ALLIANCE T1 No $0 MN
Alameda Alliance Wellness (HMO D-SNP) ALAMEDA ALLIANCE FOR HEALTH T1 No $0 CA
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
Community Care's Partnership Program (HMO D-SNP) COMMUNITY CARE HEALTH PLAN, INC. T1 No $0 WI
Platino Blindao (HMO D-SNP) TRIPLE S ADVANTAGE, INC. T1 Yes $0 PR
Platino Enlace (HMO D-SNP) TRIPLE S ADVANTAGE, INC. T1 Yes $0 PR
PLATINO ADVANCE (HMO D-SNP) TRIPLE S ADVANTAGE, INC. T1 Yes $0 PR
PLATINO PLUS (HMO D-SNP) TRIPLE S ADVANTAGE, INC. T1 Yes $0 PR
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
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) HCSC INSURANCE SERVICES COMPANY T1 No $4.80 TX
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) GHS INSURANCE COMPANY T1 No $5.00 OK
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
Hamaspik Medicare Select (HMO D-SNP) HAMASPIK, INC. T1 No $34.50 NY
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
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T2 No $0 UT
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T2 No $0 NV
Select Health Medicare Dual (HMO D-SNP) SELECTHEALTH, INC. T2 No $0 UT
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T2 No $0 UT
Select Health Medicare + Kroger (HMO) SELECTHEALTH, INC. T2 No $0 NV
Select Health Medicare + Kroger (HMO) SELECTHEALTH, INC. T2 No $0 UT
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T2 No $0 CO
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T2 No $0 CO
Select Health Medicare + Kroger (HMO) SELECTHEALTH, INC. T2 No $0 CO

Frequently Asked Questions

Is erythromycin lactobionate 500 MG Injection [Erythrocin] covered by Medicare Part D?

Yes, erythromycin lactobionate 500 MG Injection [Erythrocin] is covered by 2,299 Medicare Part D plans (45.4% of all Part D formularies).

What tier is erythromycin lactobionate 500 MG Injection [Erythrocin] on Medicare Part D plans?

erythromycin lactobionate 500 MG Injection [Erythrocin] averages Tier 3.4 across Part D plans, ranging from Tier 1 to Tier 4.

Does erythromycin lactobionate 500 MG Injection [Erythrocin] require prior authorization?

1.4% of Part D formularies require prior authorization for erythromycin lactobionate 500 MG Injection [Erythrocin]. Step therapy: 0%. Quantity limits: 0%.

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