escitalopram 20 MG Oral Tablet
escitalopram
RxCUI: 351250
What the CMS Formulary Data Shows for escitalopram 20 MG Oral Tablet
Per the CMS 2026 Part D formulary file, escitalopram 20 MG Oral Tablet (RxNorm concept RXCUI 351250, generic name escitalopram) appears on 330 distinct formulary files spanning 5,067 Medicare Part D plan offerings - 100% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 1.2.
Real-world access to escitalopram 20 MG Oral Tablet depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 33.3% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 2,538,742 Part D beneficiaries filled escitalopram 20 MG Oral Tablet in 2023, with total plan-and-beneficiary spending of $171,914,954 and an average per-beneficiary annual cost of $67.72. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry escitalopram 20 MG Oral Tablet today.
Coverage Details
- Formularies covering
- 330
- Plans covering
- 5,067
- Coverage rate
- 100%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 1, Preferred Generic
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 33.3% of formularies
2023 Medicare Spending
- Beneficiaries
- 2,538,742
- Total spending
- $171,914,954
- Avg per beneficiary
- $67.72
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering escitalopram 20 MG Oral Tablet
100 Medicare Advantage plans with Part D drug coverage include this drug.
Frequently Asked Questions
Is escitalopram 20 MG Oral Tablet covered by Medicare Part D?
Yes, escitalopram 20 MG Oral Tablet is covered by 5,067 Medicare Part D plans (100% of all Part D formularies).
What tier is escitalopram 20 MG Oral Tablet on Medicare Part D plans?
escitalopram 20 MG Oral Tablet averages Tier 1.2 across Part D plans, ranging from Tier 1 to Tier 4.
Does escitalopram 20 MG Oral Tablet require prior authorization?
0% of Part D formularies require prior authorization for escitalopram 20 MG Oral Tablet. Step therapy: 0%. Quantity limits: 33.3%.
How much does Medicare spend on escitalopram 20 MG Oral Tablet?
In 2023, total Medicare Part D spending on escitalopram 20 MG Oral Tablet was $171,914,954, covering 2,538,742 beneficiaries. The average spend per beneficiary was $67.72.
Read our methodology - how this data is sourced, computed, and verified.