escitalopram 5 MG Oral Tablet
escitalopram
RxCUI: 351249
What the CMS Formulary Data Shows for escitalopram 5 MG Oral Tablet
Per the CMS 2026 Part D formulary file, escitalopram 5 MG Oral Tablet (RxNorm concept RXCUI 351249, 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 5 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 5 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 5 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 5 MG Oral Tablet
100 Medicare Advantage plans with Part D drug coverage include this drug.
Frequently Asked Questions
Is escitalopram 5 MG Oral Tablet covered by Medicare Part D?
Yes, escitalopram 5 MG Oral Tablet is covered by 5,067 Medicare Part D plans (100% of all Part D formularies).
What tier is escitalopram 5 MG Oral Tablet on Medicare Part D plans?
escitalopram 5 MG Oral Tablet averages Tier 1.2 across Part D plans, ranging from Tier 1 to Tier 4.
Does escitalopram 5 MG Oral Tablet require prior authorization?
0% of Part D formularies require prior authorization for escitalopram 5 MG Oral Tablet. Step therapy: 0%. Quantity limits: 33.3%.
How much does Medicare spend on escitalopram 5 MG Oral Tablet?
In 2023, total Medicare Part D spending on escitalopram 5 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.