esomeprazole 20 MG / naproxen 500 MG Delayed Release Oral Tablet
esomeprazole
RxCUI: 994008
What the CMS Formulary Data Shows for esomeprazole 20 MG / naproxen 500 MG Delayed Release Oral Tablet
Per the CMS 2026 Part D formulary file, esomeprazole 20 MG / naproxen 500 MG Delayed Release Oral Tablet (RxNorm concept RXCUI 994008, generic name esomeprazole) appears on 1 distinct formulary file spanning 27 Medicare Part D plan offerings - 0.5% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 4 to Tier 4, with a cross-plan average of Tier 4.
Real-world access to esomeprazole 20 MG / naproxen 500 MG Delayed Release Oral Tablet depends on utilization management as much as tier placement: 100% of covering formularies require prior authorization. 0% require step therapy. 100% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 685,529 Part D beneficiaries filled esomeprazole 20 MG / naproxen 500 MG Delayed Release Oral Tablet in 2023, with total plan-and-beneficiary spending of $172,016,821 and an average per-beneficiary annual cost of $250.93. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry esomeprazole 20 MG / naproxen 500 MG Delayed Release Oral Tablet today.
Coverage Details
- Formularies covering
- 1
- Plans covering
- 27
- Coverage rate
- 0.5%
- Tier range
- Tier 4, Non-Preferred
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 100% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 100% of formularies
2023 Medicare Spending
- Beneficiaries
- 685,529
- Total spending
- $172,016,821
- Avg per beneficiary
- $250.93
Tier Distribution Across Plans
Standalone Drug Plans (PDP) Covering esomeprazole 20 MG / naproxen 500 MG Delayed Release Oral Tablet
27 standalone prescription drug plans include this drug.
| Plan | Insurer | Tier | PA | ST | Premium | States |
|---|---|---|---|---|---|---|
| HealthSpring Extra Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T4 | Yes | No | $50.00 | - |
| HealthSpring Extra Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T4 | Yes | No | $50.00 | - |
| HealthSpring Extra Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T4 | Yes | No | $50.40 | - |
| HealthSpring Extra Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T4 | Yes | No | $52.60 | - |
| HealthSpring Extra Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T4 | Yes | No | $54.50 | - |
| HealthSpring Extra Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T4 | Yes | No | $56.30 | - |
| HealthSpring Extra Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T4 | Yes | No | $56.30 | - |
| HealthSpring Extra Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T4 | Yes | No | $59.90 | - |
| HealthSpring Extra Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T4 | Yes | No | $60.60 | - |
| HealthSpring Extra Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T4 | Yes | No | $62.60 | - |
| HealthSpring Extra Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T4 | Yes | No | $65.40 | - |
| HealthSpring Extra Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T4 | Yes | No | $65.70 | - |
| HealthSpring Extra Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T4 | Yes | No | $66.40 | - |
| HealthSpring Extra Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T4 | Yes | No | $66.50 | - |
| HealthSpring Extra Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T4 | Yes | No | $66.60 | - |
| HealthSpring Extra Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T4 | Yes | No | $66.60 | - |
| HealthSpring Extra Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T4 | Yes | No | $70.00 | - |
| HealthSpring Extra Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T4 | Yes | No | $70.60 | - |
| HealthSpring Extra Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T4 | Yes | No | $70.70 | - |
| HealthSpring Extra Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T4 | Yes | No | $70.70 | - |
| HealthSpring Extra Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T4 | Yes | No | $71.20 | - |
| HealthSpring Extra Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T4 | Yes | No | $71.20 | - |
| HealthSpring Extra Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T4 | Yes | No | $77.10 | - |
| HealthSpring Extra Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T4 | Yes | No | $77.50 | - |
| HealthSpring Extra Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T4 | Yes | No | $78.00 | - |
| HealthSpring Extra Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T4 | Yes | No | $78.20 | - |
| HealthSpring Extra Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T4 | Yes | No | $91.60 | - |
Frequently Asked Questions
Is esomeprazole 20 MG / naproxen 500 MG Delayed Release Oral Tablet covered by Medicare Part D?
Yes, esomeprazole 20 MG / naproxen 500 MG Delayed Release Oral Tablet is covered by 27 Medicare Part D plans (0.5% of all Part D formularies).
What tier is esomeprazole 20 MG / naproxen 500 MG Delayed Release Oral Tablet on Medicare Part D plans?
esomeprazole 20 MG / naproxen 500 MG Delayed Release Oral Tablet averages Tier 4 across Part D plans, ranging from Tier 4 to Tier 4.
Does esomeprazole 20 MG / naproxen 500 MG Delayed Release Oral Tablet require prior authorization?
100% of Part D formularies require prior authorization for esomeprazole 20 MG / naproxen 500 MG Delayed Release Oral Tablet. Step therapy: 0%. Quantity limits: 100%.
How much does Medicare spend on esomeprazole 20 MG / naproxen 500 MG Delayed Release Oral Tablet?
In 2023, total Medicare Part D spending on esomeprazole 20 MG / naproxen 500 MG Delayed Release Oral Tablet was $172,016,821, covering 685,529 beneficiaries. The average spend per beneficiary was $250.93.
Read our methodology - how this data is sourced, computed, and verified.