Medicare Part D coverage · esomeprazole · RxCUI 994008
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 is covered by 27 Medicare Part D plans (0.5% of enrollable products), averaging Tier 4, with prior authorization required on 100% of covering formularies.
- 0.5%
- Plan coverage
- 27
- Plans covering
- T4
- Avg tier
- 100%
- Prior auth required
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 $172,008,188 and an average per-beneficiary annual cost of $250.91. 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
- $172,008,188
- Avg per beneficiary
- $250.91
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 | - |
Show the next 7 plans
| 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 $172,008,188, covering 685,529 beneficiaries. The average spend per beneficiary was $250.91.
Read our methodology - how this data is sourced, computed, and verified.
Nationwide similar Part D drugs
Data-derived peers across the CMS Part D formulary extract: nearest average tier placement and nearest prior-authorization rate. Not therapeutic alternatives or same-generic strengths.
Closest average formulary tier
- dihydroergotamine mesylate 0.5 MG/ACTUAT Metered Dose Nasal Spray T4
- 0.5 ML darbepoetin alfa 0.2 MG/ML Prefilled Syringe [Aranesp] T4
- amoxicillin 250 MG / omeprazole 10 MG / rifabutin 12.5 MG Delayed Release Oral Capsule [Talicia] T4
- timolol hemihydrate 5 MG/ML Ophthalmic Solution [Betimol] T4
- deflazacort 18 MG Oral Tablet [Jaythari] T4
- bepotastine besilate 15 MG/ML Ophthalmic Solution [Bepreve] T4
Similar prior-authorization rate
- azathioprine 50 MG Oral Tablet 100% PA
- 0.5 ML hepatitis B surface antigen vaccine 0.04 MG/ML Prefilled Syringe [Heplisav-B] 100% PA
- 0.5 ML hepatitis B surface antigen vaccine 0.02 MG/ML Prefilled Syringe [Engerix-B] 100% PA
- 1 ML hepatitis B surface antigen vaccine 0.02 MG/ML Prefilled Syringe [Engerix-B] 100% PA
- sotagliflozin 200 MG Oral Tablet [Inpefa] 100% PA
- mycophenolate mofetil 250 MG Oral Capsule 100% PA