ezetimibe 10 MG / simvastatin 10 MG Oral Tablet [Vytorin]
ezetimibe
RxCUI: 1245420
What the CMS Formulary Data Shows for ezetimibe 10 MG / simvastatin 10 MG Oral Tablet [Vytorin]
Per the CMS 2026 Part D formulary file, ezetimibe 10 MG / simvastatin 10 MG Oral Tablet [Vytorin] (RxNorm concept RXCUI 1245420, generic name ezetimibe) appears on 1 distinct formulary file spanning 2 Medicare Part D plan offerings - 0% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 1, with a cross-plan average of Tier 1.
Real-world access to ezetimibe 10 MG / simvastatin 10 MG Oral Tablet [Vytorin] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 100% require step therapy. 100% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 1,921,217 Part D beneficiaries filled ezetimibe 10 MG / simvastatin 10 MG Oral Tablet [Vytorin] in 2023, with total plan-and-beneficiary spending of $290,177,168 and an average per-beneficiary annual cost of $151.04. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry ezetimibe 10 MG / simvastatin 10 MG Oral Tablet [Vytorin] today.
Coverage Details
- Formularies covering
- 1
- Plans covering
- 2
- Coverage rate
- 0%
- Tier range
- Tier 1, Preferred Generic
- Average tier
- Tier 1, Preferred Generic
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 100% of formularies
- Quantity limits
- 100% of formularies
2023 Medicare Spending
- Beneficiaries
- 1,921,217
- Total spending
- $290,177,168
- Avg per beneficiary
- $151.04
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering ezetimibe 10 MG / simvastatin 10 MG Oral Tablet [Vytorin]
2 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Hamaspik Medicare Choice (HMO D-SNP) | HAMASPIK, INC. | T1 | No | $0 | NY |
| Hamaspik Medicare Select (HMO D-SNP) | HAMASPIK, INC. | T1 | No | $34.50 | NY |
Frequently Asked Questions
Is ezetimibe 10 MG / simvastatin 10 MG Oral Tablet [Vytorin] covered by Medicare Part D?
Yes, ezetimibe 10 MG / simvastatin 10 MG Oral Tablet [Vytorin] is covered by 2 Medicare Part D plans (0% of all Part D formularies).
What tier is ezetimibe 10 MG / simvastatin 10 MG Oral Tablet [Vytorin] on Medicare Part D plans?
ezetimibe 10 MG / simvastatin 10 MG Oral Tablet [Vytorin] averages Tier 1 across Part D plans, ranging from Tier 1 to Tier 1.
Does ezetimibe 10 MG / simvastatin 10 MG Oral Tablet [Vytorin] require prior authorization?
0% of Part D formularies require prior authorization for ezetimibe 10 MG / simvastatin 10 MG Oral Tablet [Vytorin]. Step therapy: 100%. Quantity limits: 100%.
How much does Medicare spend on ezetimibe 10 MG / simvastatin 10 MG Oral Tablet [Vytorin]?
In 2023, total Medicare Part D spending on ezetimibe 10 MG / simvastatin 10 MG Oral Tablet [Vytorin] was $290,177,168, covering 1,921,217 beneficiaries. The average spend per beneficiary was $151.04.
Read our methodology - how this data is sourced, computed, and verified.