ezetimibe 10 MG / simvastatin 10 MG Oral Tablet
ezetimibe
RxCUI: 476345
What the CMS Formulary Data Shows for ezetimibe 10 MG / simvastatin 10 MG Oral Tablet
Per the CMS 2026 Part D formulary file, ezetimibe 10 MG / simvastatin 10 MG Oral Tablet (RxNorm concept RXCUI 476345, generic name ezetimibe) appears on 302 distinct formulary files spanning 4,781 Medicare Part D plan offerings - 94.4% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 6, with a cross-plan average of Tier 2.5.
Real-world access to ezetimibe 10 MG / simvastatin 10 MG Oral Tablet depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0.7% require step therapy. 81.8% 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 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 today.
Coverage Details
- Formularies covering
- 302
- Plans covering
- 4,781
- Coverage rate
- 94.4%
- Tier range
- Tier 1 – Tier 6
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0.7% of formularies
- Quantity limits
- 81.8% 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
100 Medicare Advantage plans with Part D drug coverage include this drug.
Frequently Asked Questions
Is ezetimibe 10 MG / simvastatin 10 MG Oral Tablet covered by Medicare Part D?
Yes, ezetimibe 10 MG / simvastatin 10 MG Oral Tablet is covered by 4,781 Medicare Part D plans (94.4% of all Part D formularies).
What tier is ezetimibe 10 MG / simvastatin 10 MG Oral Tablet on Medicare Part D plans?
ezetimibe 10 MG / simvastatin 10 MG Oral Tablet averages Tier 2.5 across Part D plans, ranging from Tier 1 to Tier 6.
Does ezetimibe 10 MG / simvastatin 10 MG Oral Tablet require prior authorization?
0% of Part D formularies require prior authorization for ezetimibe 10 MG / simvastatin 10 MG Oral Tablet. Step therapy: 0.7%. Quantity limits: 81.8%.
How much does Medicare spend on ezetimibe 10 MG / simvastatin 10 MG Oral Tablet?
In 2023, total Medicare Part D spending on ezetimibe 10 MG / simvastatin 10 MG Oral Tablet 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.