famotidine 20 MG Oral Tablet [Pepcid]
famotidine
RxCUI: 104094
What the CMS Formulary Data Shows for famotidine 20 MG Oral Tablet [Pepcid]
Per the CMS 2026 Part D formulary file, famotidine 20 MG Oral Tablet [Pepcid] (RxNorm concept RXCUI 104094, generic name famotidine) appears on 1 distinct formulary file spanning 1 Medicare Part D plan offering - 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 famotidine 20 MG Oral Tablet [Pepcid] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 0% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 3,593,191 Part D beneficiaries filled famotidine 20 MG Oral Tablet [Pepcid] in 2023, with total plan-and-beneficiary spending of $202,810,000 and an average per-beneficiary annual cost of $56.44. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry famotidine 20 MG Oral Tablet [Pepcid] today.
Coverage Details
- Formularies covering
- 1
- Plans covering
- 1
- 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
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 3,593,191
- Total spending
- $202,810,000
- Avg per beneficiary
- $56.44
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering famotidine 20 MG Oral Tablet [Pepcid]
1 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| CareAdvantage (HMO D-SNP) | SAN MATEO HEALTH COMMISSION | T1 | No | $0 | CA |
Frequently Asked Questions
Is famotidine 20 MG Oral Tablet [Pepcid] covered by Medicare Part D?
Yes, famotidine 20 MG Oral Tablet [Pepcid] is covered by 1 Medicare Part D plans (0% of all Part D formularies).
What tier is famotidine 20 MG Oral Tablet [Pepcid] on Medicare Part D plans?
famotidine 20 MG Oral Tablet [Pepcid] averages Tier 1 across Part D plans, ranging from Tier 1 to Tier 1.
Does famotidine 20 MG Oral Tablet [Pepcid] require prior authorization?
0% of Part D formularies require prior authorization for famotidine 20 MG Oral Tablet [Pepcid]. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on famotidine 20 MG Oral Tablet [Pepcid]?
In 2023, total Medicare Part D spending on famotidine 20 MG Oral Tablet [Pepcid] was $202,810,000, covering 3,593,191 beneficiaries. The average spend per beneficiary was $56.44.
Read our methodology - how this data is sourced, computed, and verified.