fenofibrate 150 MG Oral Capsule
fenofibrate
RxCUI: 616852
What the CMS Formulary Data Shows for fenofibrate 150 MG Oral Capsule
Per the CMS 2026 Part D formulary file, fenofibrate 150 MG Oral Capsule (RxNorm concept RXCUI 616852, generic name fenofibrate) appears on 18 distinct formulary files spanning 762 Medicare Part D plan offerings - 15% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 2.1.
Real-world access to fenofibrate 150 MG Oral Capsule depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 16.7% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 500,170 Part D beneficiaries filled fenofibrate 150 MG Oral Capsule in 2023, with total plan-and-beneficiary spending of $74,983,711 and an average per-beneficiary annual cost of $149.92. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry fenofibrate 150 MG Oral Capsule today.
Coverage Details
- Formularies covering
- 18
- Plans covering
- 762
- Coverage rate
- 15%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 16.7% of formularies
2023 Medicare Spending
- Beneficiaries
- 500,170
- Total spending
- $74,983,711
- Avg per beneficiary
- $149.92
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering fenofibrate 150 MG Oral Capsule
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Aetna Medicare Chronic Care (HMO C-SNP) | AETNA HEALTH OF OHIO INC. | T1 | No | $0 | OH |
| Aetna Medicare Chronic Care (HMO C-SNP) | AETNA HEALTH OF OHIO INC. | T1 | No | $0 | OH |
| Aetna Medicare Chronic Care (HMO C-SNP) | AETNA HEALTH OF OHIO INC. | T1 | No | $0 | OH |
| Aetna Medicare Chronic Care (HMO C-SNP) | AETNA HEALTH OF OHIO INC. | T1 | No | $0 | OH |
| Aetna Medicare Chronic Care (PPO C-SNP) | SILVERSCRIPT INSURANCE COMPANY | T1 | No | $0 | GA |
| Aetna Medicare Chronic Care (HMO C-SNP) | COVENTRY HEALTH CARE OF MISSOURI, INC. | T1 | No | $0 | KS, MO |
| Aetna Medicare Chronic Care (HMO C-SNP) | COVENTRY HEALTH CARE OF MISSOURI, INC. | T1 | No | $0 | IL |
| Aetna Medicare Chronic Care (HMO C-SNP) | COVENTRY HEALTH CARE OF MISSOURI, INC. | T1 | No | $0 | MO |
| Aetna Medicare Chronic Care (HMO C-SNP) | AETNA BETTER HEALTH INC. (GA) | T1 | No | $0 | NC |
| Aetna Medicare Chronic Care (HMO C-SNP) | AETNA BETTER HEALTH INC. (GA) | T1 | No | $0 | SC |
| Aetna Medicare Chronic Care (HMO C-SNP) | AETNA HEALTH OF MICHIGAN INC. | T1 | No | $0 | MI |
| Aetna Medicare Chronic Care (HMO C-SNP) | AETNA BETTER HEALTH, INC. (LA) | T1 | No | $0 | LA |
| Aetna Medicare Chronic Care (HMO C-SNP) | AETNA HEALTH INC. (NY) | T1 | No | $0 | NY |
| Aetna Medicare Prime Chronic Care (HMO C-SNP) | AETNA HEALTH INC. (PA) | T1 | No | $0 | AZ |
| Aetna Medicare Chronic Care (HMO C-SNP) | AETNA HEALTH INC. (PA) | T1 | No | $0 | NV |
| Aetna Medicare Chronic Care (HMO C-SNP) | AETNA HEALTH INC. (PA) | T1 | No | $0 | PA |
| Aetna Medicare Chronic Care (HMO C-SNP) | AETNA HEALTH INC. (PA) | T1 | No | $0 | DE |
| Aetna Medicare Prime Chronic Care (HMO C-SNP) | AETNA HEALTH INC. (TX) | T1 | No | $0 | TX |
| Aetna Medicare Prime Chronic Care (HMO C-SNP) | AETNA HEALTH INC. (TX) | T1 | No | $0 | TX |
| Aetna Medicare Chronic Care (HMO C-SNP) | AETNA HEALTH INC. (GA) | T1 | No | $0 | GA |
| CareAdvantage (HMO D-SNP) | SAN MATEO HEALTH COMMISSION | T1 | No | $0 | CA |
| Allina Health Aetna Medicare Chronic (PPO C-SNP) | ALLINA HEALTH AND AETNA INSURANCE COMPANY | T1 | No | $0 | MN |
| Community Care's Partnership Program (HMO D-SNP) | COMMUNITY CARE HEALTH PLAN, INC. | T1 | No | $0 | WI |
| Mass General Brigham SCO (HMO D-SNP) | MASS GENERAL BRIGHAM HEALTH PLAN, INC | T1 | No | $0 | MA |
| Mass General Brigham One Care (HMO D-SNP) | MASS GENERAL BRIGHAM HEALTH PLAN, INC | T1 | No | $0 | MA |
| Aetna Medicare Prime Chronic Total (HMO C-SNP) | AETNA HEALTH INC. (TX) | T1 | No | $3.90 | TX |
| Aetna Medicare Chronic Care Total (HMO C-SNP) | AETNA HEALTH INC. (PA) | T1 | No | $7.40 | DE |
| Aetna Medicare Prime Chronic Total (HMO C-SNP) | COVENTRY HEALTH CARE OF ILLINOIS, INC. | T1 | No | $15.20 | IL |
| Aetna Medicare Chronic Care Total (HMO C-SNP) | AETNA BETTER HEALTH INC. (GA) | T1 | No | $17.20 | SC |
| Aetna Medicare Chronic Care Total (HMO C-SNP) | AETNA HEALTH OF OHIO INC. | T1 | No | $28.40 | OH |
| Aetna Medicare Chronic Care Total (HMO C-SNP) | AETNA HEALTH OF OHIO INC. | T1 | No | $28.60 | OH |
| Aetna Medicare Chronic Care Total (HMO C-SNP) | AETNA HEALTH OF OHIO INC. | T1 | No | $28.60 | OH |
| Aetna Medicare Chronic Care Total (HMO C-SNP) | AETNA HEALTH OF OHIO INC. | T1 | No | $28.60 | OH |
| Aetna Medicare Chronic Care Total (HMO C-SNP) | AETNA HEALTH OF OHIO INC. | T1 | No | $28.70 | OH |
| Aetna Medicare Chronic Care Value (HMO C-SNP) | AETNA HEALTH INC. (PA) | T1 | No | $28.80 | PA |
| Aetna Medicare Chronic Care Value (HMO C-SNP) | AETNA HEALTH INC. (PA) | T1 | No | $29.70 | PA |
| Aetna Medicare Chronic Care Value (HMO C-SNP) | AETNA HEALTH INC. (PA) | T1 | No | $32.70 | PA |
| Aetna Medicare Chronic Care Value (HMO C-SNP) | AETNA BETTER HEALTH INC. (GA) | T1 | No | $36.20 | NC |
| Aetna Medicare Chronic Care Total (HMO C-SNP) | AETNA HEALTH OF MICHIGAN INC. | T1 | No | $38.40 | IN |
| Aetna Medicare Chronic Care Total (HMO C-SNP) | AETNA HEALTH OF MICHIGAN INC. | T1 | No | $38.40 | IN |
| Allina Health Aetna Medicare Value (PPO C-SNP) | ALLINA HEALTH AND AETNA INSURANCE COMPANY | T1 | No | $41.50 | MN |
| Aetna Medicare Chronic Care Total (HMO C-SNP) | COVENTRY HEALTH CARE OF MISSOURI, INC. | T1 | No | $55.20 | KS |
| Aetna Medicare Signature (HMO) | AETNA HEALTH OF CALIFORNIA INC. | T2 | No | $0 | CA |
| Aetna Medicare Signature (HMO) | AETNA HEALTH OF CALIFORNIA INC. | T2 | No | $0 | CA |
| Aetna Medicare Signature Extra (HMO-POS) | AETNA HEALTH OF CALIFORNIA INC. | T2 | No | $0 | CA |
| Aetna Medicare Prime (HMO-POS) | AETNA HEALTH OF CALIFORNIA INC. | T2 | No | $0 | CA |
| Aetna Medicare Prime (HMO-POS) | AETNA HEALTH OF CALIFORNIA INC. | T2 | No | $0 | CA |
| Aetna Medicare Prime (HMO-POS) | AETNA HEALTH OF CALIFORNIA INC. | T2 | No | $0 | CA |
| Aetna Medicare Signature Extra (HMO) | AETNA HEALTH OF CALIFORNIA INC. | T2 | No | $0 | CA |
| Aetna Medicare Prime (HMO-POS) | AETNA HEALTH OF CALIFORNIA INC. | T2 | No | $0 | CA |
Frequently Asked Questions
Is fenofibrate 150 MG Oral Capsule covered by Medicare Part D?
Yes, fenofibrate 150 MG Oral Capsule is covered by 762 Medicare Part D plans (15% of all Part D formularies).
What tier is fenofibrate 150 MG Oral Capsule on Medicare Part D plans?
fenofibrate 150 MG Oral Capsule averages Tier 2.1 across Part D plans, ranging from Tier 1 to Tier 4.
Does fenofibrate 150 MG Oral Capsule require prior authorization?
0% of Part D formularies require prior authorization for fenofibrate 150 MG Oral Capsule. Step therapy: 0%. Quantity limits: 16.7%.
How much does Medicare spend on fenofibrate 150 MG Oral Capsule?
In 2023, total Medicare Part D spending on fenofibrate 150 MG Oral Capsule was $74,983,711, covering 500,170 beneficiaries. The average spend per beneficiary was $149.92.
Read our methodology - how this data is sourced, computed, and verified.