Medicare Part D coverage · fenofibrate · RxCUI 749804
fenofibrate 40 MG Oral Tablet
Per the CMS 2026 Part D formulary file, fenofibrate 40 MG Oral Tablet is covered by 757 Medicare Part D plans (15% of enrollable products), averaging Tier 2.5, with prior authorization required on 0% of covering formularies.
- 15%
- Plan coverage
- 757
- Plans covering
- T2.5
- Avg tier
- 0%
- Prior auth required
What the CMS Formulary Data Shows for fenofibrate 40 MG Oral Tablet
Per the CMS 2026 Part D formulary file, fenofibrate 40 MG Oral Tablet (RxNorm concept RXCUI 749804, generic name fenofibrate) appears on 16 distinct formulary files spanning 757 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 2.5.
Real-world access to fenofibrate 40 MG Oral Tablet depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 25% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 500,170 Part D beneficiaries filled fenofibrate 40 MG Oral Tablet in 2023, with total plan-and-beneficiary spending of $74,981,856 and an average per-beneficiary annual cost of $149.91. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry fenofibrate 40 MG Oral Tablet today.
Coverage Details
- Formularies covering
- 16
- Plans covering
- 757
- Coverage rate
- 15%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 25% of formularies
2023 Medicare Spending
- Beneficiaries
- 500,170
- Total spending
- $74,981,856
- Avg per beneficiary
- $149.91
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering fenofibrate 40 MG Oral Tablet
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 |
Show the next 30 plans
| 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 |
| 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 |
| Aetna Medicare Signature Extra (HMO) | Aetna Health OF California Inc. | T2 | No | $0 | CA |
| Aetna Medicare Signature Extra (HMO) | Aetna Health OF California Inc. | T2 | No | $0 | CA |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is fenofibrate 40 MG Oral Tablet covered by Medicare Part D?
Yes, fenofibrate 40 MG Oral Tablet is covered by 757 Medicare Part D plans (15% of all Part D formularies).
What tier is fenofibrate 40 MG Oral Tablet on Medicare Part D plans?
fenofibrate 40 MG Oral Tablet averages Tier 2.5 across Part D plans, ranging from Tier 1 to Tier 4.
Does fenofibrate 40 MG Oral Tablet require prior authorization?
0% of Part D formularies require prior authorization for fenofibrate 40 MG Oral Tablet. Step therapy: 0%. Quantity limits: 25%.
How much does Medicare spend on fenofibrate 40 MG Oral Tablet?
In 2023, total Medicare Part D spending on fenofibrate 40 MG Oral Tablet was $74,981,856, covering 500,170 beneficiaries. The average spend per beneficiary was $149.91.
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
Similar prior-authorization rate
- metronidazole 10 MG/ML Topical Cream [Noritate] 0% PA
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- diflunisal 375 MG Oral Tablet [Dolobid] 0% PA
- hydrocortisone 1 MG/ML Oral Solution [Khindivi] 0% PA
- indomethacin 50 MG Rectal Suppository [Indocin] 0% PA