Medicare Part D coverage · fenofibrate · RxCUI 483427
fenofibrate 43 MG Oral Capsule
Per the CMS 2026 Part D formulary file, fenofibrate 43 MG Oral Capsule is covered by 3,305 Medicare Part D plans (65.4% of enrollable products), averaging Tier 1.7, with prior authorization required on 0% of covering formularies.
- 65.4%
- Plan coverage
- 3,305
- Plans covering
- T1.7
- Avg tier
- 0%
- Prior auth required
What the CMS Formulary Data Shows for fenofibrate 43 MG Oral Capsule
Per the CMS 2026 Part D formulary file, fenofibrate 43 MG Oral Capsule (RxNorm concept RXCUI 483427, generic name fenofibrate) appears on 135 distinct formulary files spanning 3,305 Medicare Part D plan offerings - 65.4% of enrollable Part D products, mid-range placement; shopping across contracts changes access. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 1.7.
Real-world access to fenofibrate 43 MG Oral Capsule depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 3% require step therapy. 9.6% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 500,170 Part D beneficiaries filled fenofibrate 43 MG Oral Capsule 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 43 MG Oral Capsule today.
Coverage Details
- Formularies covering
- 135
- Plans covering
- 3,305
- Coverage rate
- 65.4%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 3% of formularies
- Quantity limits
- 9.6% 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 43 MG Oral Capsule
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| UHC Complete Care WI-1 (PPO C-SNP) | Unitedhealthcare Insurance Company | T1 | No | $0 | WI |
| UHC Complete Care AL-5 (HMO-POS C-SNP) | Unitedhealthcare OF THE Midlands, Inc. | T1 | No | $0 | AL |
| UHC Complete Care CA-15P (HMO-POS C-SNP) | UHC OF California | T1 | No | $0 | CA |
| UHC Complete Care CA-18P (HMO-POS C-SNP) | UHC OF California | T1 | No | $0 | CA |
| UHC Complete Care CA-19P (HMO-POS C-SNP) | UHC OF California | T1 | No | $0 | CA |
| UHC Complete Care CA-20P (HMO-POS C-SNP) | UHC OF California | T1 | No | $0 | CA |
| UHC Complete Care CA-27P (HMO-POS C-SNP) | UHC OF California | T1 | No | $0 | CA |
| UHC Complete Care NV-4 (HMO-POS C-SNP) | UnitedHealthcare Benefits of Texas, Inc. | T1 | No | $0 | NV |
| UHC Complete Care AZ-1P (HMO-POS C-SNP) | UnitedHealthcare Benefits of Texas, Inc. | T1 | No | $0 | AZ |
| UHC Complete Care AZ-3P (HMO-POS C-SNP) | UnitedHealthcare Benefits of Texas, Inc. | T1 | No | $0 | AZ |
| UHC Complete Care CO-1P (HMO-POS C-SNP) | UnitedHealthcare Benefits of Texas, Inc. | T1 | No | $0 | CO |
| UHC Complete Care CO-2P (HMO-POS C-SNP) | UnitedHealthcare Benefits of Texas, Inc. | T1 | No | $0 | CO |
| UHC Complete Care TX-24 (HMO-POS C-SNP) | UnitedHealthcare Benefits of Texas, Inc. | T1 | No | $0 | TX |
| UHC Complete Care TX-3P (HMO-POS C-SNP) | UnitedHealthcare Benefits of Texas, Inc. | T1 | No | $0 | TX |
| UHC Complete Care CO-19 (HMO-POS C-SNP) | UnitedHealthcare Benefits of Texas, Inc. | T1 | No | $0 | CO |
| UHC Complete Care Support NV-11 (HMO-POS C-SNP) | UnitedHealthcare Benefits of Texas, Inc. | T1 | No | $0 | NV |
| UHC Preferred Complete Care FL-0003 (HMO C-SNP) | Preferred Care Partners, Inc. | T1 | No | $0 | FL |
| UHC Complete Care FL-14 (HMO-POS C-SNP) | Preferred Care Partners, Inc. | T1 | No | $0 | FL |
| UHC Complete Care AR-5 (PPO C-SNP) | Care Improvement Plus South Central Insurance Co. | T1 | No | $0 | AR |
| UHC Complete Care GA-3 (PPO C-SNP) | Care Improvement Plus South Central Insurance Co. | T1 | No | $0 | GA |
Show the next 30 plans
| UHC Complete Care AR-6 (PPO C-SNP) | Care Improvement Plus South Central Insurance Co. | T1 | No | $0 | AR |
| Peoples Health Complete Care LA-5 (HMO-POS C-SNP) | Peoples Health, Inc. | T1 | No | $0 | LA |
| Peoples Health Complete Care LA-6 (HMO-POS C-SNP) | Peoples Health, Inc. | T1 | No | $0 | LA |
| Peoples Health Complete Care LA-7 (HMO-POS C-SNP) | Peoples Health, Inc. | T1 | No | $0 | LA |
| UHC Complete Care Support NM-1A (PPO C-SNP) | Sierra Health AND Life Insurance Company, Inc. | T1 | No | $0 | NM |
| UHC Complete Care Support EP-1A (PPO C-SNP) | Sierra Health AND Life Insurance Company, Inc. | T1 | No | $0 | NM |
| UHC Complete Care Support NM-2A (PPO C-SNP) | Sierra Health AND Life Insurance Company, Inc. | T1 | No | $0 | NM |
| UHC Complete Care MO-1 (PPO C-SNP) | Sierra Health AND Life Insurance Company, Inc. | T1 | No | $0 | MO |
| UHC Complete Care SC-1 (PPO C-SNP) | Sierra Health AND Life Insurance Company, Inc. | T1 | No | $0 | SC |
| UHC Complete Care NM-11 (PPO C-SNP) | Sierra Health AND Life Insurance Company, Inc. | T1 | No | $0 | NM |
| UHC Complete Care MN-7 (PPO C-SNP) | Sierra Health AND Life Insurance Company, Inc. | T1 | No | $0 | MN |
| UHC Complete Care IN-21 (HMO-POS C-SNP) | Unitedhealthcare OF THE Midlands, Inc. | T1 | No | $0 | IN |
| UHC Complete Care KS-4 (HMO-POS C-SNP) | Unitedhealthcare OF THE Midlands, Inc. | T1 | No | $0 | KS |
| UHC Complete Care NY-30 (HMO-POS C-SNP) | Unitedhealthcare OF NEW York, Inc. | T1 | No | $0 | NY |
| UHC Complete Care NY-31 (HMO-POS C-SNP) | Unitedhealthcare OF NEW York, Inc. | T1 | No | $0 | NY |
| UHC Complete Care NY-33 (HMO-POS C-SNP) | Unitedhealthcare OF NEW York, Inc. | T1 | No | $0 | NY |
| UHC Complete Care OR-5 (HMO-POS C-SNP) | UnitedHealthcare Benefits of Texas, Inc. | T1 | No | $0 | OR |
| UHC Complete Care WA-13 (HMO-POS C-SNP) | UnitedHealthcare Benefits of Texas, Inc. | T1 | No | $0 | WA |
| UHC Complete Care TX-2P (HMO-POS C-SNP) | Unitedhealthcare Community Plan OF Texas, L.L.C. | T1 | No | $0 | TX |
| UHC Complete Care TX-16 (HMO-POS C-SNP) | Physicians Health Choice OF Texas, LLC | T1 | No | $0 | TX |
| UHC Complete Care TX-17 (HMO-POS C-SNP) | Physicians Health Choice OF Texas, LLC | T1 | No | $0 | TX |
| UHC Complete Care TX-18 (HMO-POS C-SNP) | Physicians Health Choice OF Texas, LLC | T1 | No | $0 | TX |
| UHC Complete Care TX-19 (HMO-POS C-SNP) | Physicians Health Choice OF Texas, LLC | T1 | No | $0 | TX |
| UHC Complete Care UT-6 (HMO-POS C-SNP) | Unitedhealthcare OF THE Rockies, Inc. | T1 | No | $0 | UT |
| UHC Complete Care ID-12 (HMO-POS C-SNP) | Unitedhealthcare OF THE Rockies, Inc. | T1 | No | $0 | ID |
| UHC Complete Care ID-13 (HMO-POS C-SNP) | Unitedhealthcare OF THE Rockies, Inc. | T1 | No | $0 | ID |
| UHC Complete Care MA-7 (HMO-POS C-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T1 | No | $0 | MA |
| UHC Complete Care ME-6 (HMO-POS C-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T1 | No | $0 | ME |
| UHC Complete Care RI-4 (HMO-POS C-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T1 | No | $0 | RI |
| UHC Complete Care OK-8 (HMO-POS C-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T1 | No | $0 | OK |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is fenofibrate 43 MG Oral Capsule covered by Medicare Part D?
Yes, fenofibrate 43 MG Oral Capsule is covered by 3,305 Medicare Part D plans (65.4% of all Part D formularies).
What tier is fenofibrate 43 MG Oral Capsule on Medicare Part D plans?
fenofibrate 43 MG Oral Capsule averages Tier 1.7 across Part D plans, ranging from Tier 1 to Tier 4.
Does fenofibrate 43 MG Oral Capsule require prior authorization?
0% of Part D formularies require prior authorization for fenofibrate 43 MG Oral Capsule. Step therapy: 3%. Quantity limits: 9.6%.
How much does Medicare spend on fenofibrate 43 MG Oral Capsule?
In 2023, total Medicare Part D spending on fenofibrate 43 MG Oral Capsule 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
- 24 HR minocycline 40 MG Extended Release Oral Capsule [Emrosi] 0% PA
- buspirone hydrochloride 10 MG Oral Capsule [Bucapsol] 0% PA
- 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