fenofibric acid 135 MG Delayed Release Oral Capsule
fenofibric acid
RxCUI: 828373
What the CMS Formulary Data Shows for fenofibric acid 135 MG Delayed Release Oral Capsule
Per the CMS 2026 Part D formulary file, fenofibric acid 135 MG Delayed Release Oral Capsule (RxNorm concept RXCUI 828373, generic name fenofibric acid) appears on 205 distinct formulary files spanning 3,317 Medicare Part D plan offerings - 65.5% of enrollable Part D products, mid-range placement; shopping across contracts changes access. Tier placement ranges from Tier 1 to Tier 6, with a cross-plan average of Tier 2.3.
Real-world access to fenofibric acid 135 MG Delayed Release Oral Capsule depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 22.9% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 40,800 Part D beneficiaries filled fenofibric acid 135 MG Delayed Release Oral Capsule in 2023, with total plan-and-beneficiary spending of $12,979,782 and an average per-beneficiary annual cost of $318.13. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry fenofibric acid 135 MG Delayed Release Oral Capsule today.
Coverage Details
- Formularies covering
- 205
- Plans covering
- 3,317
- Coverage rate
- 65.5%
- Tier range
- Tier 1 – Tier 6
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 22.9% of formularies
2023 Medicare Spending
- Beneficiaries
- 40,800
- Total spending
- $12,979,782
- Avg per beneficiary
- $318.13
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering fenofibric acid 135 MG Delayed Release 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 |
| 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 |
Frequently Asked Questions
Is fenofibric acid 135 MG Delayed Release Oral Capsule covered by Medicare Part D?
Yes, fenofibric acid 135 MG Delayed Release Oral Capsule is covered by 3,317 Medicare Part D plans (65.5% of all Part D formularies).
What tier is fenofibric acid 135 MG Delayed Release Oral Capsule on Medicare Part D plans?
fenofibric acid 135 MG Delayed Release Oral Capsule averages Tier 2.3 across Part D plans, ranging from Tier 1 to Tier 6.
Does fenofibric acid 135 MG Delayed Release Oral Capsule require prior authorization?
0% of Part D formularies require prior authorization for fenofibric acid 135 MG Delayed Release Oral Capsule. Step therapy: 0%. Quantity limits: 22.9%.
How much does Medicare spend on fenofibric acid 135 MG Delayed Release Oral Capsule?
In 2023, total Medicare Part D spending on fenofibric acid 135 MG Delayed Release Oral Capsule was $12,979,782, covering 40,800 beneficiaries. The average spend per beneficiary was $318.13.
Read our methodology - how this data is sourced, computed, and verified.