fluconazole 40 MG/ML Oral Suspension [Diflucan]

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fluconazole

RxCUI: 201901

Important: Drug coverage and costs vary by plan and location. Verify coverage directly with your Medicare plan before filling a prescription. This is informational data only and should not replace advice from your healthcare provider or pharmacist.
0.2%
Plan Coverage
8
Plans Covering
T2.5
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for fluconazole 40 MG/ML Oral Suspension [Diflucan]

Per the CMS 2026 Part D formulary file, fluconazole 40 MG/ML Oral Suspension [Diflucan] (RxNorm concept RXCUI 201901, generic name fluconazole) appears on 2 distinct formulary files spanning 8 Medicare Part D plan offerings - 0.2% 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 fluconazole 40 MG/ML Oral Suspension [Diflucan] 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 2,001,592 Part D beneficiaries filled fluconazole 40 MG/ML Oral Suspension [Diflucan] in 2023, with total plan-and-beneficiary spending of $41,328,703 and an average per-beneficiary annual cost of $20.65. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry fluconazole 40 MG/ML Oral Suspension [Diflucan] today.

Coverage Details

Formularies covering
2
Plans covering
8
Coverage rate
0.2%
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
0% of formularies

2023 Medicare Spending

Beneficiaries
2,001,592
Total spending
$41,328,703
Avg per beneficiary
$20.65

Tier Distribution Across Plans

2 plans
Tier 1, Preferred Generic
6 plans
Tier 4, Non-Preferred

Medicare Advantage Plans (MA-PD) Covering fluconazole 40 MG/ML Oral Suspension [Diflucan]

8 Medicare Advantage plans with Part D drug coverage include this drug.

Plan Insurer Tier PA Premium States
Hamaspik Medicare Choice (HMO D-SNP) HAMASPIK, INC. T1 No $0 NY
Hamaspik Medicare Select (HMO D-SNP) HAMASPIK, INC. T1 No $34.50 NY
Óptimo Plus (PPO) TRIPLE S ADVANTAGE, INC. T4 No $0 PR
Contigo Plus (HMO C-SNP) TRIPLE S ADVANTAGE, INC. T4 No $0 PR
Brillante (HMO-POS) TRIPLE S ADVANTAGE, INC. T4 No $0 PR
Enlace Plus (HMO) TRIPLE S ADVANTAGE, INC. T4 No $0 PR
ContigoEnMente (HMO C-SNP) TRIPLE S ADVANTAGE, INC. T4 No $0 PR
Ahorro Plus (HMO) TRIPLE S ADVANTAGE, INC. T4 No $0 PR

Frequently Asked Questions

Is fluconazole 40 MG/ML Oral Suspension [Diflucan] covered by Medicare Part D?

Yes, fluconazole 40 MG/ML Oral Suspension [Diflucan] is covered by 8 Medicare Part D plans (0.2% of all Part D formularies).

What tier is fluconazole 40 MG/ML Oral Suspension [Diflucan] on Medicare Part D plans?

fluconazole 40 MG/ML Oral Suspension [Diflucan] averages Tier 2.5 across Part D plans, ranging from Tier 1 to Tier 4.

Does fluconazole 40 MG/ML Oral Suspension [Diflucan] require prior authorization?

0% of Part D formularies require prior authorization for fluconazole 40 MG/ML Oral Suspension [Diflucan]. Step therapy: 0%. Quantity limits: 0%.

How much does Medicare spend on fluconazole 40 MG/ML Oral Suspension [Diflucan]?

In 2023, total Medicare Part D spending on fluconazole 40 MG/ML Oral Suspension [Diflucan] was $41,328,703, covering 2,001,592 beneficiaries. The average spend per beneficiary was $20.65.

Data sourced from the Centers for Medicare & Medicaid Services (CMS). See our methodology for details. Retrieved and formatted by PlainMedicare Editorial