fluoxetine 10 MG Oral Tablet
fluoxetine
RxCUI: 313990
What the CMS Formulary Data Shows for fluoxetine 10 MG Oral Tablet
Per the CMS 2026 Part D formulary file, fluoxetine 10 MG Oral Tablet (RxNorm concept RXCUI 313990, generic name fluoxetine) appears on 71 distinct formulary files spanning 2,280 Medicare Part D plan offerings - 45% 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 1.9.
Real-world access to fluoxetine 10 MG Oral Tablet depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 19.7% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 1,427,221 Part D beneficiaries filled fluoxetine 10 MG Oral Tablet in 2023, with total plan-and-beneficiary spending of $104,951,776 and an average per-beneficiary annual cost of $73.54. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry fluoxetine 10 MG Oral Tablet today.
Coverage Details
- Formularies covering
- 71
- Plans covering
- 2,280
- Coverage rate
- 45%
- 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
- 19.7% of formularies
2023 Medicare Spending
- Beneficiaries
- 1,427,221
- Total spending
- $104,951,776
- Avg per beneficiary
- $73.54
Tier Distribution Across Plans
Standalone Drug Plans (PDP) Covering fluoxetine 10 MG Oral Tablet
2 standalone prescription drug plans include this drug.
| Plan | Insurer | Tier | PA | ST | Premium | States |
|---|---|---|---|---|---|---|
| AARP Medicare Rx Preferred from UHC (PDP) | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | T1 | No | No | $0 | - |
| AARP Medicare Rx Preferred from UHC (PDP) | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | T1 | No | No | $0 | - |
Medicare Advantage Plans (MA-PD) Covering fluoxetine 10 MG Oral Tablet
98 Medicare Advantage plans with Part D drug coverage include this drug.
Frequently Asked Questions
Is fluoxetine 10 MG Oral Tablet covered by Medicare Part D?
Yes, fluoxetine 10 MG Oral Tablet is covered by 2,280 Medicare Part D plans (45% of all Part D formularies).
What tier is fluoxetine 10 MG Oral Tablet on Medicare Part D plans?
fluoxetine 10 MG Oral Tablet averages Tier 1.9 across Part D plans, ranging from Tier 1 to Tier 4.
Does fluoxetine 10 MG Oral Tablet require prior authorization?
0% of Part D formularies require prior authorization for fluoxetine 10 MG Oral Tablet. Step therapy: 0%. Quantity limits: 19.7%.
How much does Medicare spend on fluoxetine 10 MG Oral Tablet?
In 2023, total Medicare Part D spending on fluoxetine 10 MG Oral Tablet was $104,951,776, covering 1,427,221 beneficiaries. The average spend per beneficiary was $73.54.
Read our methodology - how this data is sourced, computed, and verified.