Medicare Part D coverage · fluoxetine · RxCUI 403972
fluoxetine 50 MG / olanzapine 6 MG Oral Capsule
Per the CMS 2026 Part D formulary file, fluoxetine 50 MG / olanzapine 6 MG Oral Capsule is covered by 415 Medicare Part D plans (8.2% of enrollable products), averaging Tier 3.1, with prior authorization required on 7.7% of covering formularies.
- 8.2%
- Plan coverage
- 415
- Plans covering
- T3.1
- Avg tier
- 7.7%
- Prior auth required
What the CMS Formulary Data Shows for fluoxetine 50 MG / olanzapine 6 MG Oral Capsule
Per the CMS 2026 Part D formulary file, fluoxetine 50 MG / olanzapine 6 MG Oral Capsule (RxNorm concept RXCUI 403972, generic name fluoxetine) appears on 26 distinct formulary files spanning 415 Medicare Part D plan offerings - 8.2% 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 3.1.
Real-world access to fluoxetine 50 MG / olanzapine 6 MG Oral Capsule depends on utilization management as much as tier placement: 7.7% of covering formularies require prior authorization. 0% require step therapy. 23.1% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 1,427,221 Part D beneficiaries filled fluoxetine 50 MG / olanzapine 6 MG Oral Capsule in 2023, with total plan-and-beneficiary spending of $104,943,337 and an average per-beneficiary annual cost of $73.53. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry fluoxetine 50 MG / olanzapine 6 MG Oral Capsule today.
Coverage Details
- Formularies covering
- 26
- Plans covering
- 415
- Coverage rate
- 8.2%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 7.7% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 23.1% of formularies
2023 Medicare Spending
- Beneficiaries
- 1,427,221
- Total spending
- $104,943,337
- Avg per beneficiary
- $73.53
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering fluoxetine 50 MG / olanzapine 6 MG Oral Capsule
100 Medicare Advantage plans with Part D drug coverage include this drug.
Show the next 30 plans
| MCS Classicare Excede (HMO) | MCS Advantage, Inc. | T2 | No | $0 | PR |
| MCS Classicare Estrella (HMO) | MCS Advantage, Inc. | T2 | No | $0 | PR |
| MCS Classicare Platino Superior (HMO D-SNP) | MCS Advantage, Inc. | T2 | No | $0 | PR |
| MCS Classicare Platino 185 (HMO D-SNP) | MCS Advantage, Inc. | T2 | No | $0 | PR |
| Healthy Mississippi Premier Advantage (HMO-POS) | Healthy Mississippi, Inc. | T2 | No | $0 | MS |
| MMM Supremo (HMO C-SNP) | MMM Healthcare, LLC | T2 | No | $0 | PR |
| MMM Diamante Platino (HMO D-SNP) | MMM Healthcare, LLC | T2 | No | $0 | PR |
| MMM Unico (HMO-POS) | MMM Healthcare, LLC | T2 | No | $0 | PR |
| MMM Elite (HMO-POS) | MMM Healthcare, LLC | T2 | No | $0 | PR |
| MMM Deluxe (HMO-POS) | MMM Healthcare, LLC | T2 | No | $0 | PR |
| MMM Dorado Platino (HMO D-SNP) | MMM Healthcare, LLC | T2 | No | $0 | PR |
| PMC Premier Platino (HMO D-SNP) | MMM Healthcare, LLC | T2 | No | $0 | PR |
| PMC Max (HMO-POS) | MMM Healthcare, LLC | T2 | No | $0 | PR |
| MMM Plenitud (HMO-POS) | MMM Healthcare, LLC | T2 | No | $0 | PR |
| MMM Valioso (HMO-POS) | MMM Healthcare, LLC | T2 | No | $0 | PR |
| MMM Combo Platino (HMO D-SNP) | MMM Healthcare, LLC | T2 | No | $0 | PR |
| MMM Flexi Platino (HMO D-SNP) | MMM Healthcare, LLC | T2 | No | $0 | PR |
| MMM Grandioso (HMO-POS) | MMM Healthcare, LLC | T2 | No | $0 | PR |
| MMM Mega Flex (HMO-POS) | MMM Healthcare, LLC | T2 | No | $0 | PR |
| MMM Relax Platino (HMO D-SNP) | MMM Healthcare, LLC | T2 | No | $0 | PR |
| MMM Balance (HMO-POS) | MMM Healthcare, LLC | T2 | No | $0 | PR |
| Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) | Kaiser Foundation HP, Inc. | T2 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Enhanced Solano (HMO) | Kaiser Foundation HP, Inc. | T2 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Inland Empire (HMO) | Kaiser Foundation HP, Inc. | T2 | No | $0 | CA |
| Kaiser Permanente Sr Adv Enhanced Marin San Mateo (HMO) | Kaiser Foundation HP, Inc. | T2 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Ventura (HMO) | Kaiser Foundation HP, Inc. | T2 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Enhanced Kern (HMO) | Kaiser Foundation HP, Inc. | T2 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Basic Kern (HMO) | Kaiser Foundation HP, Inc. | T2 | No | $0 | CA |
| Kaiser Permanente Senior Advantage San Diego (HMO) | Kaiser Foundation HP, Inc. | T2 | No | $0 | CA |
| Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO) | Kaiser Foundation HP, Inc. | T2 | No | $0 | CA |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is fluoxetine 50 MG / olanzapine 6 MG Oral Capsule covered by Medicare Part D?
Yes, fluoxetine 50 MG / olanzapine 6 MG Oral Capsule is covered by 415 Medicare Part D plans (8.2% of all Part D formularies).
What tier is fluoxetine 50 MG / olanzapine 6 MG Oral Capsule on Medicare Part D plans?
fluoxetine 50 MG / olanzapine 6 MG Oral Capsule averages Tier 3.1 across Part D plans, ranging from Tier 1 to Tier 4.
Does fluoxetine 50 MG / olanzapine 6 MG Oral Capsule require prior authorization?
7.7% of Part D formularies require prior authorization for fluoxetine 50 MG / olanzapine 6 MG Oral Capsule. Step therapy: 0%. Quantity limits: 23.1%.
How much does Medicare spend on fluoxetine 50 MG / olanzapine 6 MG Oral Capsule?
In 2023, total Medicare Part D spending on fluoxetine 50 MG / olanzapine 6 MG Oral Capsule was $104,943,337, covering 1,427,221 beneficiaries. The average spend per beneficiary was $73.53.
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.
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