flurazepam hydrochloride 15 MG Oral Capsule

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flurazepam hydrochloride

RxCUI: 1298088

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.
1.3%
Plan Coverage
68
Plans Covering
T1.8
Avg Tier
6.3%
Prior Auth Required

What the CMS Formulary Data Shows for flurazepam hydrochloride 15 MG Oral Capsule

Per the CMS 2026 Part D formulary file, flurazepam hydrochloride 15 MG Oral Capsule (RxNorm concept RXCUI 1298088, generic name flurazepam hydrochloride) appears on 16 distinct formulary files spanning 68 Medicare Part D plan offerings - 1.3% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 3, with a cross-plan average of Tier 1.8.

Real-world access to flurazepam hydrochloride 15 MG Oral Capsule depends on utilization management as much as tier placement: 6.3% of covering formularies require prior authorization. 0% require step therapy. 68.8% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 23 Part D beneficiaries filled flurazepam hydrochloride 15 MG Oral Capsule in 2023, with total plan-and-beneficiary spending of $392 and an average per-beneficiary annual cost of $17.06. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry flurazepam hydrochloride 15 MG Oral Capsule today.

Coverage Details

Formularies covering
16
Plans covering
68
Coverage rate
1.3%
Tier range
Tier 1 – Tier 3
Average tier
Tier 2, Generic

Restrictions

Prior authorization required
6.3% of formularies
Step therapy required
0% of formularies
Quantity limits
68.8% of formularies

2023 Medicare Spending

Beneficiaries
23
Total spending
$392
Avg per beneficiary
$17.06

Tier Distribution Across Plans

7 plans
Tier 1, Preferred Generic
57 plans
Tier 2, Generic
4 plans
Tier 3, Preferred Brand

Standalone Drug Plans (PDP) Covering flurazepam hydrochloride 15 MG Oral Capsule

2 standalone prescription drug plans include this drug.

Plan Insurer Tier PA ST Premium States
Blue Rx PDP Complete (PDP) HM HEALTH INSURANCE COMPANY T2 Yes No $164.80 -
Blue Rx PDP Plus (PDP) HM HEALTH INSURANCE COMPANY T2 Yes No $193.20 -

Medicare Advantage Plans (MA-PD) Covering flurazepam hydrochloride 15 MG Oral Capsule

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

Plan Insurer Tier PA Premium States
PHP (HMO C-SNP) AIDS HEALTHCARE FOUNDATION T1 No $0 CA
VNS Health Total (HMO D-SNP) VNS CHOICE T1 No $0 NY
Mass General Brigham SCO (HMO D-SNP) MASS GENERAL BRIGHAM HEALTH PLAN, INC T1 No $0 MA
Mass General Brigham One Care (HMO D-SNP) MASS GENERAL BRIGHAM HEALTH PLAN, INC T1 No $0 MA
Gold Dialysis & Kidney Complete (HMO-POS C-SNP) GOLD KIDNEY OF FLORIDA INC T1 No $4.80 FL
Gold Dialysis & Kidney Complete (HMO-POS C-SNP) GOLD KIDNEY OF ARIZONA T1 No $17.00 AZ
VNS Health EasyCare Plus (HMO D-SNP) VNS CHOICE T1 No $51.60 NY
SummaCare Medicare Topaz (HMO) SUMMACARE INC. T2 No $0 OH
SummaCare Medicare Quartz (HMO) SUMMACARE INC. T2 No $0 OH
Gold Heart & Diabetes (HMO-POS C-SNP) GOLD KIDNEY OF FLORIDA INC T2 No $0 FL
Gold Heart & Diabetes Complete (HMO-POS C-SNP) GOLD KIDNEY OF FLORIDA INC T2 No $0 FL
Gold Dialysis & Kidney (HMO-POS C-SNP) GOLD KIDNEY OF FLORIDA INC T2 No $0 FL
Gold Health (HMO-POS C-SNP) GOLD KIDNEY OF FLORIDA INC T2 No $0 FL
Gold Dialysis & Kidney (HMO-POS C-SNP) GOLD KIDNEY OF FLORIDA INC T2 No $0 FL
Gold Heart & Diabetes (HMO-POS C-SNP) GOLD KIDNEY OF ARIZONA T2 No $0 AZ
Gold Dialysis & Kidney (HMO-POS C-SNP) GOLD KIDNEY OF ARIZONA T2 No $0 AZ
Gold Heart & Diabetes (HMO-POS C-SNP) GOLD KIDNEY OF ARIZONA T2 No $0 AZ
Gold Dialysis & Kidney (HMO-POS C-SNP) GOLD KIDNEY OF ARIZONA T2 No $0 AZ
VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP) VILLAGE SENIOR SERVICES CORPORATION T2 No $0 NY
VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP) VILLAGE SENIOR SERVICES CORPORATION T2 No $0 NY
Presbyterian Senior Care Plan 2 with Rx (HMO) PRESBYTERIAN HEALTH PLAN T2 No $0 NM
Presbyterian Dual Plus (HMO D-SNP) PRESBYTERIAN HEALTH PLAN T2 No $0 NM
Presbyterian Senior Care Extra Health Plan with Rx (HMO) PRESBYTERIAN HEALTH PLAN T2 No $0 NM
Prominence Plus (HMO) PROMINENCE HEALTHFIRST T2 No $0 NV
Prominence Plus (HMO) PROMINENCE HEALTHFIRST T2 No $0 NV
Prominence Dual (HMO D-SNP) PROMINENCE HEALTHFIRST T2 No $0 NV
Prominence Dual (HMO D-SNP) PROMINENCE HEALTHFIRST T2 No $0 NV
Prominence Giveback (HMO) PROMINENCE HEALTHFIRST T2 No $0 NV
Prominence Plus (HMO) PROMINENCE HEALTHFIRST OF FLORIDA INC T2 No $0 FL
Prominence Giveback (HMO) PROMINENCE HEALTHFIRST OF FLORIDA INC T2 No $0 FL
Prominence Plus (HMO) PROMINENCE HEALTHFIRST OF TEXAS T2 No $0 TX
Prominence Plus (HMO) PROMINENCE HEALTHFIRST OF TEXAS T2 No $0 TX
Prominence Dual (HMO D-SNP) PROMINENCE HEALTHFIRST OF TEXAS T2 No $0 TX
Prominence Extra Help (HMO) PROMINENCE HEALTHFIRST OF TEXAS T2 No $0 TX
Prominence Beyond (HMO) PROMINENCE HEALTHFIRST OF TEXAS T2 No $0 TX
Prominence Giveback (HMO) PROMINENCE HEALTHFIRST OF TEXAS T2 No $0 TX
Prominence Giveback (HMO) PROMINENCE HEALTHFIRST OF TEXAS T2 No $0 TX
Prominence Dual (HMO D-SNP) PROMINENCE HEALTHFIRST OF TEXAS T2 No $0 TX
Prominence Beyond (HMO-POS) PROMINENCE HEALTHFIRST OF TEXAS T2 No $0 TX
Prominence Dual (HMO D-SNP) PROMINENCE HEALTHFIRST OF FLORIDA INC T2 No $0 FL
Prominence Diabetes and Heart Giveback (HMO C-SNP) PROMINENCE HEALTHFIRST T2 No $0 NV
Prominence Diabetes and Heart Giveback (HMO C-SNP) PROMINENCE HEALTHFIRST OF FLORIDA INC T2 No $0 FL
Prominence Diabetes and Heart Giveback (HMO C-SNP) PROMINENCE HEALTHFIRST OF TEXAS T2 No $0 TX
Prominence Diabetes and Heart Care Plus (HMO C-SNP) PROMINENCE HEALTHFIRST OF TEXAS T2 No $0 TX
Prominence Diabetes and Heart Giveback (HMO C-SNP) PROMINENCE HEALTHFIRST OF TEXAS T2 No $0 TX
Prominence Extra Help (HMO) PROMINENCE HEALTHFIRST T2 No $4.20 NV
Prominence Extra Help (HMO) PROMINENCE HEALTHFIRST OF FLORIDA INC T2 No $4.80 FL
Prominence Extra Help (HMO) PROMINENCE HEALTHFIRST OF TEXAS T2 No $4.80 TX
Prominence Extra Help (HMO) PROMINENCE HEALTHFIRST T2 No $9.50 NV
SummaCare Medicare Garnet (HMO) SUMMACARE INC. T2 No $35.00 OH

Frequently Asked Questions

Is flurazepam hydrochloride 15 MG Oral Capsule covered by Medicare Part D?

Yes, flurazepam hydrochloride 15 MG Oral Capsule is covered by 68 Medicare Part D plans (1.3% of all Part D formularies).

What tier is flurazepam hydrochloride 15 MG Oral Capsule on Medicare Part D plans?

flurazepam hydrochloride 15 MG Oral Capsule averages Tier 1.8 across Part D plans, ranging from Tier 1 to Tier 3.

Does flurazepam hydrochloride 15 MG Oral Capsule require prior authorization?

6.3% of Part D formularies require prior authorization for flurazepam hydrochloride 15 MG Oral Capsule. Step therapy: 0%. Quantity limits: 68.8%.

How much does Medicare spend on flurazepam hydrochloride 15 MG Oral Capsule?

In 2023, total Medicare Part D spending on flurazepam hydrochloride 15 MG Oral Capsule was $392, covering 23 beneficiaries. The average spend per beneficiary was $17.06.

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