flurazepam hydrochloride 15 MG Oral Capsule
flurazepam hydrochloride
RxCUI: 1298088
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
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.
Read our methodology - how this data is sourced, computed, and verified.