formoterol fumarate 0.01 MG/ML Inhalation Solution
formoterol fumarate
RxCUI: 1246319
What the CMS Formulary Data Shows for formoterol fumarate 0.01 MG/ML Inhalation Solution
Per the CMS 2026 Part D formulary file, formoterol fumarate 0.01 MG/ML Inhalation Solution (RxNorm concept RXCUI 1246319, generic name formoterol fumarate) appears on 98 distinct formulary files spanning 1,267 Medicare Part D plan offerings - 25% 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 3.3.
Real-world access to formoterol fumarate 0.01 MG/ML Inhalation Solution depends on utilization management as much as tier placement: 100% of covering formularies require prior authorization. 0% require step therapy. 59.2% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 3,044 Part D beneficiaries filled formoterol fumarate 0.01 MG/ML Inhalation Solution in 2023, with total plan-and-beneficiary spending of $6,380,403 and an average per-beneficiary annual cost of $2,096.06. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry formoterol fumarate 0.01 MG/ML Inhalation Solution today.
Coverage Details
- Formularies covering
- 98
- Plans covering
- 1,267
- Coverage rate
- 25%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 100% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 59.2% of formularies
2023 Medicare Spending
- Beneficiaries
- 3,044
- Total spending
- $6,380,403
- Avg per beneficiary
- $2,096.06
Tier Distribution Across Plans
Standalone Drug Plans (PDP) Covering formoterol fumarate 0.01 MG/ML Inhalation Solution
1 standalone prescription drug plans include this drug.
| Plan | Insurer | Tier | PA | ST | Premium | States |
|---|---|---|---|---|---|---|
| Wellcare Dual Liberty (HMO D-SNP) | WELLCARE OF CONNECTICUT, INC. | T3 | Yes | No | $0 | CT |
Medicare Advantage Plans (MA-PD) Covering formoterol fumarate 0.01 MG/ML Inhalation Solution
99 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Sentara Community Complete Select (HMO D-SNP) | SENTARA HEALTH PLANS | T1 | Yes | $0 | VA |
| Sentara Community Complete (HMO D-SNP) | SENTARA HEALTH PLANS | T1 | Yes | $0 | VA |
| ElderServe MAP (HMO D-SNP) | ELDERSERVE HEALTH, INC. | T1 | Yes | $0 | NY |
| Cooperative Advantage (HMO D-SNP) | GROUP HEALTH COOPERATIVE OF EAU CLAIRE | T1 | Yes | $0 | WI |
| Longevity Health Plan (PPO I-SNP) | LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP | T1 | Yes | $0 | NJ |
| Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP) | UPPER PENINSULA HEALTH PLAN, LLC | T1 | Yes | $0 | MI |
| CareSource Dual Advantage (HMO D-SNP) | CARESOURCE GEORGIA CO. | T1 | Yes | $0 | GA |
| HAP CareSource MI Coordinated Health (HMO D-SNP) | HAP CARESOURCE | T1 | Yes | $0 | MI |
| SeniorCare Complete (HMO D-SNP) | SOUTH COUNTRY HEALTH ALLIANCE | T1 | Yes | $0 | MN |
| AbilityCare (HMO D-SNP) | SOUTH COUNTRY HEALTH ALLIANCE | T1 | Yes | $0 | MN |
| Alameda Alliance Wellness (HMO D-SNP) | ALAMEDA ALLIANCE FOR HEALTH | T1 | Yes | $0 | CA |
| Mass General Brigham SCO (HMO D-SNP) | MASS GENERAL BRIGHAM HEALTH PLAN, INC | T1 | Yes | $0 | MA |
| Mass General Brigham One Care (HMO D-SNP) | MASS GENERAL BRIGHAM HEALTH PLAN, INC | T1 | Yes | $0 | MA |
| Tufts Health One Care (HMO D-SNP) | TUFTS HEALTH PUBLIC PLANS, INC. | T1 | Yes | $0 | MA |
| Tufts Health One Care CW (HMO D-SNP) | TUFTS HEALTH PUBLIC PLANS, INC. | T1 | Yes | $0 | MA |
| Tufts Health Plan Senior Care Options (HMO D-SNP) | TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION | T1 | Yes | $0 | MA |
| Tufts Health Plan Senior Care Options CW (HMO D-SNP) | TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION | T1 | Yes | $0 | MA |
| Longevity Health Plan (HMO I-SNP) | LONGEVITY HEALTH PLAN OF FLORIDA, INC. | T1 | Yes | $4.80 | FL |
| Longevity Health Plan (HMO I-SNP) | LONGEVITY HEALTH PLAN OF MICHIGAN, INC. | T1 | Yes | $8.80 | MI |
| Longevity Health Plan (HMO I-SNP) | LONGEVITY HEALTH PLAN OF ILLINOIS, INC. | T1 | Yes | $15.20 | IL |
| WellSense Added Value (HMO) | BOSTON MEDICAL CENTER HEALTH PLAN, INC. | T1 | Yes | $21.70 | NH |
| Longevity Health Plan (HMO I-SNP) | LONGEVITY HEALTH PLAN OF COLORADO, INC. | T1 | Yes | $35.20 | CO |
| Longevity Health Plan (HMO I-SNP) | LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC. | T1 | Yes | $36.20 | NC |
| Longevity Health Plan (PPO I-SNP) | LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP | T1 | Yes | $40.00 | NJ |
| ElderServe Star (HMO I-SNP) | ELDERSERVE HEALTH, INC. | T1 | Yes | $58.80 | NY |
| Longevity Health Plan (HMO I-SNP) | LONGEVITY HEALTH PLAN OF NEW YORK, INC. | T1 | Yes | $58.80 | NY |
| HAP Medicare Explore (PPO) | ALLIANCE HEALTH AND LIFE INSURANCE COMPANY | T2 | Yes | $0 | MI |
| HAP Medicare Prime (PPO) | ALLIANCE HEALTH AND LIFE INSURANCE COMPANY | T2 | Yes | $0 | MI |
| HAP Medicare Connect (HMO) | HEALTH ALLIANCE PLAN OF MICHIGAN | T2 | Yes | $0 | MI |
| HAP Medicare Complete Duals (HMO D-SNP) | HEALTH ALLIANCE PLAN OF MICHIGAN | T2 | Yes | $0 | MI |
| HAP Medicare Superior (HMO) | HEALTH ALLIANCE PLAN OF MICHIGAN | T2 | Yes | $0 | MI |
| Henry Ford Select (HMO) | HEALTH ALLIANCE PLAN OF MICHIGAN | T2 | Yes | $0 | MI |
| DEVOTED CORE 001 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | Yes | $0 | FL |
| DEVOTED CORE 002 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | Yes | $0 | FL |
| DEVOTED CORE 003 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | Yes | $0 | FL |
| DEVOTED CORE 005 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | Yes | $0 | FL |
| DEVOTED GIVEBACK 013 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | Yes | $0 | FL |
| DEVOTED GIVEBACK 014 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | Yes | $0 | FL |
| DEVOTED GIVEBACK 015 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | Yes | $0 | FL |
| DEVOTED GIVEBACK 018 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | Yes | $0 | FL |
| DEVOTED CORE 025 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | Yes | $0 | FL |
| DEVOTED CORE 027 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | Yes | $0 | FL |
| DEVOTED CORE 029 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | Yes | $0 | FL |
| DEVOTED GIVEBACK 031 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | Yes | $0 | FL |
| DEVOTED GIVEBACK 032 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | Yes | $0 | FL |
| DEVOTED GIVEBACK 035 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | Yes | $0 | FL |
| DEVOTED CORE 036 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | Yes | $0 | FL |
| DEVOTED GIVEBACK 045 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | Yes | $0 | FL |
| DEVOTED CORE 046 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | Yes | $0 | FL |
| DEVOTED GIVEBACK 049 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | Yes | $0 | FL |
Frequently Asked Questions
Is formoterol fumarate 0.01 MG/ML Inhalation Solution covered by Medicare Part D?
Yes, formoterol fumarate 0.01 MG/ML Inhalation Solution is covered by 1,267 Medicare Part D plans (25% of all Part D formularies).
What tier is formoterol fumarate 0.01 MG/ML Inhalation Solution on Medicare Part D plans?
formoterol fumarate 0.01 MG/ML Inhalation Solution averages Tier 3.3 across Part D plans, ranging from Tier 1 to Tier 4.
Does formoterol fumarate 0.01 MG/ML Inhalation Solution require prior authorization?
100% of Part D formularies require prior authorization for formoterol fumarate 0.01 MG/ML Inhalation Solution. Step therapy: 0%. Quantity limits: 59.2%.
How much does Medicare spend on formoterol fumarate 0.01 MG/ML Inhalation Solution?
In 2023, total Medicare Part D spending on formoterol fumarate 0.01 MG/ML Inhalation Solution was $6,380,403, covering 3,044 beneficiaries. The average spend per beneficiary was $2,096.06.
Read our methodology - how this data is sourced, computed, and verified.