glipizide 2.5 MG Oral Tablet

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glipizide

RxCUI: 379804

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.
49.1%
Plan Coverage
2,488
Plans Covering
T3
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for glipizide 2.5 MG Oral Tablet

Per the CMS 2026 Part D formulary file, glipizide 2.5 MG Oral Tablet (RxNorm concept RXCUI 379804, generic name glipizide) appears on 145 distinct formulary files spanning 2,488 Medicare Part D plan offerings - 49.1% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 6, with a cross-plan average of Tier 3.

Real-world access to glipizide 2.5 MG Oral Tablet depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 64.1% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 1,178,840 Part D beneficiaries filled glipizide 2.5 MG Oral Tablet in 2023, with total plan-and-beneficiary spending of $53,145,778 and an average per-beneficiary annual cost of $45.08. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry glipizide 2.5 MG Oral Tablet today.

Coverage Details

Formularies covering
145
Plans covering
2,488
Coverage rate
49.1%
Tier range
Tier 1 – Tier 6
Average tier
Tier 3, Preferred Brand

Restrictions

Prior authorization required
0% of formularies
Step therapy required
0% of formularies
Quantity limits
64.1% of formularies

2023 Medicare Spending

Beneficiaries
1,178,840
Total spending
$53,145,778
Avg per beneficiary
$45.08

Tier Distribution Across Plans

100 plans
Tier 1, Preferred Generic

Medicare Advantage Plans (MA-PD) Covering glipizide 2.5 MG Oral Tablet

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

Plan Insurer Tier PA Premium States
Aetna Medicare Signature (HMO) AETNA HEALTH OF CALIFORNIA INC. T1 No $0 CA
Aetna Medicare Signature (HMO) AETNA HEALTH OF CALIFORNIA INC. T1 No $0 CA
Aetna Medicare Signature Extra (HMO-POS) AETNA HEALTH OF CALIFORNIA INC. T1 No $0 CA
Aetna Medicare Prime (HMO-POS) AETNA HEALTH OF CALIFORNIA INC. T1 No $0 CA
Aetna Medicare Prime (HMO-POS) AETNA HEALTH OF CALIFORNIA INC. T1 No $0 CA
Aetna Medicare Prime (HMO-POS) AETNA HEALTH OF CALIFORNIA INC. T1 No $0 CA
Aetna Medicare Signature Extra (HMO) AETNA HEALTH OF CALIFORNIA INC. T1 No $0 CA
Aetna Medicare Prime (HMO-POS) AETNA HEALTH OF CALIFORNIA INC. T1 No $0 CA
Aetna Medicare Signature Extra (HMO) AETNA HEALTH OF CALIFORNIA INC. T1 No $0 CA
Aetna Medicare Signature Extra (HMO) AETNA HEALTH OF CALIFORNIA INC. T1 No $0 CA
Aetna Medicare Signature Extra (HMO) AETNA HEALTH OF CALIFORNIA INC. T1 No $0 CA
Aetna Medicare Signature Care (HMO-POS) AETNA HEALTH OF OHIO INC. T1 No $0 OH
Aetna Medicare Signature Extra (HMO-POS) AETNA HEALTH OF OHIO INC. T1 No $0 OH
Aetna Medicare Signature Care (HMO-POS) AETNA HEALTH OF OHIO INC. T1 No $0 OH
Aetna Medicare Signature Extra (HMO-POS) AETNA HEALTH OF OHIO INC. T1 No $0 KY
Aetna Medicare Signature (HMO-POS) AETNA HEALTH OF OHIO INC. T1 No $0 KY
Aetna Medicare Signature (HMO-POS) AETNA HEALTH OF OHIO INC. T1 No $0 KY
Aetna Medicare HIDE (HMO D-SNP) AETNA HEALTH OF OHIO INC. T1 No $0 KY
Aetna Medicare Dual Care (HMO D-SNP) AETNA HEALTH OF OHIO INC. T1 No $0 OH
Aetna Medicare Signature Care (HMO-POS) AETNA HEALTH OF OHIO INC. T1 No $0 OH
Aetna Medicare Signature (HMO-POS) AETNA HEALTH OF OHIO INC. T1 No $0 OH
Aetna Medicare Signature (HMO-POS) AETNA HEALTH OF OHIO INC. T1 No $0 KY
Aetna Medicare Partial Dual (HMO D-SNP) AETNA HEALTH OF OHIO INC. T1 No $0 KY
Aetna Medicare Partial Dual (HMO D-SNP) AETNA HEALTH OF OHIO INC. T1 No $0 OH
Aetna Medicare Signature (HMO) AETNA HEALTH INC.(GA) T1 No $0 GA
Aetna Medicare Signature (HMO-POS) COVENTRY HEALTH CARE OF ILLINOIS, INC. T1 No $0 WI
Aetna Medicare Signature (HMO-POS) COVENTRY HEALTH CARE OF ILLINOIS, INC. T1 No $0 IL
Aetna Medicare Prime Chronic Care (HMO C-SNP) COVENTRY HEALTH CARE OF ILLINOIS, INC. T1 No $0 IL
Aetna Medicare Signature Extra (HMO-POS) COVENTRY HEALTH CARE OF ILLINOIS, INC. T1 No $0 IL
Aetna Medicare Signature (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T1 No $0 IA
Aetna Medicare Signature (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T1 No $0 NE
Aetna Medicare Signature (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T1 No $0 KS, MO
Aetna Medicare Signature Extra (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T1 No $0 KS
Aetna Medicare Signature (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T1 No $0 KS, MO
Aetna Medicare Signature Plus (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T1 No $0 AR
Aetna Medicare Signature (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T1 No $0 KS
Aetna Medicare Advantra (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T1 No $0 OH
Aetna Medicare Advantra Signature Giveback (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T1 No $0 WV
Aetna Medicare Elite (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T1 No $0 IA
Aetna Medicare Signature Extra (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T1 No $0 NE
Aetna Medicare Advantra Signature (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T1 No $0 WV
Aetna Medicare Elite (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T1 No $0 IL, MO
Aetna Medicare Signature (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T1 No $0 MO
Aetna Medicare Elite (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T1 No $0 KS, MO
Aetna Medicare Elite (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T1 No $0 AR
Aetna Medicare Dual (PPO D-SNP) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T1 No $0 SD
Aetna Medicare Signature (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T1 No $0 MO
Aetna Medicare Signature (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T1 No $0 KS
Aetna Medicare Signature (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T1 No $0 KS
Aetna Medicare Dual Extra (PPO D-SNP) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T1 No $0 AR

Frequently Asked Questions

Is glipizide 2.5 MG Oral Tablet covered by Medicare Part D?

Yes, glipizide 2.5 MG Oral Tablet is covered by 2,488 Medicare Part D plans (49.1% of all Part D formularies).

What tier is glipizide 2.5 MG Oral Tablet on Medicare Part D plans?

glipizide 2.5 MG Oral Tablet averages Tier 3 across Part D plans, ranging from Tier 1 to Tier 6.

Does glipizide 2.5 MG Oral Tablet require prior authorization?

0% of Part D formularies require prior authorization for glipizide 2.5 MG Oral Tablet. Step therapy: 0%. Quantity limits: 64.1%.

How much does Medicare spend on glipizide 2.5 MG Oral Tablet?

In 2023, total Medicare Part D spending on glipizide 2.5 MG Oral Tablet was $53,145,778, covering 1,178,840 beneficiaries. The average spend per beneficiary was $45.08.

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