Medicare Part D coverage · glutamine · RxCUI 1928941
glutamine 5000 MG Powder for Oral Solution [Endari]
Per the CMS 2026 Part D formulary file, glutamine 5000 MG Powder for Oral Solution [Endari] is covered by 186 Medicare Part D plans (3.7% of enrollable products), averaging Tier 4.7, with prior authorization required on 92.3% of covering formularies.
- 3.7%
- Plan coverage
- 186
- Plans covering
- T4.7
- Avg tier
- 92.3%
- Prior auth required
What the CMS Formulary Data Shows for glutamine 5000 MG Powder for Oral Solution [Endari]
Per the CMS 2026 Part D formulary file, glutamine 5000 MG Powder for Oral Solution [Endari] (RxNorm concept RXCUI 1928941, generic name glutamine) appears on 13 distinct formulary files spanning 186 Medicare Part D plan offerings - 3.7% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 5, with a cross-plan average of Tier 4.7.
Real-world access to glutamine 5000 MG Powder for Oral Solution [Endari] depends on utilization management as much as tier placement: 92.3% of covering formularies require prior authorization. 0% require step therapy. 46.2% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 557 Part D beneficiaries filled glutamine 5000 MG Powder for Oral Solution [Endari] in 2023, with total plan-and-beneficiary spending of $8,272,577 and an average per-beneficiary annual cost of $14,852.02. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry glutamine 5000 MG Powder for Oral Solution [Endari] today.
Coverage Details
- Formularies covering
- 13
- Plans covering
- 186
- Coverage rate
- 3.7%
- Tier range
- Tier 1 – Tier 5
- Average tier
- Tier 5, Specialty
Restrictions
- Prior authorization required
- 92.3% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 46.2% of formularies
2023 Medicare Spending
- Beneficiaries
- 557
- Total spending
- $8,272,577
- Avg per beneficiary
- $14,852.02
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering glutamine 5000 MG Powder for Oral Solution [Endari]
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Hamaspik Medicare Choice (HMO D-SNP) | Hamaspik, Inc. | T1 | Yes | $0 | NY |
| Hamaspik Medicare Select (HMO D-SNP) | Hamaspik, Inc. | T1 | Yes | $34.50 | NY |
| Personal Choice 65 Achieve Rx (PPO) | QCC Insurance Company | T5 | Yes | $0 | PA |
| Keystone 65 Focus Rx (HMO-POS) | Keystone Health Plan East, Inc. | T5 | Yes | $0 | PA |
| Keystone 65 Focus Rx (HMO-POS) | Keystone Health Plan East, Inc. | T5 | Yes | $0 | PA |
| Keystone 65 Basic Rx (HMO) | Keystone Health Plan East, Inc. | T5 | Yes | $0 | PA |
| AmeriHealth Medicare Core (PPO) | Amerihealth Insurance Company OF NEW Jersey | T5 | Yes | $0 | NJ |
| AmeriHealth Medicare Ultimate (PPO) | Amerihealth Insurance Company OF NEW Jersey | T5 | Yes | $0 | NJ |
| Health New England Medicare Compass (PPO) | Health NEW England, Inc. | T5 | Yes | $0 | MA |
| Health New England Medicare Value (HMO) | Health NEW England, Inc. | T5 | Yes | $0 | MA |
| PriorityMedicare Key (HMO-POS) | Priority Health | T5 | Yes | $0 | MI |
| PriorityMedicare Smart Savings (HMO-POS) | Priority Health | T5 | Yes | $0 | MI |
| PriorityMedicare Edge (PPO) | Priority Health | T5 | Yes | $0 | MI |
| PriorityMedicare Vital (PPO) | Priority Health | T5 | Yes | $0 | MI |
| PriorityMedicare Thrive (PPO) | Priority Health | T5 | Yes | $0 | MI |
| PriorityMedicare D-SNP (HMO D-SNP) | Priority Health Choice, Inc. | T5 | Yes | $0 | MI |
| PriorityMedicare Dual Premier (HMO D-SNP) | Priority Health Choice, Inc. | T5 | Yes | $0 | MI |
| Health First Rewards H1099-014 (HMO) | Health First Health Plans | T5 | Yes | $0 | FL |
| Health First SunSaver H1099-016 (HMO) | Health First Health Plans | T5 | Yes | $0 | FL |
| Health First Complete Care H1099-023 (HMO) | Health First Health Plans | T5 | Yes | $0 | FL |
Show the next 30 plans
Showing top 50 of 100 plans.
Frequently Asked Questions
Is glutamine 5000 MG Powder for Oral Solution [Endari] covered by Medicare Part D?
Yes, glutamine 5000 MG Powder for Oral Solution [Endari] is covered by 186 Medicare Part D plans (3.7% of all Part D formularies).
What tier is glutamine 5000 MG Powder for Oral Solution [Endari] on Medicare Part D plans?
glutamine 5000 MG Powder for Oral Solution [Endari] averages Tier 4.7 across Part D plans, ranging from Tier 1 to Tier 5.
Does glutamine 5000 MG Powder for Oral Solution [Endari] require prior authorization?
92.3% of Part D formularies require prior authorization for glutamine 5000 MG Powder for Oral Solution [Endari]. Step therapy: 0%. Quantity limits: 46.2%.
How much does Medicare spend on glutamine 5000 MG Powder for Oral Solution [Endari]?
In 2023, total Medicare Part D spending on glutamine 5000 MG Powder for Oral Solution [Endari] was $8,272,577, covering 557 beneficiaries. The average spend per beneficiary was $14,852.02.
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.
Closest average formulary tier
Similar prior-authorization rate
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- Abuse-Deterrent 24 HR hydrocodone bitartrate 20 MG Extended Release Oral Tablet 92.1% PA
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