glyburide 5 MG / metformin hydrochloride 500 MG Oral Tablet
glyburide
RxCUI: 861753
What the CMS Formulary Data Shows for glyburide 5 MG / metformin hydrochloride 500 MG Oral Tablet
Per the CMS 2026 Part D formulary file, glyburide 5 MG / metformin hydrochloride 500 MG Oral Tablet (RxNorm concept RXCUI 861753, generic name glyburide) appears on 184 distinct formulary files spanning 1,066 Medicare Part D plan offerings - 21% 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 2.9.
Real-world access to glyburide 5 MG / metformin hydrochloride 500 MG Oral Tablet depends on utilization management as much as tier placement: 19.6% of covering formularies require prior authorization. 0% require step therapy. 35.3% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 59,131 Part D beneficiaries filled glyburide 5 MG / metformin hydrochloride 500 MG Oral Tablet in 2023, with total plan-and-beneficiary spending of $4,681,144 and an average per-beneficiary annual cost of $79.17. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry glyburide 5 MG / metformin hydrochloride 500 MG Oral Tablet today.
Coverage Details
- Formularies covering
- 184
- Plans covering
- 1,066
- Coverage rate
- 21%
- Tier range
- Tier 1 – Tier 6
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 19.6% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 35.3% of formularies
2023 Medicare Spending
- Beneficiaries
- 59,131
- Total spending
- $4,681,144
- Avg per beneficiary
- $79.17
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering glyburide 5 MG / metformin hydrochloride 500 MG Oral Tablet
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | UT |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | NV |
| Select Health Medicare Dual (HMO D-SNP) | SELECTHEALTH, INC. | T1 | No | $0 | UT |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | UT |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | NV |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | UT |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | CO |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | CO |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | CO |
| Select Health Medicare Flex (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | CO |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | CO |
| Select Health Medicare Active (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | CO |
| Select Health Medicare Dual (HMO D-SNP) | SELECTHEALTH, INC. | T1 | No | $0 | NV |
| Select Health Medicare Wellness (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | NV |
| Wellpoint Medicare Advantage (HMO-POS) | WELLPOINT WEST VIRGINIA , INC. | T1 | No | $0 | WV |
| Anthem Medicare Advantage 3 (HMO-POS) | HealthKeepers, Inc. | T1 | No | $0 | VA |
| Anthem Medicare Advantage 3 (HMO-POS) | HealthKeepers, Inc. | T1 | No | $0 | VA |
| Anthem Medicare Advantage 3 (HMO-POS) | HealthKeepers, Inc. | T1 | No | $0 | VA |
| Wellpoint Medicare Advantage 2 (HMO-POS) | WELLPOINT TENNESSEE, INC. | T1 | No | $0 | TN |
| Wellpoint Medicare Advantage 2 (HMO-POS) | WELLPOINT TENNESSEE, INC. | T1 | No | $0 | TN |
| Wellpoint Medicare Advantage 2 (HMO-POS) | WELLPOINT TENNESSEE, INC. | T1 | No | $0 | TN |
| Wellpoint Medicare Advantage 2 (HMO-POS) | WELLPOINT TENNESSEE, INC. | T1 | No | $0 | TN |
| Anthem Select (HMO-POS) | BLUE CROSS OF CALIFORNIA | T1 | No | $0 | CA |
| Anthem Medicare Advantage (HMO-POS) | BLUE CROSS OF CALIFORNIA | T1 | No | $0 | CA |
| Anthem Medicare Advantage (HMO-POS) | BLUE CROSS OF CALIFORNIA | T1 | No | $0 | CA |
| Anthem Medicare Advantage (HMO-POS) | BLUE CROSS OF CALIFORNIA | T1 | No | $0 | CA |
| Anthem Select (HMO-POS) | BLUE CROSS OF CALIFORNIA | T1 | No | $0 | CA |
| Anthem Select (HMO-POS) | BLUE CROSS OF CALIFORNIA | T1 | No | $0 | CA |
| Anthem Select (HMO-POS) | BLUE CROSS OF CALIFORNIA | T1 | No | $0 | CA |
| Anthem Medicare Advantage (HMO-POS) | BLUE CROSS OF CALIFORNIA | T1 | No | $0 | CA |
| Anthem Select (HMO-POS) | BLUE CROSS OF CALIFORNIA | T1 | No | $0 | CA |
| Anthem Medicare Advantage (HMO-POS) | BLUE CROSS OF CALIFORNIA | T1 | No | $0 | CA |
| Wellpoint Medicare Advantage (HMO-POS) | WELLPOINT HEALTH PLANS, INC. | T1 | No | $0 | AZ |
| Anthem Prime (HMO-POS) | BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. | T1 | No | $0 | CA |
| Anthem Prime (HMO-POS) | BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. | T1 | No | $0 | CA |
| Anthem Prime (HMO-POS) | BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. | T1 | No | $0 | CA |
| Anthem Prime (HMO-POS) | BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. | T1 | No | $0 | CA |
| Anthem Prime (HMO-POS) | BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. | T1 | No | $0 | CA |
| Anthem Prime (HMO-POS) | BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. | T1 | No | $0 | CA |
| Anthem Prime (HMO-POS) | BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. | T1 | No | $0 | CA |
| Anthem Prime (HMO-POS) | BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. | T1 | No | $0 | CA |
| Anthem Medicare Advantage (HMO-POS) | HMO COLORADO, INC. | T1 | No | $0 | NV |
| Anthem Full Dual Advantage (HMO D-SNP) | HMO COLORADO, INC. | T1 | No | $0 | NV |
| Anthem Full Dual Advantage 2 (HMO D-SNP) | HMO COLORADO, INC. | T1 | No | $0 | NV |
| Anthem Full Dual Advantage Aligned (HMO D-SNP) | BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. | T1 | No | $0 | CA |
| PruittHealth Premier D-SNP (HMO D-SNP) | PRUITTHEALTH PREMIER, INC. | T1 | No | $0 | GA |
| KeyCare Advantage Plus (HMO C-SNP) | ISNP VENTURES, LLC | T1 | No | $0 | MD |
| Premier Care (HMO-POS I-SNP) | LIFEWORKS ADVANTAGE, LLC | T1 | No | $0 | VA |
| Premier Care (HMO I-SNP) | ALIGN SENIOR CARE CALIFORNIA INC. | T1 | No | $0 | CA |
| Advantage Care (HMO) | ALIGN SENIOR CARE CALIFORNIA INC. | T1 | No | $0 | CA |
Frequently Asked Questions
Is glyburide 5 MG / metformin hydrochloride 500 MG Oral Tablet covered by Medicare Part D?
Yes, glyburide 5 MG / metformin hydrochloride 500 MG Oral Tablet is covered by 1,066 Medicare Part D plans (21% of all Part D formularies).
What tier is glyburide 5 MG / metformin hydrochloride 500 MG Oral Tablet on Medicare Part D plans?
glyburide 5 MG / metformin hydrochloride 500 MG Oral Tablet averages Tier 2.9 across Part D plans, ranging from Tier 1 to Tier 6.
Does glyburide 5 MG / metformin hydrochloride 500 MG Oral Tablet require prior authorization?
19.6% of Part D formularies require prior authorization for glyburide 5 MG / metformin hydrochloride 500 MG Oral Tablet. Step therapy: 0%. Quantity limits: 35.3%.
How much does Medicare spend on glyburide 5 MG / metformin hydrochloride 500 MG Oral Tablet?
In 2023, total Medicare Part D spending on glyburide 5 MG / metformin hydrochloride 500 MG Oral Tablet was $4,681,144, covering 59,131 beneficiaries. The average spend per beneficiary was $79.17.
Read our methodology - how this data is sourced, computed, and verified.