glycopyrronium 24 MG/ML Medicated Pad [Qbrexza]

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glycopyrronium

RxCUI: 2054120

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.
0.2%
Plan Coverage
9
Plans Covering
T3
Avg Tier
100%
Prior Auth Required

What the CMS Formulary Data Shows for glycopyrronium 24 MG/ML Medicated Pad [Qbrexza]

Per the CMS 2026 Part D formulary file, glycopyrronium 24 MG/ML Medicated Pad [Qbrexza] (RxNorm concept RXCUI 2054120, generic name glycopyrronium) appears on 4 distinct formulary files spanning 9 Medicare Part D plan offerings - 0.2% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 2 to Tier 4, with a cross-plan average of Tier 3.

Real-world access to glycopyrronium 24 MG/ML Medicated Pad [Qbrexza] depends on utilization management as much as tier placement: 100% of covering formularies require prior authorization. 0% require step therapy. 75% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 828 Part D beneficiaries filled glycopyrronium 24 MG/ML Medicated Pad [Qbrexza] in 2023, with total plan-and-beneficiary spending of $1,842,539 and an average per-beneficiary annual cost of $2,225.29. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry glycopyrronium 24 MG/ML Medicated Pad [Qbrexza] today.

Coverage Details

Formularies covering
4
Plans covering
9
Coverage rate
0.2%
Tier range
Tier 2 – Tier 4
Average tier
Tier 3, Preferred Brand

Restrictions

Prior authorization required
100% of formularies
Step therapy required
0% of formularies
Quantity limits
75% of formularies

2023 Medicare Spending

Beneficiaries
828
Total spending
$1,842,539
Avg per beneficiary
$2,225.29

Tier Distribution Across Plans

2 plans
Tier 2, Generic
7 plans
Tier 4, Non-Preferred

Medicare Advantage Plans (MA-PD) Covering glycopyrronium 24 MG/ML Medicated Pad [Qbrexza]

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

Plan Insurer Tier PA Premium States
CareAdvantage (HMO D-SNP) SAN MATEO HEALTH COMMISSION T2 Yes $0 CA
CalOptima Health OneCare Complete (HMO D-SNP) ORANGE COUNTY HEALTH AUTHORITY T2 Yes $0 CA
CareOregon Advantage Plus (HMO D-SNP) HEALTH PLAN OF CAREOREGON, INC. T4 Yes $0 OR
Keystone 65 Select Rx (HMO) KEYSTONE HEALTH PLAN EAST, INC. T4 Yes $47.00 PA
Keystone 65 Preferred Rx (HMO) KEYSTONE HEALTH PLAN EAST, INC. T4 Yes $59.70 PA
Keystone 65 Select Rx (HMO) KEYSTONE HEALTH PLAN EAST, INC. T4 Yes $63.50 PA
Keystone 65 Preferred Rx (HMO) KEYSTONE HEALTH PLAN EAST, INC. T4 Yes $79.70 PA
Personal Choice 65 Rx (PPO) QCC INSURANCE COMPANY T4 Yes $102.20 PA
Personal Choice 65 Rx (PPO) QCC INSURANCE COMPANY T4 Yes $112.70 PA

Frequently Asked Questions

Is glycopyrronium 24 MG/ML Medicated Pad [Qbrexza] covered by Medicare Part D?

Yes, glycopyrronium 24 MG/ML Medicated Pad [Qbrexza] is covered by 9 Medicare Part D plans (0.2% of all Part D formularies).

What tier is glycopyrronium 24 MG/ML Medicated Pad [Qbrexza] on Medicare Part D plans?

glycopyrronium 24 MG/ML Medicated Pad [Qbrexza] averages Tier 3 across Part D plans, ranging from Tier 2 to Tier 4.

Does glycopyrronium 24 MG/ML Medicated Pad [Qbrexza] require prior authorization?

100% of Part D formularies require prior authorization for glycopyrronium 24 MG/ML Medicated Pad [Qbrexza]. Step therapy: 0%. Quantity limits: 75%.

How much does Medicare spend on glycopyrronium 24 MG/ML Medicated Pad [Qbrexza]?

In 2023, total Medicare Part D spending on glycopyrronium 24 MG/ML Medicated Pad [Qbrexza] was $1,842,539, covering 828 beneficiaries. The average spend per beneficiary was $2,225.29.

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