Medicare Part D coverage · griseofulvin · RxCUI 245248
griseofulvin 165 MG Oral Tablet
Per the CMS 2026 Part D formulary file, griseofulvin 165 MG Oral Tablet is covered by 461 Medicare Part D plans (9.1% of enrollable products), averaging Tier 2.8, with prior authorization required on 0% of covering formularies.
- 9.1%
- Plan coverage
- 461
- Plans covering
- T2.8
- Avg tier
- 0%
- Prior auth required
What the CMS Formulary Data Shows for griseofulvin 165 MG Oral Tablet
Per the CMS 2026 Part D formulary file, griseofulvin 165 MG Oral Tablet (RxNorm concept RXCUI 245248, generic name griseofulvin) appears on 57 distinct formulary files spanning 461 Medicare Part D plan offerings - 9.1% 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 2.8.
Real-world access to griseofulvin 165 MG Oral Tablet depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 0% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 1,743 Part D beneficiaries filled griseofulvin 165 MG Oral Tablet in 2023, with total plan-and-beneficiary spending of $728,509 and an average per-beneficiary annual cost of $417.96. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry griseofulvin 165 MG Oral Tablet today.
Coverage Details
- Formularies covering
- 57
- Plans covering
- 461
- Coverage rate
- 9.1%
- Tier range
- Tier 1 – Tier 5
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 1,743
- Total spending
- $728,509
- Avg per beneficiary
- $417.96
Tier Distribution Across Plans
Standalone Drug Plans (PDP) Covering griseofulvin 165 MG Oral Tablet
9 standalone prescription drug plans include this drug.
| Plan | Insurer | Tier | PA | ST | Premium | States |
|---|---|---|---|---|---|---|
| HealthSpring Assurance Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | No | $0 | - |
| HealthSpring Assurance Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | No | $0 | - |
| HealthSpring Assurance Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | No | $0 | - |
| HealthSpring Assurance Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | No | $0 | - |
| HealthSpring Assurance Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | No | $0 | - |
| HealthSpring Assurance Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | No | $0 | - |
| HealthSpring Assurance Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | No | $0 | - |
| HealthSpring Assurance Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | No | $0 | - |
| HealthSpring Assurance Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | No | $0 | - |
Medicare Advantage Plans (MA-PD) Covering griseofulvin 165 MG Oral Tablet
91 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| PHP (HMO C-snp) | Aids Healthcare Foundation | T1 | No | $0 | CA |
| Elevate Medicare Choice (HMO D-SNP) | Denver Health Medical Plan, Inc. | T1 | No | $0 | CO |
| AllCare Advantage Redwood Rx (HMO D-SNP) | Allcare Health Plan, Inc. | T1 | No | $0 | OR |
| PrimeWest Senior Health Complete (HMO D-SNP) | Primewest Rural MN Health Care Access Initiative | T1 | No | $0 | MN |
| Prime Health Complete (HMO D-SNP) | Primewest Rural MN Health Care Access Initiative | T1 | No | $0 | MN |
| DualConnect (HMO D-SNP) | Santa Clara County Health Authority | T1 | No | $0 | CA |
| VNS Health Total (HMO D-SNP) | VNS Choice | T1 | No | $0 | NY |
| Alterwood Advantage Dual Secure (HMO D-SNP) | Alterwood Advantage, Inc. | T1 | No | $0 | MD |
| Nascentia Dual Advantage (HMO D-SNP) | Visiting Nurse Association OF Central NEW York | T1 | No | $0 | NY |
| Abilis Health Community (HMO I-SNP) | Signature Advantage, LLC | T1 | No | $0 | KY, TN |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | Gold Kidney OF Florida Inc | T1 | No | $4.80 | FL |
| Texas Independence Health Plan, Inc. (HMO I-SNP) | Texas Independence Health Plan, Inc. | T1 | No | $4.80 | TX |
| Texas Independence Community Plan (HMO I-SNP) | Texas Independence Health Plan, Inc. | T1 | No | $4.80 | TX |
| ATRIO Special Needs Plan (HMO D-SNP) | Atrio Health Plans | T1 | No | $10.50 | OR |
| ATRIO Special Needs Plan (HMO D-SNP) | Atrio Health Plans | T1 | No | $10.50 | OR |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | Gold Kidney OF Arizona | T1 | No | $17.00 | AZ |
| Alterwood Advantage Dual Value (HMO D-SNP) | Alterwood Advantage, Inc. | T1 | No | $31.20 | MD |
| Valor Health Plan (HMO I-SNP) | TSG Guard, Inc. | T1 | No | $31.40 | OH |
| WV Senior Advantage (HMO I-SNP) | West Virginia Senior Advantage, Inc. | T1 | No | $32.70 | WV |
| Abilis Health (HMO I-SNP) | Signature Advantage, LLC | T1 | No | $35.90 | KY, TN |
Show the next 30 plans
| CommuniCare Advantage ISNP (HMO I-SNP) | OH CHS SNP Inc. | T1 | No | $38.40 | IN, MD, OH |
| VNS Health EasyCare Plus (HMO D-SNP) | VNS Choice | T1 | No | $51.60 | NY |
| Nascentia Skilled Nursing Facility (HMO I-SNP) | Visiting Nurse Association OF Central NEW York | T1 | No | $58.80 | NY |
| ATRIO Prime Rx (HMO) | Atrio Health Plans | T2 | No | $0 | OR |
| ATRIO Choice Rx (PPO) | Atrio Health Plans | T2 | No | $0 | OR |
| ATRIO Choice Rx (PPO) | Atrio Health Plans | T2 | No | $0 | OR |
| ATRIO Prime Rx (PPO) | Atrio Health Plans | T2 | No | $0 | OR |
| ATRIO Prime Rx (PPO) | Atrio Health Plans | T2 | No | $0 | OR |
| ATRIO Prime Rx (PPO) | Atrio Health Plans | T2 | No | $0 | OR |
| ATRIO Choice Rx (PPO) | Atrio Health Plans | T2 | No | $0 | OR |
| ATRIO Choice Rx (PPO) | Atrio Health Plans | T2 | No | $0 | OR |
| ATRIO Support Rx (PPO C-SNP) | Atrio Health Plans | T2 | No | $0 | OR |
| BayCarePlus Complete (HMO) | Baycare Select Health Plans, Inc. | T2 | No | $0 | FL |
| BayCarePlus Rewards (HMO) | Baycare Select Health Plans, Inc. | T2 | No | $0 | FL |
| BayCarePlus Premier (HMO) | Baycare Select Health Plans, Inc. | T2 | No | $0 | FL |
| TotalCare (HMO D-SNP) | Santa Cruz Monterey Merced SAN Benito Mariposa Managed Medic | T2 | No | $0 | CA |
| CommuniCare Advantage (HMO D-SNP) | Community Health Group | T2 | No | $0 | CA |
| Community y Más (HMO C-SNP) | Community Health Group | T2 | No | $0 | CA |
| Elevate Medicare Select (HMO) | Denver Health Medical Plan, Inc. | T2 | No | $0 | CO |
| Gold Heart & Diabetes (HMO-POS C-SNP) | Gold Kidney OF Florida Inc | T2 | No | $0 | FL |
| Gold Heart & Diabetes Complete (HMO-POS C-SNP) | Gold Kidney OF Florida Inc | T2 | No | $0 | FL |
| Gold Dialysis & Kidney (HMO-POS C-SNP) | Gold Kidney OF Florida Inc | T2 | No | $0 | FL |
| Gold Health (HMO-POS C-SNP) | Gold Kidney OF Florida Inc | T2 | No | $0 | FL |
| Gold Dialysis & Kidney (HMO-POS C-SNP) | Gold Kidney OF Florida Inc | T2 | No | $0 | FL |
| Gold Heart & Diabetes (HMO-POS C-SNP) | Gold Kidney OF Arizona | T2 | No | $0 | AZ |
| Gold Dialysis & Kidney (HMO-POS C-SNP) | Gold Kidney OF Arizona | T2 | No | $0 | AZ |
| Gold Heart & Diabetes (HMO-POS C-SNP) | Gold Kidney OF Arizona | T2 | No | $0 | AZ |
| Gold Dialysis & Kidney (HMO-POS C-SNP) | Gold Kidney OF Arizona | T2 | No | $0 | AZ |
| Advantage D-SNP (HMO) (HMO D-SNP) | SAN Joaquin County Health Commission | T2 | No | $0 | CA |
| Community Advantage Plus (HMO D-SNP) | Imperial County Local Health Authority | T2 | No | $0 | CA |
Showing top 50 of 91 plans.
Frequently Asked Questions
Is griseofulvin 165 MG Oral Tablet covered by Medicare Part D?
Yes, griseofulvin 165 MG Oral Tablet is covered by 461 Medicare Part D plans (9.1% of all Part D formularies).
What tier is griseofulvin 165 MG Oral Tablet on Medicare Part D plans?
griseofulvin 165 MG Oral Tablet averages Tier 2.8 across Part D plans, ranging from Tier 1 to Tier 5.
Does griseofulvin 165 MG Oral Tablet require prior authorization?
0% of Part D formularies require prior authorization for griseofulvin 165 MG Oral Tablet. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on griseofulvin 165 MG Oral Tablet?
In 2023, total Medicare Part D spending on griseofulvin 165 MG Oral Tablet was $728,509, covering 1,743 beneficiaries. The average spend per beneficiary was $417.96.
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
- metronidazole 10 MG/ML Topical Cream [Noritate] 0% PA
- 24 HR minocycline 40 MG Extended Release Oral Capsule [Emrosi] 0% PA
- buspirone hydrochloride 10 MG Oral Capsule [Bucapsol] 0% PA
- diflunisal 375 MG Oral Tablet [Dolobid] 0% PA
- hydrocortisone 1 MG/ML Oral Solution [Khindivi] 0% PA
- indomethacin 50 MG Rectal Suppository [Indocin] 0% PA