Medicare Part D coverage · heparin · RxCUI 1361226
heparin sodium, porcine 1000 UNT/ML Injectable Solution
Per the CMS 2026 Part D formulary file, heparin sodium, porcine 1000 UNT/ML Injectable Solution is covered by 4,921 Medicare Part D plans (97.4% of enrollable products), averaging Tier 2.3, with prior authorization required on 27.6% of covering formularies.
- 97.4%
- Plan coverage
- 4,921
- Plans covering
- T2.3
- Avg tier
- 27.6%
- Prior auth required
What the CMS Formulary Data Shows for heparin sodium, porcine 1000 UNT/ML Injectable Solution
Per the CMS 2026 Part D formulary file, heparin sodium, porcine 1000 UNT/ML Injectable Solution (RxNorm concept RXCUI 1361226, generic name heparin) appears on 297 distinct formulary files spanning 4,921 Medicare Part D plan offerings - 97.4% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 3, with a cross-plan average of Tier 2.3.
Real-world access to heparin sodium, porcine 1000 UNT/ML Injectable Solution depends on utilization management as much as tier placement: 27.6% 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 13,864 Part D beneficiaries filled heparin sodium, porcine 1000 UNT/ML Injectable Solution in 2023, with total plan-and-beneficiary spending of $2,796,464 and an average per-beneficiary annual cost of $201.71. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry heparin sodium, porcine 1000 UNT/ML Injectable Solution today.
Coverage Details
- Formularies covering
- 297
- Plans covering
- 4,921
- Coverage rate
- 97.4%
- Tier range
- Tier 1 – Tier 3
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 27.6% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 13,864
- Total spending
- $2,796,464
- Avg per beneficiary
- $201.71
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering heparin sodium, porcine 1000 UNT/ML Injectable Solution
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Sentara Community Complete Select (HMO D-SNP) | Sentara Health Plans | T1 | No | $0 | VA |
| Sentara Community Complete (HMO D-SNP) | Sentara Health Plans | T1 | No | $0 | VA |
| Florida Complete Care-Duals VIP (HMO-POS D-SNP) | Hpmp OF Florida, Inc. | T1 | Yes | $0 | FL |
| ElderServe MAP (HMO D-SNP) | Elderserve Health, Inc. | T1 | No | $0 | NY |
| Cooperative Advantage (HMO D-SNP) | Group Health Cooperative OF EAU Claire | T1 | No | $0 | WI |
| Longevity Health Plan (PPO I-SNP) | Longevity Health Plan OF NEW Jersey Insurance Comp | T1 | No | $0 | NJ |
| Mercy Care Advantage (HMO D-SNP) | Mercy Care | T1 | Yes | $0 | AZ |
| Mercy Care Advantage (HMO D-SNP) | Mercy Care | T1 | Yes | $0 | AZ |
| Mercy Care Advantage (HMO D-SNP) | Mercy Care | T1 | Yes | $0 | AZ |
| Elderplan Plus Long-Term Care (HMO-POS D-SNP) | Elderplan, Inc. | T1 | Yes | $0 | NY |
| Health Choice Pathway (HMO D-SNP) | Health Choice Arizona, Inc. | T1 | Yes | $0 | AZ |
| Healthfirst CompleteCare (HMO D-SNP) | Healthfirst Health Plan, Inc. | T1 | Yes | $0 | NY |
| IMCare Classic (HMO D-SNP) | Itasca Medical Care | T1 | Yes | $0 | MN |
| Johns Hopkins Advantage MD D-SNP (HMO D-SNP) | Hopkins Health Advantage, Inc. | T1 | Yes | $0 | MD |
| MetroPlus UltraCare (HMO D-SNP) | Metroplus Health Plan, Inc. | T1 | Yes | $0 | NY |
| Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP) | Upper Peninsula Health Plan, LLC | T1 | No | $0 | MI |
| CareSource Dual Advantage (HMO D-SNP) | Caresource Georgia Co. | T1 | No | $0 | GA |
| Senior Whole Health SCO (HMO D-SNP) | Senior Whole Health, LLC | T1 | Yes | $0 | MA |
| Senior Whole Health SCO NHC (HMO D-SNP) | Senior Whole Health, LLC | T1 | Yes | $0 | MA |
| Molina One Care (HMO D-SNP) | Senior Whole Health, LLC | T1 | Yes | $0 | MA |
Show the next 30 plans
| HAP CareSource MI Coordinated Health (HMO D-SNP) | HAP Caresource | T1 | No | $0 | MI |
| PruittHealth Premier D-SNP (HMO D-SNP) | Pruitthealth Premier, Inc. | T1 | No | $0 | GA |
| Simpra Advantage Dual Care (PPO D-SNP) | Simpra Advantage, Inc. | T1 | No | $0 | AL |
| CareAdvantage (HMO D-SNP) | SAN Mateo Health Commission | T1 | No | $0 | CA |
| Gold Coast Health Plan Total Care Advantage (HMO D-SNP) | Ventura County Medi-Cal Managed Care Commission | T1 | No | $0 | CA |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | Health Care Service Corporation | T1 | No | $0 | NM |
| Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) | Health Care Service Corporation | T1 | No | $0 | NM |
| Horizon NJ TotalCare (HMO D-SNP) | Horizon Healthcare OF NEW Jersey, Inc. | T1 | No | $0 | NJ |
| SecureBlue (HMO D-SNP) | HMO Minnesota | T1 | No | $0 | MN |
| NaviCare (HMO D-SNP) | Fallon Community Health Plan | T1 | No | $0 | MA |
| Hamaspik Medicare Choice (HMO D-SNP) | Hamaspik, Inc. | T1 | No | $0 | NY |
| PHP (HMO C-snp) | Aids Healthcare Foundation | T1 | No | $0 | CA |
| CCA One Care (HMO D-SNP) | Commonwealth Care Alliance, Inc. | T1 | Yes | $0 | MA |
| CCA Senior Care Options (HMO D-SNP) | Commonwealth Care Alliance, Inc. | T1 | Yes | $0 | MA |
| 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 |
| Generations Classic Rewards (HMO) | Globalhealth, Inc. | T1 | No | $0 | OK |
| Generations Classic Plus (HMO) | Globalhealth, Inc. | T1 | No | $0 | OK |
| Generations Chronic Care (HMO C-SNP) | Globalhealth, Inc. | T1 | No | $0 | OK |
| Generations Chronic Care Savings (HMO C-SNP) | Globalhealth, Inc. | T1 | No | $0 | OK |
| Generations Dual Support (HMO D-SNP) | Globalhealth, Inc. | T1 | No | $0 | OK |
| Generations Dual Premier (HMO D-SNP) | Globalhealth, Inc. | T1 | No | $0 | OK |
| 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 |
| Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) | Arkansas Superior Select, Inc. | T1 | No | $0 | AR |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is heparin sodium, porcine 1000 UNT/ML Injectable Solution covered by Medicare Part D?
Yes, heparin sodium, porcine 1000 UNT/ML Injectable Solution is covered by 4,921 Medicare Part D plans (97.4% of all Part D formularies).
What tier is heparin sodium, porcine 1000 UNT/ML Injectable Solution on Medicare Part D plans?
heparin sodium, porcine 1000 UNT/ML Injectable Solution averages Tier 2.3 across Part D plans, ranging from Tier 1 to Tier 3.
Does heparin sodium, porcine 1000 UNT/ML Injectable Solution require prior authorization?
27.6% of Part D formularies require prior authorization for heparin sodium, porcine 1000 UNT/ML Injectable Solution. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on heparin sodium, porcine 1000 UNT/ML Injectable Solution?
In 2023, total Medicare Part D spending on heparin sodium, porcine 1000 UNT/ML Injectable Solution was $2,796,464, covering 13,864 beneficiaries. The average spend per beneficiary was $201.71.
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
- Niacinamide insulin aspart, human 100 UNT/ML Injectable Solution [Fiasp] 27.7% PA
- imipramine pamoate 75 MG Oral Capsule 27.7% PA
- imipramine hydrochloride 25 MG Oral Tablet 27.7% PA
- imipramine hydrochloride 10 MG Oral Tablet 27.7% PA
- collagenase 0.25 UNT/MG Topical Ointment [Santyl] 27.8% PA
- dexamethasone 20 MG Oral Tablet [Hemady] 27.8% PA