Medicare Part D coverage · hydrocodone bitartrate · RxCUI 859315
hydrocodone bitartrate 10 MG / ibuprofen 200 MG Oral Tablet
Per the CMS 2026 Part D formulary file, hydrocodone bitartrate 10 MG / ibuprofen 200 MG Oral Tablet is covered by 1,129 Medicare Part D plans (22.3% of enrollable products), averaging Tier 2.8, with prior authorization required on 0% of covering formularies.
- 22.3%
- Plan coverage
- 1,129
- Plans covering
- T2.8
- Avg tier
- 0%
- Prior auth required
What the CMS Formulary Data Shows for hydrocodone bitartrate 10 MG / ibuprofen 200 MG Oral Tablet
Per the CMS 2026 Part D formulary file, hydrocodone bitartrate 10 MG / ibuprofen 200 MG Oral Tablet (RxNorm concept RXCUI 859315, generic name hydrocodone bitartrate) appears on 53 distinct formulary files spanning 1,129 Medicare Part D plan offerings - 22.3% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 2.8.
Real-world access to hydrocodone bitartrate 10 MG / ibuprofen 200 MG Oral Tablet depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 84.9% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 5,184 Part D beneficiaries filled hydrocodone bitartrate 10 MG / ibuprofen 200 MG Oral Tablet in 2023, with total plan-and-beneficiary spending of $22,960,014 and an average per-beneficiary annual cost of $4,429.02. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry hydrocodone bitartrate 10 MG / ibuprofen 200 MG Oral Tablet today.
Coverage Details
- Formularies covering
- 53
- Plans covering
- 1,129
- Coverage rate
- 22.3%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 84.9% of formularies
2023 Medicare Spending
- Beneficiaries
- 5,184
- Total spending
- $22,960,014
- Avg per beneficiary
- $4,429.02
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering hydrocodone bitartrate 10 MG / ibuprofen 200 MG Oral Tablet
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| 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 |
| SecureBlue (HMO D-SNP) | HMO Minnesota | T1 | No | $0 | MN |
| Hamaspik Medicare Choice (HMO D-SNP) | Hamaspik, Inc. | T1 | No | $0 | NY |
| SeniorCare Complete (HMO D-SNP) | South Country Health Alliance | T1 | No | $0 | MN |
| AbilityCare (HMO D-SNP) | South Country Health Alliance | T1 | No | $0 | MN |
| Alameda Alliance Wellness (HMO D-SNP) | Alameda Alliance FOR Health | T1 | No | $0 | CA |
| PHP (HMO C-snp) | Aids Healthcare Foundation | T1 | No | $0 | CA |
| VNS Health Total (HMO D-SNP) | VNS Choice | T1 | No | $0 | NY |
| Leon MediExtra (HMO) | Leon Health, Inc. | T1 | No | $0 | FL |
| Leon MediDual (HMO D-SNP) | Leon Health, Inc. | T1 | No | $0 | FL |
| Leon MediMore (HMO) | Leon Health, Inc. | T1 | No | $0 | FL |
| Leon MediMax (HMO D-SNP) | Leon Health, Inc. | T1 | No | $0 | FL |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | Hcsc Insurance Services Company | T1 | No | $4.80 | TX |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | Gold Kidney OF Florida Inc | T1 | No | $4.80 | FL |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | GHS Insurance Company | T1 | No | $5.00 | OK |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | Gold Kidney OF Arizona | T1 | No | $17.00 | AZ |
| Hamaspik Medicare Select (HMO D-SNP) | Hamaspik, Inc. | T1 | No | $34.50 | NY |
| VNS Health EasyCare Plus (HMO D-SNP) | VNS Choice | T1 | No | $51.60 | NY |
Show the next 30 plans
| Alignment Health the ONE + Walgreens (HMO) | Alignment Health Plan OF Arizona, Inc. | T2 | No | $0 | AZ |
| Alignment Health the ONE + Walgreens (HMO) | Alignment Health Plan OF Arizona, Inc. | T2 | No | $0 | AZ |
| Alignment Health Heart & Diabetes (HMO C-SNP) | Alignment Health Plan OF Arizona, Inc. | T2 | No | $0 | AZ |
| Alignment Health smartHMO (HMO) | Alignment Health Plan OF Arizona, Inc. | T2 | No | $0 | AZ |
| Alignment Health My Choice (HMO) | Alignment Health Plan | T2 | No | $0 | CA |
| Alignment Health Platinum + Instacart (HMO) | Alignment Health Plan | T2 | No | $0 | CA |
| Alignment Health Heart & Diabetes (HMO C-SNP) | Alignment Health Plan | T2 | No | $0 | CA |
| Alignment Health AllCare Preferred (HMO) | Alignment Health Plan | T2 | No | $0 | CA |
| Alignment Health smartHMO (HMO) | Alignment Health Plan | T2 | No | $0 | CA |
| Alignment Health Platinum + Instacart (HMO-POS) | Alignment Health Plan | T2 | No | $0 | CA |
| Alignment Health My Choice (HMO) | Alignment Health Plan | T2 | No | $0 | CA |
| Alignment Health Harmony (HMO) | Alignment Health Plan | T2 | No | $0 | CA |
| Alignment Health Balance (HMO C-SNP) | Alignment Health Plan | T2 | No | $0 | CA |
| Alignment Health the ONE (HMO) | Alignment Health Plan | T2 | No | $0 | CA |
| Alignment Health the ONE + Walgreens (HMO) | Alignment Health Plan | T2 | No | $0 | CA |
| Alignment Health smartHMO (HMO) | Alignment Health Plan | T2 | No | $0 | CA |
| Alignment Health smartHMO (HMO) | Alignment Health Plan | T2 | No | $0 | CA |
| Alignment Health CommUnity (HMO) | Alignment Health Plan | T2 | No | $0 | CA |
| Alignment Health smartSavings (HMO) | Alignment Health Plan | T2 | No | $0 | CA |
| Alignment Health Heart & Diabetes Care (HMO C-SNP) | Alignment Health Plan | T2 | No | $0 | CA |
| Alignment Health My Choice Select (HMO) | Alignment Health Plan | T2 | No | $0 | CA |
| Alignment Health My Choice CalCare (HMO) | Alignment Health Plan | T2 | No | $0 | CA |
| Alignment Health Honor+ Plan (HMO) | Alignment Health Plan | T2 | No | $0 | CA |
| Alignment Health ValorCare (HMO) | Alignment Health Plan | T2 | No | $0 | CA |
| Alignment Health Heart & Diabetes Care (HMO C-SNP) | Alignment Health Plan | T2 | No | $0 | CA |
| Alignment Health L.A. Premium Giveback (HMO) | Alignment Health Plan | T2 | No | $0 | CA |
| Alignment Health S.D. Premium Giveback (HMO) | Alignment Health Plan | T2 | No | $0 | CA |
| Alignment Health Platinum (HMO) | Alignment Health Plan OF North Carolina, Inc. | T2 | No | $0 | NC |
| Alignment Health NC Duals (HMO-POS D-SNP) | Alignment Health Plan OF North Carolina, Inc. | T2 | No | $0 | NC |
| Alignment Health smartHMO (HMO) | Alignment Health Plan OF North Carolina, Inc. | T2 | No | $0 | NC |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is hydrocodone bitartrate 10 MG / ibuprofen 200 MG Oral Tablet covered by Medicare Part D?
Yes, hydrocodone bitartrate 10 MG / ibuprofen 200 MG Oral Tablet is covered by 1,129 Medicare Part D plans (22.3% of all Part D formularies).
What tier is hydrocodone bitartrate 10 MG / ibuprofen 200 MG Oral Tablet on Medicare Part D plans?
hydrocodone bitartrate 10 MG / ibuprofen 200 MG Oral Tablet averages Tier 2.8 across Part D plans, ranging from Tier 1 to Tier 4.
Does hydrocodone bitartrate 10 MG / ibuprofen 200 MG Oral Tablet require prior authorization?
0% of Part D formularies require prior authorization for hydrocodone bitartrate 10 MG / ibuprofen 200 MG Oral Tablet. Step therapy: 0%. Quantity limits: 84.9%.
How much does Medicare spend on hydrocodone bitartrate 10 MG / ibuprofen 200 MG Oral Tablet?
In 2023, total Medicare Part D spending on hydrocodone bitartrate 10 MG / ibuprofen 200 MG Oral Tablet was $22,960,014, covering 5,184 beneficiaries. The average spend per beneficiary was $4,429.02.
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
- {11 (varenicline 0.5 MG Oral Tablet) / 42 (varenicline 1 MG Oral Tablet) } Pack T2.8
- ceftriaxone 100 MG/ML Injectable Solution T2.8
- {56 (varenicline 1 MG Oral Tablet) } Pack T2.8
- levocarnitine 100 MG/ML Oral Solution T2.8
- 1000 ML glucose 50 MG/ML / potassium chloride 0.03 MEQ/ML / sodium chloride 4.5 MG/ML Injection T2.8
- bromfenac 0.75 MG/ML Ophthalmic Solution T2.8
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