Medicare Part D coverage · hydroxyzine hydrochloride · RxCUI 995241
hydroxyzine hydrochloride 2 MG/ML Oral Solution
Per the CMS 2026 Part D formulary file, hydroxyzine hydrochloride 2 MG/ML Oral Solution is covered by 3,052 Medicare Part D plans (60.4% of enrollable products), averaging Tier 2.6, with prior authorization required on 57.7% of covering formularies.
- 60.4%
- Plan coverage
- 3,052
- Plans covering
- T2.6
- Avg tier
- 57.7%
- Prior auth required
What the CMS Formulary Data Shows for hydroxyzine hydrochloride 2 MG/ML Oral Solution
Per the CMS 2026 Part D formulary file, hydroxyzine hydrochloride 2 MG/ML Oral Solution (RxNorm concept RXCUI 995241, generic name hydroxyzine hydrochloride) appears on 196 distinct formulary files spanning 3,052 Medicare Part D plan offerings - 60.4% of enrollable Part D products, mid-range placement; shopping across contracts changes access. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 2.6.
Real-world access to hydroxyzine hydrochloride 2 MG/ML Oral Solution depends on utilization management as much as tier placement: 57.7% 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 1,319,270 Part D beneficiaries filled hydroxyzine hydrochloride 2 MG/ML Oral Solution in 2023, with total plan-and-beneficiary spending of $84,504,174 and an average per-beneficiary annual cost of $64.05. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry hydroxyzine hydrochloride 2 MG/ML Oral Solution today.
Coverage Details
- Formularies covering
- 196
- Plans covering
- 3,052
- Coverage rate
- 60.4%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 57.7% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 1,319,270
- Total spending
- $84,504,174
- Avg per beneficiary
- $64.05
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering hydroxyzine hydrochloride 2 MG/ML Oral 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 |
| 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 |
| 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 |
| 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 | Yes | $0 | CA |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | Health Care Service Corporation | T1 | Yes | $0 | NM |
Show the next 30 plans
| Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) | Health Care Service Corporation | T1 | Yes | $0 | NM |
| Horizon NJ TotalCare (HMO D-SNP) | Horizon Healthcare OF NEW Jersey, Inc. | T1 | Yes | $0 | NJ |
| SecureBlue (HMO D-SNP) | HMO Minnesota | T1 | Yes | $0 | MN |
| NaviCare (HMO D-SNP) | Fallon Community Health Plan | T1 | No | $0 | MA |
| Hamaspik Medicare Choice (HMO D-SNP) | Hamaspik, Inc. | T1 | Yes | $0 | NY |
| SeniorCare Complete (HMO D-SNP) | South Country Health Alliance | T1 | Yes | $0 | MN |
| AbilityCare (HMO D-SNP) | South Country Health Alliance | T1 | Yes | $0 | MN |
| Alameda Alliance Wellness (HMO D-SNP) | Alameda Alliance FOR Health | T1 | Yes | $0 | CA |
| 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 |
| VNS Health Total (HMO D-SNP) | VNS Choice | T1 | No | $0 | NY |
| Provider Partners Pennsylvania Community Plan (HMO I-SNP) | Provider Partners Health Plan OF Pennsylvania, Inc | T1 | No | $0 | PA |
| Provider Partners North Carolina Community Plan (HMO I-SNP) | Provider Partners Health Plan OF North Carolina | T1 | No | $0 | NC |
| Provider Partners Indiana Community Plan (HMO I-SNP) | Provider Partners Health Plan OF Indiana | T1 | No | $0 | IN |
| Provider Partners Missouri Community Plan (HMO I-SNP) | Provider Partners Health Plan OF Missouri, Inc. | T1 | No | $0 | MO |
| Community Care's Partnership Program (HMO D-SNP) | Community Care Health Plan, Inc. | T1 | No | $0 | WI |
| CalOptima Health OneCare Complete (HMO D-SNP) | Orange County Health Authority | T1 | Yes | $0 | CA |
| Mass General Brigham SCO (HMO D-SNP) | Mass General Brigham Health Plan, Inc | T1 | No | $0 | MA |
| Mass General Brigham One Care (HMO D-SNP) | Mass General Brigham Health Plan, Inc | T1 | No | $0 | MA |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | Yes | $0 | PA |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | Yes | $0 | PA |
| Highmark Health Options Duals (HMO D-SNP) | Highmark Health Options West Virginia Inc. | T1 | Yes | $0 | WV |
| Highmark Health Options Duals (HMO D-SNP) | Highmark Bcbsd, Inc. | T1 | Yes | $0 | DE |
| Tufts Health One Care (HMO D-SNP) | Tufts Health Public Plans, Inc. | T1 | No | $0 | MA |
| Tufts Health One Care CW (HMO D-SNP) | Tufts Health Public Plans, Inc. | T1 | No | $0 | MA |
| Tufts Health Plan Senior Care Options (HMO D-SNP) | Tufts Associated Health Maintenance Organization | T1 | No | $0 | MA |
| Tufts Health Plan Senior Care Options CW (HMO D-SNP) | Tufts Associated Health Maintenance Organization | T1 | No | $0 | MA |
| Leon MediExtra (HMO) | Leon Health, Inc. | T1 | No | $0 | FL |
| Leon MediDual (HMO D-SNP) | Leon Health, Inc. | T1 | No | $0 | FL |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is hydroxyzine hydrochloride 2 MG/ML Oral Solution covered by Medicare Part D?
Yes, hydroxyzine hydrochloride 2 MG/ML Oral Solution is covered by 3,052 Medicare Part D plans (60.4% of all Part D formularies).
What tier is hydroxyzine hydrochloride 2 MG/ML Oral Solution on Medicare Part D plans?
hydroxyzine hydrochloride 2 MG/ML Oral Solution averages Tier 2.6 across Part D plans, ranging from Tier 1 to Tier 4.
Does hydroxyzine hydrochloride 2 MG/ML Oral Solution require prior authorization?
57.7% of Part D formularies require prior authorization for hydroxyzine hydrochloride 2 MG/ML Oral Solution. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on hydroxyzine hydrochloride 2 MG/ML Oral Solution?
In 2023, total Medicare Part D spending on hydroxyzine hydrochloride 2 MG/ML Oral Solution was $84,504,174, covering 1,319,270 beneficiaries. The average spend per beneficiary was $64.05.
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
- 1 ML haloperidol decanoate 50 MG/ML Injection T2.6
- 12 HR carbamazepine 100 MG Extended Release Oral Tablet T2.6
- {74 (apixaban 5 MG Oral Tablet [Eliquis]) } Pack [Eliquis 30-Day Starter Pack] T2.6
- apixaban 2.5 MG Oral Tablet [Eliquis] T2.6
- bacitracin 0.5 UNT/MG Ophthalmic Ointment T2.6
- chloroquine phosphate 250 MG Oral Tablet T2.6
Similar prior-authorization rate
- acetaminophen 300 MG / butalbital 50 MG / caffeine 40 MG Oral Capsule 57.8% PA
- clobazam 2.5 MG/ML Oral Suspension 57.6% PA
- bempedoic acid 180 MG Oral Tablet [Nexletol] 57.4% PA
- clobazam 20 MG Oral Tablet 57.3% PA
- clobazam 10 MG Oral Tablet 57.3% PA
- acetaminophen 325 MG / butalbital 50 MG / caffeine 40 MG Oral Capsule 58.2% PA