Medicare Part D coverage · ibuprofen · RxCUI 197804

ibuprofen 300 MG Oral Tablet

Per the CMS 2026 Part D formulary file, ibuprofen 300 MG Oral Tablet is covered by 11 Medicare Part D plans (0.2% of enrollable products), averaging Tier 1.5, with prior authorization required on 0% of covering formularies.

0.2%
Plan coverage
11
Plans covering
T1.5
Avg tier
0%
Prior auth required

Verify with CMS →

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.

What the CMS Formulary Data Shows for ibuprofen 300 MG Oral Tablet

Per the CMS 2026 Part D formulary file, ibuprofen 300 MG Oral Tablet (RxNorm concept RXCUI 197804, generic name ibuprofen) appears on 2 distinct formulary files spanning 11 Medicare Part D plan offerings - 0.2% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 2, with a cross-plan average of Tier 1.5.

Real-world access to ibuprofen 300 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 3,444,665 Part D beneficiaries filled ibuprofen 300 MG Oral Tablet in 2023, with total plan-and-beneficiary spending of $56,974,758 and an average per-beneficiary annual cost of $16.54. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry ibuprofen 300 MG Oral Tablet today.

Coverage Details

Formularies covering
2
Plans covering
11
Coverage rate
0.2%
Tier range
Tier 1 – Tier 2
Average tier
Tier 2, Generic

Restrictions

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

2023 Medicare Spending

Beneficiaries
3,444,665
Total spending
$56,974,758
Avg per beneficiary
$16.54

Tier Distribution Across Plans

1 plans
Tier 1, Preferred Generic
10 plans
Tier 2, Generic

Medicare Advantage Plans (MA-PD) Covering ibuprofen 300 MG Oral Tablet

11 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 T1 No $0 CA
Health First Rewards H1099-014 (HMO) Health First Health Plans T2 No $0 FL
Health First SunSaver H1099-016 (HMO) Health First Health Plans T2 No $0 FL
Health First Complete Care H1099-023 (HMO) Health First Health Plans T2 No $0 FL
Health First Emerald Plus H1099-024 (HMO) Health First Health Plans T2 No $0 FL
Health First Premier Access H1099-025 (HMO-POS) Health First Health Plans T2 No $0 FL
Health First Emerald Plus H1099-026 (HMO) Health First Health Plans T2 No $0 FL
Health First Premier Access H1099-027 (HMO-POS) Health First Health Plans T2 No $0 FL
Health First Emerald Plus H1099-028 (HMO) Health First Health Plans T2 No $0 FL
Health First Value H1099-006 (HMO) Health First Health Plans T2 No $15.00 FL
Health First Classic H1099-001 (HMO-POS) Health First Health Plans T2 No $49.40 FL

Frequently Asked Questions

Is ibuprofen 300 MG Oral Tablet covered by Medicare Part D?

Yes, ibuprofen 300 MG Oral Tablet is covered by 11 Medicare Part D plans (0.2% of all Part D formularies).

What tier is ibuprofen 300 MG Oral Tablet on Medicare Part D plans?

ibuprofen 300 MG Oral Tablet averages Tier 1.5 across Part D plans, ranging from Tier 1 to Tier 2.

Does ibuprofen 300 MG Oral Tablet require prior authorization?

0% of Part D formularies require prior authorization for ibuprofen 300 MG Oral Tablet. Step therapy: 0%. Quantity limits: 0%.

How much does Medicare spend on ibuprofen 300 MG Oral Tablet?

In 2023, total Medicare Part D spending on ibuprofen 300 MG Oral Tablet was $56,974,758, covering 3,444,665 beneficiaries. The average spend per beneficiary was $16.54.

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.

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