ibuprofen 20 MG/ML Oral Suspension
ibuprofen
RxCUI: 197803
What the CMS Formulary Data Shows for ibuprofen 20 MG/ML Oral Suspension
Per the CMS 2026 Part D formulary file, ibuprofen 20 MG/ML Oral Suspension (RxNorm concept RXCUI 197803, generic name ibuprofen) appears on 251 distinct formulary files spanning 4,762 Medicare Part D plan offerings - 94% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 1.9.
Real-world access to ibuprofen 20 MG/ML Oral Suspension 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 20 MG/ML Oral Suspension in 2023, with total plan-and-beneficiary spending of $56,974,814 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 20 MG/ML Oral Suspension today.
Coverage Details
- Formularies covering
- 251
- Plans covering
- 4,762
- Coverage rate
- 94%
- Tier range
- Tier 1 – Tier 4
- 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
- $56,974,814
- Avg per beneficiary
- $16.54
Tier Distribution Across Plans
Standalone Drug Plans (PDP) Covering ibuprofen 20 MG/ML Oral Suspension
2 standalone prescription drug plans include this drug.
| Plan | Insurer | Tier | PA | ST | Premium | States |
|---|---|---|---|---|---|---|
| AARP Medicare Rx Preferred from UHC (PDP) | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | T1 | No | No | $0 | - |
| AARP Medicare Rx Preferred from UHC (PDP) | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | T1 | No | No | $0 | - |
Medicare Advantage Plans (MA-PD) Covering ibuprofen 20 MG/ML Oral Suspension
98 Medicare Advantage plans with Part D drug coverage include this drug.
Frequently Asked Questions
Is ibuprofen 20 MG/ML Oral Suspension covered by Medicare Part D?
Yes, ibuprofen 20 MG/ML Oral Suspension is covered by 4,762 Medicare Part D plans (94% of all Part D formularies).
What tier is ibuprofen 20 MG/ML Oral Suspension on Medicare Part D plans?
ibuprofen 20 MG/ML Oral Suspension averages Tier 1.9 across Part D plans, ranging from Tier 1 to Tier 4.
Does ibuprofen 20 MG/ML Oral Suspension require prior authorization?
0% of Part D formularies require prior authorization for ibuprofen 20 MG/ML Oral Suspension. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on ibuprofen 20 MG/ML Oral Suspension?
In 2023, total Medicare Part D spending on ibuprofen 20 MG/ML Oral Suspension was $56,974,814, covering 3,444,665 beneficiaries. The average spend per beneficiary was $16.54.
Read our methodology - how this data is sourced, computed, and verified.