ketorolac tromethamine 10 MG Oral Tablet
ketorolac tromethamine
RxCUI: 834022
What the CMS Formulary Data Shows for ketorolac tromethamine 10 MG Oral Tablet
Per the CMS 2026 Part D formulary file, ketorolac tromethamine 10 MG Oral Tablet (RxNorm concept RXCUI 834022, generic name ketorolac tromethamine) appears on 148 distinct formulary files spanning 2,369 Medicare Part D plan offerings - 46.8% 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.
Real-world access to ketorolac tromethamine 10 MG Oral Tablet depends on utilization management as much as tier placement: 31.1% of covering formularies require prior authorization. 0% require step therapy. 89.9% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 951,621 Part D beneficiaries filled ketorolac tromethamine 10 MG Oral Tablet in 2023, with total plan-and-beneficiary spending of $40,351,229 and an average per-beneficiary annual cost of $42.40. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry ketorolac tromethamine 10 MG Oral Tablet today.
Coverage Details
- Formularies covering
- 148
- Plans covering
- 2,369
- Coverage rate
- 46.8%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 31.1% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 89.9% of formularies
2023 Medicare Spending
- Beneficiaries
- 951,621
- Total spending
- $40,351,229
- Avg per beneficiary
- $42.40
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering ketorolac tromethamine 10 MG Oral Tablet
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 |
| PruittHealth Premier D-SNP (HMO D-SNP) | PRUITTHEALTH PREMIER, INC. | T1 | No | $0 | GA |
| KeyCare Advantage Plus (HMO C-SNP) | ISNP VENTURES, LLC | T1 | No | $0 | MD |
| Premier Care (HMO-POS I-SNP) | LIFEWORKS ADVANTAGE, LLC | T1 | No | $0 | VA |
| Premier Care (HMO I-SNP) | ALIGN SENIOR CARE CALIFORNIA INC. | T1 | No | $0 | CA |
| Advantage Care (HMO) | ALIGN SENIOR CARE CALIFORNIA INC. | T1 | No | $0 | CA |
| Premier Care (HMO-POS I-SNP) | ALIGN SENIOR CARE MI, LLC | T1 | No | $0 | MI |
| Premier Care (HMO I-SNP) | ALIGN SENIOR CARE FLORIDA, INC. | T1 | No | $0 | FL |
| Perennial Advantage Freedom (HMO-POS) | PERENNIAL ADVANTAGE OF COLORADO, INC. | T1 | No | $0 | CO |
| Perennial Advantage Premier (HMO-POS I-SNP) | PERENNIAL ADVANTAGE OF COLORADO, INC. | T1 | No | $0 | CO |
| Perennial Advantage Freedom (HMO) | PERENNIAL ADVANTAGE OF COLORADO, INC. | T1 | No | $0 | PA |
| Perennial Advantage Premier (HMO I-SNP) | PERENNIAL ADVANTAGE OF COLORADO, INC. | T1 | No | $0 | PA |
| Perennial Advantage Freedom (HMO-POS) | PERENNIAL ADVANTAGE OF OHIO, INC. | T1 | No | $0 | OH |
| Perennial Advantage Premier (HMO-POS I-SNP) | PERENNIAL ADVANTAGE OF OHIO, INC. | T1 | No | $0 | OH |
| ProCare Advantage - Diabetes Care Management (HMO-POS C-SNP) | PROCARE ADVANTAGE, LLC | T1 | No | $0 | TX |
| PruittHealth Premier Advantage (HMO I-SNP) | PRUITTHEALTH PREMIER, INC. | T1 | No | $0 | GA |
| Senior Health Plan Silver Plus (HMO) | COMMUNITYCARE GOVERNMENT PROGRAMS, INC. | T1 | No | $0 | OK |
| Senior Health Plan Oklahoma Dual Complete (HMO D-SNP) | COMMUNITYCARE GOVERNMENT PROGRAMS, INC. | T1 | No | $0 | OK |
| Community First Medicare Advantage Alamo Plan (HMO) | COMMUNITY FIRST HEALTH PLANS, INC. | T1 | No | $0 | TX |
| Community First Medicare Advantage D-SNP (HMO D-SNP) | COMMUNITY FIRST HEALTH PLANS, INC. | T1 | No | $0 | TX |
| Community DualCare Aligned (HMO D-SNP) | COMMUNITY HEALTH CHOICE TEXAS, INC. | T1 | No | $0 | TX |
| Community DualCare Access (HMO D-SNP) | COMMUNITY HEALTH CHOICE TEXAS, INC. | T1 | No | $0 | TX |
| El Paso Health Medicare Advantage Dual (HMO D-SNP) | EL PASO FIRST HEALTH PLANS, INC. | T1 | No | $0 | TX |
| El Paso Health Total (HMO) | EL PASO FIRST HEALTH PLANS, INC. | T1 | No | $0 | TX |
| El Paso Health Giveback (HMO) | EL PASO FIRST HEALTH PLANS, INC. | T1 | No | $0 | TX |
| Liberty Medicare Advantage (HMO C-SNP) | LIBERTY ADVANTAGE, LLC | T1 | No | $0 | NC |
| Peak Advantage Vista (PPO) | PEAK HEALTH INSURANCE CORPORATION | T1 | No | $0 | PA, WV |
| SECUR Edge (HMO I-SNP) | SECUR INC | T1 | No | $0 | FL |
| Simpra Advantage Dual Care (PPO D-SNP) | SIMPRA ADVANTAGE, INC. | T1 | No | $0 | AL |
| DrMax (HMO) | DOCTORS HEALTHCARE PLANS, INC. | T1 | No | $0 | FL |
| DrExtraCare (HMO C-SNP) | DOCTORS HEALTHCARE PLANS, INC. | T1 | No | $0 | FL |
| DrSelect (HMO) | DOCTORS HEALTHCARE PLANS, INC. | T1 | No | $0 | FL |
| DrSelect-CFL (HMO) | DOCTORS HEALTHCARE PLANS, INC. | T1 | No | $0 | FL |
| DrPlatinum-CFL (HMO D-SNP) | DOCTORS HEALTHCARE PLANS, INC. | T1 | No | $0 | FL |
| DrTotalCare-CFL (HMO C-SNP) | DOCTORS HEALTHCARE PLANS, INC. | T1 | No | $0 | FL |
| DrElite-SFL (HMO) | DOCTORS HEALTHCARE PLANS, INC. | T1 | No | $0 | FL |
| NaviCare (HMO D-SNP) | FALLON COMMUNITY HEALTH PLAN | T1 | No | $0 | MA |
| Hamaspik Medicare Choice (HMO D-SNP) | HAMASPIK, INC. | T1 | No | $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 | Yes | $0 | CA |
| Astiva Health Savings Plan (HMO) | ASTIVA HEALTH, INC. | T1 | Yes | $0 | CA |
| Astiva Health C-SNP Deluxe (HMO C-SNP) | ASTIVA HEALTH, INC. | T1 | Yes | $0 | CA |
| Astiva Health Savings Plan - NorCal (HMO) | ASTIVA HEALTH, INC. | T1 | Yes | $0 | CA |
| Astiva Health Premier Plan - NorCal (HMO) | ASTIVA HEALTH, INC. | T1 | Yes | $0 | CA |
| Astiva Health Premier Plan (HMO) | ASTIVA HEALTH, INC. | T1 | Yes | $0 | CA |
| ATRIO Prime Rx (HMO) | ATRIO HEALTH PLANS | T1 | Yes | $0 | OR |
| ATRIO Choice Rx (PPO) | ATRIO HEALTH PLANS | T1 | Yes | $0 | OR |
Frequently Asked Questions
Is ketorolac tromethamine 10 MG Oral Tablet covered by Medicare Part D?
Yes, ketorolac tromethamine 10 MG Oral Tablet is covered by 2,369 Medicare Part D plans (46.8% of all Part D formularies).
What tier is ketorolac tromethamine 10 MG Oral Tablet on Medicare Part D plans?
ketorolac tromethamine 10 MG Oral Tablet averages Tier 2 across Part D plans, ranging from Tier 1 to Tier 4.
Does ketorolac tromethamine 10 MG Oral Tablet require prior authorization?
31.1% of Part D formularies require prior authorization for ketorolac tromethamine 10 MG Oral Tablet. Step therapy: 0%. Quantity limits: 89.9%.
How much does Medicare spend on ketorolac tromethamine 10 MG Oral Tablet?
In 2023, total Medicare Part D spending on ketorolac tromethamine 10 MG Oral Tablet was $40,351,229, covering 951,621 beneficiaries. The average spend per beneficiary was $42.40.
Read our methodology - how this data is sourced, computed, and verified.