Medicare Part D coverage · ketorolac tromethamine · RxCUI 834022
ketorolac tromethamine 10 MG Oral Tablet
Per the CMS 2026 Part D formulary file, ketorolac tromethamine 10 MG Oral Tablet is covered by 2,355 Medicare Part D plans (46.6% of enrollable products), averaging Tier 2, with prior authorization required on 31.5% of covering formularies.
- 46.6%
- Plan coverage
- 2,355
- Plans covering
- T2
- Avg tier
- 31.5%
- Prior auth required
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 146 distinct formulary files spanning 2,355 Medicare Part D plan offerings - 46.6% 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: 31.5% of covering formularies require prior authorization. 0% require step therapy. 90.4% 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 $40,306,465 and an average per-beneficiary annual cost of $42.36. 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
- 146
- Plans covering
- 2,355
- Coverage rate
- 46.6%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 31.5% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 90.4% of formularies
2023 Medicare Spending
- Beneficiaries
- 951,621
- Total spending
- $40,306,465
- Avg per beneficiary
- $42.36
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 |
Show the next 30 plans
| 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 |
Showing top 50 of 100 plans.
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 2,355 Medicare Part D plans (46.6% 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?
31.5% of Part D formularies require prior authorization for ketorolac tromethamine 10 MG Oral Tablet. Step therapy: 0%. Quantity limits: 90.4%.
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 $40,306,465, covering 951,621 beneficiaries. The average spend per beneficiary was $42.36.
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
Similar prior-authorization rate
- paroxetine hydrochloride 2 MG/ML Oral Suspension 31.4% PA
- methylphenidate hydrochloride 2.5 MG Chewable Tablet 31.6% PA
- zolpidem tartrate 10 MG Oral Tablet 31.4% PA
- doxycycline anhydrous 40 MG Delayed Release Oral Capsule 31.3% PA
- 50 ML oxacillin 40 MG/ML Injection 31.3% PA
- atropine sulfate 0.025 MG / diphenoxylate hydrochloride 2.5 MG Oral Tablet 31.9% PA