Medicare Part D coverage · lactulose · RxCUI 1251194
lactulose 20000 MG Powder for Oral Solution
Per the CMS 2026 Part D formulary file, lactulose 20000 MG Powder for Oral Solution is covered by 690 Medicare Part D plans (13.7% of enrollable products), averaging Tier 3.4, with prior authorization required on 50% of covering formularies.
- 13.7%
- Plan coverage
- 690
- Plans covering
- T3.4
- Avg tier
- 50%
- Prior auth required
What the CMS Formulary Data Shows for lactulose 20000 MG Powder for Oral Solution
Per the CMS 2026 Part D formulary file, lactulose 20000 MG Powder for Oral Solution (RxNorm concept RXCUI 1251194, generic name lactulose) appears on 14 distinct formulary files spanning 690 Medicare Part D plan offerings - 13.7% 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 3.4.
Real-world access to lactulose 20000 MG Powder for Oral Solution depends on utilization management as much as tier placement: 50% 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 526,962 Part D beneficiaries filled lactulose 20000 MG Powder for Oral Solution in 2023, with total plan-and-beneficiary spending of $72,482,220 and an average per-beneficiary annual cost of $137.55. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry lactulose 20000 MG Powder for Oral Solution today.
Coverage Details
- Formularies covering
- 14
- Plans covering
- 690
- Coverage rate
- 13.7%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 50% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 526,962
- Total spending
- $72,482,220
- Avg per beneficiary
- $137.55
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering lactulose 20000 MG Powder for Oral Solution
100 Medicare Advantage plans with Part D drug coverage include this drug.
Show the next 30 plans
| Aetna Medicare Signature (HMO) | Aetna Health OF California Inc. | T4 | Yes | $0 | CA |
| Aetna Medicare Signature (HMO) | Aetna Health OF California Inc. | T4 | Yes | $0 | CA |
| Aetna Medicare Signature Extra (HMO-POS) | Aetna Health OF California Inc. | T4 | Yes | $0 | CA |
| Aetna Medicare Prime (HMO-POS) | Aetna Health OF California Inc. | T4 | Yes | $0 | CA |
| Aetna Medicare Prime (HMO-POS) | Aetna Health OF California Inc. | T4 | Yes | $0 | CA |
| Aetna Medicare Prime (HMO-POS) | Aetna Health OF California Inc. | T4 | Yes | $0 | CA |
| Aetna Medicare Signature Extra (HMO) | Aetna Health OF California Inc. | T4 | Yes | $0 | CA |
| Aetna Medicare Prime (HMO-POS) | Aetna Health OF California Inc. | T4 | Yes | $0 | CA |
| Aetna Medicare Signature Extra (HMO) | Aetna Health OF California Inc. | T4 | Yes | $0 | CA |
| Aetna Medicare Signature Extra (HMO) | Aetna Health OF California Inc. | T4 | Yes | $0 | CA |
| Aetna Medicare Signature Extra (HMO) | Aetna Health OF California Inc. | T4 | Yes | $0 | CA |
| Aetna Medicare Signature Care (HMO-POS) | Aetna Health OF Ohio Inc. | T4 | Yes | $0 | OH |
| Aetna Medicare Signature Extra (HMO-POS) | Aetna Health OF Ohio Inc. | T4 | Yes | $0 | OH |
| Aetna Medicare Signature Care (HMO-POS) | Aetna Health OF Ohio Inc. | T4 | Yes | $0 | OH |
| Aetna Medicare Signature Extra (HMO-POS) | Aetna Health OF Ohio Inc. | T4 | Yes | $0 | KY |
| Aetna Medicare Signature (HMO-POS) | Aetna Health OF Ohio Inc. | T4 | Yes | $0 | KY |
| Aetna Medicare Signature (HMO-POS) | Aetna Health OF Ohio Inc. | T4 | Yes | $0 | KY |
| Aetna Medicare HIDE (HMO D-SNP) | Aetna Health OF Ohio Inc. | T4 | Yes | $0 | KY |
| Aetna Medicare Dual Care (HMO D-SNP) | Aetna Health OF Ohio Inc. | T4 | Yes | $0 | OH |
| Aetna Medicare Signature Care (HMO-POS) | Aetna Health OF Ohio Inc. | T4 | Yes | $0 | OH |
| Aetna Medicare Signature (HMO-POS) | Aetna Health OF Ohio Inc. | T4 | Yes | $0 | OH |
| Aetna Medicare Signature (HMO-POS) | Aetna Health OF Ohio Inc. | T4 | Yes | $0 | KY |
| Aetna Medicare Partial Dual (HMO D-SNP) | Aetna Health OF Ohio Inc. | T4 | Yes | $0 | KY |
| Aetna Medicare Partial Dual (HMO D-SNP) | Aetna Health OF Ohio Inc. | T4 | Yes | $0 | OH |
| Aetna Medicare Signature (HMO) | Aetna Health Inc. (GA) | T4 | Yes | $0 | GA |
| Aetna Medicare Signature (HMO-POS) | Coventry Health Care OF Illinois, Inc. | T4 | Yes | $0 | WI |
| Aetna Medicare Signature (HMO-POS) | Coventry Health Care OF Illinois, Inc. | T4 | Yes | $0 | IL |
| Aetna Medicare Prime Chronic Care (HMO C-SNP) | Coventry Health Care OF Illinois, Inc. | T4 | Yes | $0 | IL |
| Aetna Medicare Signature Extra (HMO-POS) | Coventry Health Care OF Illinois, Inc. | T4 | Yes | $0 | IL |
| Aetna Medicare Signature (PPO) | Coventry Health AND Life Insurance Company | T4 | Yes | $0 | IA |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is lactulose 20000 MG Powder for Oral Solution covered by Medicare Part D?
Yes, lactulose 20000 MG Powder for Oral Solution is covered by 690 Medicare Part D plans (13.7% of all Part D formularies).
What tier is lactulose 20000 MG Powder for Oral Solution on Medicare Part D plans?
lactulose 20000 MG Powder for Oral Solution averages Tier 3.4 across Part D plans, ranging from Tier 1 to Tier 4.
Does lactulose 20000 MG Powder for Oral Solution require prior authorization?
50% of Part D formularies require prior authorization for lactulose 20000 MG Powder for Oral Solution. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on lactulose 20000 MG Powder for Oral Solution?
In 2023, total Medicare Part D spending on lactulose 20000 MG Powder for Oral Solution was $72,482,220, covering 526,962 beneficiaries. The average spend per beneficiary was $137.55.
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
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- 1 ML epoetin alfa-epbx 40000 UNT/ML Injection [Retacrit] T3.4
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Similar prior-authorization rate
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