lamotrigine 150 MG Oral Tablet [Subvenite]

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lamotrigine

RxCUI: 2001506

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.
88.8%
Plan Coverage
4,501
Plans Covering
T1.5
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for lamotrigine 150 MG Oral Tablet [Subvenite]

Per the CMS 2026 Part D formulary file, lamotrigine 150 MG Oral Tablet [Subvenite] (RxNorm concept RXCUI 2001506, generic name lamotrigine) appears on 261 distinct formulary files spanning 4,501 Medicare Part D plan offerings - 88.8% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 1.5.

Real-world access to lamotrigine 150 MG Oral Tablet [Subvenite] 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 611,083 Part D beneficiaries filled lamotrigine 150 MG Oral Tablet [Subvenite] in 2023, with total plan-and-beneficiary spending of $70,895,417 and an average per-beneficiary annual cost of $116.02. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry lamotrigine 150 MG Oral Tablet [Subvenite] today.

Coverage Details

Formularies covering
261
Plans covering
4,501
Coverage rate
88.8%
Tier range
Tier 1 – Tier 4
Average tier
Tier 1, Preferred Generic

Restrictions

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

2023 Medicare Spending

Beneficiaries
611,083
Total spending
$70,895,417
Avg per beneficiary
$116.02

Tier Distribution Across Plans

100 plans
Tier 1, Preferred Generic

Medicare Advantage Plans (MA-PD) Covering lamotrigine 150 MG Oral Tablet [Subvenite]

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
Florida Complete Care-Duals VIP (HMO-POS D-SNP) HPMP OF FLORIDA, INC. T1 No $0 FL
ElderServe MAP (HMO D-SNP) ELDERSERVE HEALTH, INC. T1 No $0 NY
The Health Plan SecureCare - Option II (HMO) THE HEALTH PLAN OF WEST VIRGINIA, INC. T1 No $0 OH
The Health Plan SecureCare - Option II (HMO) THE HEALTH PLAN OF WEST VIRGINIA, INC. T1 No $0 OH, WV
The Health Plan SecureCare Capitol Plan (HMO) THE HEALTH PLAN OF WEST VIRGINIA, INC. T1 No $0 WV
The Health Plan SecureChoice Optimum (PPO) THP INSURANCE COMPANY T1 No $0 OH, WV
Cooperative Advantage (HMO D-SNP) GROUP HEALTH COOPERATIVE OF EAU CLAIRE T1 No $0 WI
WellSense Signature (HMO) BOSTON MEDICAL CENTER HEALTH PLAN, INC. T1 No $0 NH
WellSense Signature Access (PPO) BOSTON MEDICAL CENTER HEALTH PLAN, INC. T1 No $0 NH
Longevity Health Plan (PPO I-SNP) LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP T1 No $0 NJ
Community Health Plan of WA Dual Complete (HMO D-SNP) COMMUNITY HEALTH PLAN OF WASHINGTON T1 No $0 WA
Community Health Plan of WA Dual Select (HMO D-SNP) COMMUNITY HEALTH PLAN OF WASHINGTON T1 No $0 WA
Providence Medicare Extra Part B Only + Rx (HMO) PROVIDENCE HEALTH ASSURANCE T1 No $0 OR
Providence Medicare Prime + Rx (HMO) PROVIDENCE HEALTH ASSURANCE T1 No $0 OR
Providence Medicare Dual Plus (HMO D-SNP) PROVIDENCE HEALTH ASSURANCE T1 No $0 OR
Providence Medicare Timber + Rx (HMO) PROVIDENCE HEALTH ASSURANCE T1 No $0 OR, WA
Providence Medicare Pine + Rx (HMO) PROVIDENCE HEALTH ASSURANCE T1 No $0 WA
Providence Medicare Extra + Rx (HMO) PROVIDENCE HEALTH ASSURANCE T1 No $0 OR, WA
Providence Medicare Sycamore + Rx (HMO) PROVIDENCE HEALTH ASSURANCE T1 No $0 CA
Essence Advantage (HMO) ESSENCE HEALTHCARE, INC. T1 No $0 IL, MO
Essence Advantage (HMO) ESSENCE HEALTHCARE, INC. T1 No $0 AR, MO
Essence Advantage Select (HMO) ESSENCE HEALTHCARE, INC. T1 No $0 IL, MO
Essence Advantage (HMO) ESSENCE HEALTHCARE, INC. T1 No $0 IN, KY
Essence Advantage Select (HMO) ESSENCE HEALTHCARE, INC. T1 No $0 IL
Sharp Direct Advantage Gold (HMO) SHARP HEALTH PLAN T1 No $0 CA
Sharp Direct Advantage VIP (HMO) SHARP HEALTH PLAN T1 No $0 CA
Sharp Direct Advantage VIP Plus (HMO) SHARP HEALTH PLAN T1 No $0 CA
Blue Medicare Advantage PPO (PPO) WELLMARK ADVANTAGE HEALTH PLAN, INC. T1 No $0 IA
BlueMedicare Premier (HMO) USABLE HMO, INC. T1 No $0 AR
BlueMedicare Classic Plus (HMO) USABLE HMO, INC. T1 No $0 AR
Mercy Care Advantage (HMO D-SNP) MERCY CARE T1 No $0 AZ
Mercy Care Advantage (HMO D-SNP) MERCY CARE T1 No $0 AZ
Mercy Care Advantage (HMO D-SNP) MERCY CARE T1 No $0 AZ
Medicare HMO Blue SaverRx (HMO-POS) BCBS OF MASSACHUSETTS HMO BLUE, INC. T1 No $0 MA
Clever Care Longevity (HMO) CLEVER CARE OF GOLDEN STATE, INC. T1 No $0 CA
Clever Care Value (HMO) CLEVER CARE OF GOLDEN STATE, INC. T1 No $0 CA
Clever Care Total+ (HMO C-SNP) CLEVER CARE OF GOLDEN STATE, INC. T1 No $0 CA
Clever Care Breathe+ (HMO C-SNP) CLEVER CARE OF GOLDEN STATE, INC. T1 No $0 CA
Clover Health Choice (PPO) CLOVER INSURANCE COMPANY T1 No $0 TX
Clover Health LiveHealthy (PPO) CLOVER INSURANCE COMPANY T1 No $0 GA
Clover Health LiveHealthy (PPO) CLOVER INSURANCE COMPANY T1 No $0 SC
Clover Health Choice (PPO) CLOVER INSURANCE COMPANY T1 No $0 PA
Clover Health LiveHealthy Giveback (PPO) CLOVER INSURANCE COMPANY T1 No $0 GA, SC
Clover Health Choice (PPO) CLOVER INSURANCE COMPANY T1 No $0 NJ
Clover Health Choice (PPO) CLOVER INSURANCE COMPANY T1 No $0 NJ
Clover Health Choice Giveback (PPO) CLOVER INSURANCE COMPANY T1 No $0 NJ
Clover Health Classic (HMO) CLOVER HMO OF NEW JERSEY INC. T1 No $0 NJ
Elderplan Plus Long-Term Care (HMO-POS D-SNP) ELDERPLAN, INC. T1 No $0 NY

Frequently Asked Questions

Is lamotrigine 150 MG Oral Tablet [Subvenite] covered by Medicare Part D?

Yes, lamotrigine 150 MG Oral Tablet [Subvenite] is covered by 4,501 Medicare Part D plans (88.8% of all Part D formularies).

What tier is lamotrigine 150 MG Oral Tablet [Subvenite] on Medicare Part D plans?

lamotrigine 150 MG Oral Tablet [Subvenite] averages Tier 1.5 across Part D plans, ranging from Tier 1 to Tier 4.

Does lamotrigine 150 MG Oral Tablet [Subvenite] require prior authorization?

0% of Part D formularies require prior authorization for lamotrigine 150 MG Oral Tablet [Subvenite]. Step therapy: 0%. Quantity limits: 0%.

How much does Medicare spend on lamotrigine 150 MG Oral Tablet [Subvenite]?

In 2023, total Medicare Part D spending on lamotrigine 150 MG Oral Tablet [Subvenite] was $70,895,417, covering 611,083 beneficiaries. The average spend per beneficiary was $116.02.

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