Medicare Part D coverage · lamotrigine · RxCUI 2001506
lamotrigine 150 MG Oral Tablet [Subvenite]
Per the CMS 2026 Part D formulary file, lamotrigine 150 MG Oral Tablet [Subvenite] is covered by 4,487 Medicare Part D plans (88.8% of enrollable products), averaging Tier 1.5, with prior authorization required on 0% of covering formularies.
- 88.8%
- Plan coverage
- 4,487
- 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 260 distinct formulary files spanning 4,487 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 $70,895,194 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
- 260
- Plans covering
- 4,487
- 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
- $70,895,194
- Avg per beneficiary
- $116.02
Tier Distribution Across Plans
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 |
Show the next 30 plans
| 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 |
Showing top 50 of 100 plans.
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 4,487 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 $70,895,194, covering 611,083 beneficiaries. The average spend per beneficiary was $116.02.
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
- metronidazole 10 MG/ML Topical Cream [Noritate] 0% PA
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- diflunisal 375 MG Oral Tablet [Dolobid] 0% PA
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- indomethacin 50 MG Rectal Suppository [Indocin] 0% PA