lansoprazole 15 MG Disintegrating Oral Tablet
lansoprazole
RxCUI: 351261
What the CMS Formulary Data Shows for lansoprazole 15 MG Disintegrating Oral Tablet
Per the CMS 2026 Part D formulary file, lansoprazole 15 MG Disintegrating Oral Tablet (RxNorm concept RXCUI 351261, generic name lansoprazole) appears on 22 distinct formulary files spanning 251 Medicare Part D plan offerings - 5% 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 2.8.
Real-world access to lansoprazole 15 MG Disintegrating Oral Tablet depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 81.8% require step therapy. 54.5% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 303,222 Part D beneficiaries filled lansoprazole 15 MG Disintegrating Oral Tablet in 2023, with total plan-and-beneficiary spending of $57,025,404 and an average per-beneficiary annual cost of $188.06. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry lansoprazole 15 MG Disintegrating Oral Tablet today.
Coverage Details
- Formularies covering
- 22
- Plans covering
- 251
- Coverage rate
- 5%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 81.8% of formularies
- Quantity limits
- 54.5% of formularies
2023 Medicare Spending
- Beneficiaries
- 303,222
- Total spending
- $57,025,404
- Avg per beneficiary
- $188.06
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering lansoprazole 15 MG Disintegrating Oral Tablet
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Abilis Health Community (HMO I-SNP) | SIGNATURE ADVANTAGE, LLC | T1 | No | $0 | KY, TN |
| Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) | ARKANSAS SUPERIOR SELECT, INC. | T1 | No | $0 | AR |
| Community Care's Partnership Program (HMO D-SNP) | COMMUNITY CARE HEALTH PLAN, INC. | T1 | No | $0 | WI |
| Texas Independence Health Plan, Inc. (HMO I-SNP) | TEXAS INDEPENDENCE HEALTH PLAN, INC. | T1 | No | $4.80 | TX |
| Texas Independence Community Plan (HMO I-SNP) | TEXAS INDEPENDENCE HEALTH PLAN, INC. | T1 | No | $4.80 | TX |
| Tribute Select (HMO-POS I-SNP) | ARKANSAS SUPERIOR SELECT, INC. | T1 | No | $8.90 | AR |
| Valor Health Plan (HMO I-SNP) | TSG GUARD, INC. | T1 | No | $31.40 | OH |
| WV Senior Advantage (HMO I-SNP) | WEST VIRGINIA SENIOR ADVANTAGE, INC. | T1 | No | $32.70 | WV |
| Abilis Health (HMO I-SNP) | SIGNATURE ADVANTAGE, LLC | T1 | No | $35.90 | KY, TN |
| CommuniCare Advantage ISNP (HMO I-SNP) | OH CHS SNP INC. | T1 | No | $38.40 | IN, MD, OH |
| DEVOTED CORE 001 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED CORE 002 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED CORE 003 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED CORE 005 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED GIVEBACK 013 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED GIVEBACK 014 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED GIVEBACK 015 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED GIVEBACK 018 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED CORE 025 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED CORE 027 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED CORE 029 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED GIVEBACK 031 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED GIVEBACK 032 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED GIVEBACK 035 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED CORE 036 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED GIVEBACK 045 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED CORE 046 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED GIVEBACK 049 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED CORE 050 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED GIVEBACK 051 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $0 | FL |
| DEVOTED CORE 001 AZ (HMO) | DEVOTED HEALTH PLAN OF ARIZONA, INC. | T2 | No | $0 | AZ |
| DEVOTED C-SNP 011 AZ (HMO C-SNP) | DEVOTED HEALTH PLAN OF ARIZONA, INC. | T2 | No | $0 | AZ |
| Health First Rewards H1099-014 (HMO) | HEALTH FIRST HEALTH PLANS | T2 | No | $0 | FL |
| Health First SunSaver H1099-016 (HMO) | HEALTH FIRST HEALTH PLANS | T2 | No | $0 | FL |
| Health First Complete Care H1099-023 (HMO) | HEALTH FIRST HEALTH PLANS | T2 | No | $0 | FL |
| Health First Emerald Plus H1099-024 (HMO) | HEALTH FIRST HEALTH PLANS | T2 | No | $0 | FL |
| Health First Premier Access H1099-025 (HMO-POS) | HEALTH FIRST HEALTH PLANS | T2 | No | $0 | FL |
| Health First Emerald Plus H1099-026 (HMO) | HEALTH FIRST HEALTH PLANS | T2 | No | $0 | FL |
| Health First Premier Access H1099-027 (HMO-POS) | HEALTH FIRST HEALTH PLANS | T2 | No | $0 | FL |
| Health First Emerald Plus H1099-028 (HMO) | HEALTH FIRST HEALTH PLANS | T2 | No | $0 | FL |
| DEVOTED PREMIUM 037 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $4.80 | FL |
| DEVOTED PREMIUM 044 FL (HMO) | DEVOTED HEALTH PLAN OF FLORIDA, INC. | T2 | No | $4.80 | FL |
| Health First Value H1099-006 (HMO) | HEALTH FIRST HEALTH PLANS | T2 | No | $15.00 | FL |
| Health First Classic H1099-001 (HMO-POS) | HEALTH FIRST HEALTH PLANS | T2 | No | $49.40 | FL |
| Geisinger Gold Preferred Complete Rx (PPO) | GEISINGER INDEMNITY INSURANCE COMPANY | T3 | No | $0 | PA |
| Geisinger Gold Secure Rx (HMO D-SNP) | GEISINGER HEALTH PLAN | T3 | No | $0 | PA |
| Geisinger Gold Classic 360 Rx (HMO) | GEISINGER HEALTH PLAN | T3 | No | $0 | PA |
| Geisinger Gold Classic Essential Rx (HMO) | GEISINGER HEALTH PLAN | T3 | No | $0 | PA |
| Geisinger Gold Value Rx (HMO) | GEISINGER HEALTH PLAN | T3 | No | $23.00 | PA |
| Geisinger Gold Classic Complete Rx (HMO) | GEISINGER HEALTH PLAN | T3 | No | $48.00 | PA |
Frequently Asked Questions
Is lansoprazole 15 MG Disintegrating Oral Tablet covered by Medicare Part D?
Yes, lansoprazole 15 MG Disintegrating Oral Tablet is covered by 251 Medicare Part D plans (5% of all Part D formularies).
What tier is lansoprazole 15 MG Disintegrating Oral Tablet on Medicare Part D plans?
lansoprazole 15 MG Disintegrating Oral Tablet averages Tier 2.8 across Part D plans, ranging from Tier 1 to Tier 4.
Does lansoprazole 15 MG Disintegrating Oral Tablet require prior authorization?
0% of Part D formularies require prior authorization for lansoprazole 15 MG Disintegrating Oral Tablet. Step therapy: 81.8%. Quantity limits: 54.5%.
How much does Medicare spend on lansoprazole 15 MG Disintegrating Oral Tablet?
In 2023, total Medicare Part D spending on lansoprazole 15 MG Disintegrating Oral Tablet was $57,025,404, covering 303,222 beneficiaries. The average spend per beneficiary was $188.06.
Read our methodology - how this data is sourced, computed, and verified.