Medicare Part D coverage · levalbuterol · RxCUI 311286
levalbuterol 0.21 MG/ML Inhalation Solution
Per the CMS 2026 Part D formulary file, levalbuterol 0.21 MG/ML Inhalation Solution is covered by 2,901 Medicare Part D plans (57.4% of enrollable products), averaging Tier 2.7, with prior authorization required on 99.3% of covering formularies.
- 57.4%
- Plan coverage
- 2,901
- Plans covering
- T2.7
- Avg tier
- 99.3%
- Prior auth required
What the CMS Formulary Data Shows for levalbuterol 0.21 MG/ML Inhalation Solution
Per the CMS 2026 Part D formulary file, levalbuterol 0.21 MG/ML Inhalation Solution (RxNorm concept RXCUI 311286, generic name levalbuterol) appears on 138 distinct formulary files spanning 2,901 Medicare Part D plan offerings - 57.4% of enrollable Part D products, mid-range placement; shopping across contracts changes access. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 2.7.
Real-world access to levalbuterol 0.21 MG/ML Inhalation Solution depends on utilization management as much as tier placement: 99.3% of covering formularies require prior authorization. 0% require step therapy. 23.2% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 6,922 Part D beneficiaries filled levalbuterol 0.21 MG/ML Inhalation Solution in 2023, with total plan-and-beneficiary spending of $2,130,703 and an average per-beneficiary annual cost of $307.82. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry levalbuterol 0.21 MG/ML Inhalation Solution today.
Coverage Details
- Formularies covering
- 138
- Plans covering
- 2,901
- Coverage rate
- 57.4%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 99.3% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 23.2% of formularies
2023 Medicare Spending
- Beneficiaries
- 6,922
- Total spending
- $2,130,703
- Avg per beneficiary
- $307.82
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering levalbuterol 0.21 MG/ML Inhalation Solution
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 | Yes | $0 | VA |
| Sentara Community Complete (HMO D-SNP) | Sentara Health Plans | T1 | Yes | $0 | VA |
| Freedom VIP Care (HMO C-SNP) | Freedom Health, Inc. | T1 | Yes | $0 | FL |
| Freedom VIP Savings (HMO C-SNP) | Freedom Health, Inc. | T1 | Yes | $0 | FL |
| Freedom VIP Savings (HMO C-SNP) | Freedom Health, Inc. | T1 | Yes | $0 | FL |
| Freedom VIP Rewards (HMO C-SNP) | Freedom Health, Inc. | T1 | Yes | $0 | FL |
| Freedom VIP Rewards (HMO C-SNP) | Freedom Health, Inc. | T1 | Yes | $0 | FL |
| Optimum Diamond Rewards (HMO C-SNP) | Optimum Healthcare, Inc. | T1 | Yes | $0 | FL |
| Optimum Diamond Savings (HMO C-SNP) | Optimum Healthcare, Inc. | T1 | Yes | $0 | FL |
| Optimum Diamond Rewards (HMO C-SNP) | Optimum Healthcare, Inc. | T1 | Yes | $0 | FL |
| Optimum Diamond (HMO C-SNP) | Optimum Healthcare, Inc. | T1 | Yes | $0 | FL |
| Freedom Medi-Medi Partial (HMO D-SNP) | Freedom Health, Inc. | T1 | Yes | $0 | FL |
| Freedom Medi-Medi Full (HMO D-SNP) | Freedom Health, Inc. | T1 | Yes | $0 | FL |
| Optimum Emerald Partial (HMO D-SNP) | Optimum Healthcare, Inc. | T1 | Yes | $0 | FL |
| Optimum Emerald Full (HMO D-SNP) | Optimum Healthcare, Inc. | T1 | Yes | $0 | FL |
| Freedom Medicare Plan Rx (HMO) | Freedom Health, Inc. | T1 | Yes | $0 | FL |
| Freedom Medicare Plan Rx (HMO) | Freedom Health, Inc. | T1 | Yes | $0 | FL |
| Freedom VIP Savings COPD (HMO C-SNP) | Freedom Health, Inc. | T1 | Yes | $0 | FL |
| Freedom VIP Savings COPD (HMO C-SNP) | Freedom Health, Inc. | T1 | Yes | $0 | FL |
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T1 | Yes | $0 | FL |
Show the next 30 plans
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T1 | Yes | $0 | FL |
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T1 | Yes | $0 | FL |
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T1 | Yes | $0 | FL |
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T1 | Yes | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T1 | Yes | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T1 | Yes | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T1 | Yes | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T1 | Yes | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T1 | Yes | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T1 | Yes | $0 | FL |
| Freedom Máximo (HMO-POS) | Freedom Health, Inc. | T1 | Yes | $0 | FL |
| Freedom Máximo (HMO-POS) | Freedom Health, Inc. | T1 | Yes | $0 | FL |
| Optimum Gold Rewards Plan (HMO) | Optimum Healthcare, Inc. | T1 | Yes | $0 | FL |
| Optimum Platinum Plan (HMO) | Optimum Healthcare, Inc. | T1 | Yes | $0 | FL |
| Optimum Gold Plan (HMO) | Optimum Healthcare, Inc. | T1 | Yes | $0 | FL |
| Optimum Gold Rewards Plan (HMO) | Optimum Healthcare, Inc. | T1 | Yes | $0 | FL |
| Optimum Gold Rewards Plan (HMO) | Optimum Healthcare, Inc. | T1 | Yes | $0 | FL |
| Optimum Diamond Rewards COPD (HMO C-SNP) | Optimum Healthcare, Inc. | T1 | Yes | $0 | FL |
| Optimum Diamond Savings COPD (HMO C-SNP) | Optimum Healthcare, Inc. | T1 | Yes | $0 | FL |
| Optimum Gold Plus Plan (HMO) | Optimum Healthcare, Inc. | T1 | Yes | $0 | FL |
| Optimum Diamond Rewards COPD (HMO C-SNP) | Optimum Healthcare, Inc. | T1 | Yes | $0 | FL |
| Florida Complete Care-Duals VIP (HMO-POS D-SNP) | Hpmp OF Florida, Inc. | T1 | Yes | $0 | FL |
| Mercy Care Advantage (HMO D-SNP) | Mercy Care | T1 | Yes | $0 | AZ |
| Mercy Care Advantage (HMO D-SNP) | Mercy Care | T1 | Yes | $0 | AZ |
| Mercy Care Advantage (HMO D-SNP) | Mercy Care | T1 | Yes | $0 | AZ |
| Elderplan Plus Long-Term Care (HMO-POS D-SNP) | Elderplan, Inc. | T1 | Yes | $0 | NY |
| Health Choice Pathway (HMO D-SNP) | Health Choice Arizona, Inc. | T1 | Yes | $0 | AZ |
| Healthfirst CompleteCare (HMO D-SNP) | Healthfirst Health Plan, Inc. | T1 | Yes | $0 | NY |
| IMCare Classic (HMO D-SNP) | Itasca Medical Care | T1 | Yes | $0 | MN |
| Johns Hopkins Advantage MD D-SNP (HMO D-SNP) | Hopkins Health Advantage, Inc. | T1 | Yes | $0 | MD |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is levalbuterol 0.21 MG/ML Inhalation Solution covered by Medicare Part D?
Yes, levalbuterol 0.21 MG/ML Inhalation Solution is covered by 2,901 Medicare Part D plans (57.4% of all Part D formularies).
What tier is levalbuterol 0.21 MG/ML Inhalation Solution on Medicare Part D plans?
levalbuterol 0.21 MG/ML Inhalation Solution averages Tier 2.7 across Part D plans, ranging from Tier 1 to Tier 4.
Does levalbuterol 0.21 MG/ML Inhalation Solution require prior authorization?
99.3% of Part D formularies require prior authorization for levalbuterol 0.21 MG/ML Inhalation Solution. Step therapy: 0%. Quantity limits: 23.2%.
How much does Medicare spend on levalbuterol 0.21 MG/ML Inhalation Solution?
In 2023, total Medicare Part D spending on levalbuterol 0.21 MG/ML Inhalation Solution was $2,130,703, covering 6,922 beneficiaries. The average spend per beneficiary was $307.82.
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
- 3 ML insulin aspart, human 100 UNT/ML Cartridge [NovoLog] T2.7
- aliskiren 150 MG Oral Tablet T2.7
- cyclosporine, modified 100 MG Oral Capsule T2.7
- Niacinamide insulin aspart, human 100 UNT/ML Injectable Solution [Fiasp] T2.7
- tazarotene 1 MG/ML Topical Cream T2.7
- tenofovir disoproxil fumarate 300 MG Oral Tablet T2.7
Similar prior-authorization rate
- nilotinib 71 MG Oral Tablet [Danziten] 99.3% PA
- {28 (letrozole 2.5 MG Oral Tablet [Femara]) / 42 (ribociclib 200 MG Oral Tablet [Kisqali]) } Pack [Kisqali Femara Co-Pack 400] 99.3% PA
- C1 esterase inhibitor (human) 2000 UNT Injection [Haegarda] 99.3% PA
- sofosbuvir 400 MG / velpatasvir 100 MG Oral Tablet [Epclusa] 99.3% PA
- sofosbuvir 200 MG / velpatasvir 50 MG Oral Tablet [Epclusa] 99.3% PA
- 0.9 ML tocilizumab-aazg 180 MG/ML Auto-Injector [Tyenne] 99.3% PA