Medicare Part D coverage · levetiracetam · RxCUI 1736050
levetiracetam 500 MG Tablet for Oral Suspension [Spritam]
Per the CMS 2026 Part D formulary file, levetiracetam 500 MG Tablet for Oral Suspension [Spritam] is covered by 4,865 Medicare Part D plans (96.3% of enrollable products), averaging Tier 3.4, with prior authorization required on 15.5% of covering formularies.
- 96.3%
- Plan coverage
- 4,865
- Plans covering
- T3.4
- Avg tier
- 15.5%
- Prior auth required
What the CMS Formulary Data Shows for levetiracetam 500 MG Tablet for Oral Suspension [Spritam]
Per the CMS 2026 Part D formulary file, levetiracetam 500 MG Tablet for Oral Suspension [Spritam] (RxNorm concept RXCUI 1736050, generic name levetiracetam) appears on 317 distinct formulary files spanning 4,865 Medicare Part D plan offerings - 96.3% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 3.4.
Real-world access to levetiracetam 500 MG Tablet for Oral Suspension [Spritam] depends on utilization management as much as tier placement: 15.5% of covering formularies require prior authorization. 24.3% require step therapy. 46.7% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 766,583 Part D beneficiaries filled levetiracetam 500 MG Tablet for Oral Suspension [Spritam] in 2023, with total plan-and-beneficiary spending of $170,963,439 and an average per-beneficiary annual cost of $223.02. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry levetiracetam 500 MG Tablet for Oral Suspension [Spritam] today.
Coverage Details
- Formularies covering
- 317
- Plans covering
- 4,865
- Coverage rate
- 96.3%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 15.5% of formularies
- Step therapy required
- 24.3% of formularies
- Quantity limits
- 46.7% of formularies
2023 Medicare Spending
- Beneficiaries
- 766,583
- Total spending
- $170,963,439
- Avg per beneficiary
- $223.02
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering levetiracetam 500 MG Tablet for Oral Suspension [Spritam]
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 |
| 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 |
| Cooperative Advantage (HMO D-SNP) | Group Health Cooperative OF EAU Claire | T1 | No | $0 | WI |
| Longevity Health Plan (PPO I-SNP) | Longevity Health Plan OF NEW Jersey Insurance Comp | T1 | No | $0 | NJ |
| 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 |
| Elderplan Plus Long-Term Care (HMO-POS D-SNP) | Elderplan, Inc. | T1 | No | $0 | NY |
| Health Choice Pathway (HMO D-SNP) | Health Choice Arizona, Inc. | T1 | No | $0 | AZ |
| Healthfirst CompleteCare (HMO D-SNP) | Healthfirst Health Plan, Inc. | T1 | No | $0 | NY |
| IMCare Classic (HMO D-SNP) | Itasca Medical Care | T1 | No | $0 | MN |
| Johns Hopkins Advantage MD D-SNP (HMO D-SNP) | Hopkins Health Advantage, Inc. | T1 | No | $0 | MD |
| MetroPlus UltraCare (HMO D-SNP) | Metroplus Health Plan, Inc. | T1 | No | $0 | NY |
| Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP) | Upper Peninsula Health Plan, LLC | T1 | No | $0 | MI |
| CareSource Dual Advantage (HMO D-SNP) | Caresource Georgia Co. | T1 | No | $0 | GA |
| Senior Whole Health SCO (HMO D-SNP) | Senior Whole Health, LLC | T1 | No | $0 | MA |
| Senior Whole Health SCO NHC (HMO D-SNP) | Senior Whole Health, LLC | T1 | No | $0 | MA |
| Molina One Care (HMO D-SNP) | Senior Whole Health, LLC | T1 | No | $0 | MA |
Show the next 30 plans
| HAP CareSource MI Coordinated Health (HMO D-SNP) | HAP Caresource | T1 | No | $0 | MI |
| PruittHealth Premier D-SNP (HMO D-SNP) | Pruitthealth Premier, Inc. | T1 | Yes | $0 | GA |
| Simpra Advantage Dual Care (PPO D-SNP) | Simpra Advantage, Inc. | T1 | Yes | $0 | AL |
| Gold Coast Health Plan Total Care Advantage (HMO D-SNP) | Ventura County Medi-Cal Managed Care Commission | T1 | No | $0 | CA |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | Health Care Service Corporation | T1 | No | $0 | NM |
| Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) | Health Care Service Corporation | T1 | No | $0 | NM |
| Horizon NJ TotalCare (HMO D-SNP) | Horizon Healthcare OF NEW Jersey, Inc. | T1 | No | $0 | NJ |
| SecureBlue (HMO D-SNP) | HMO Minnesota | T1 | No | $0 | MN |
| NaviCare (HMO D-SNP) | Fallon Community Health Plan | T1 | No | $0 | MA |
| Hamaspik Medicare Choice (HMO D-SNP) | Hamaspik, Inc. | T1 | No | $0 | NY |
| SeniorCare Complete (HMO D-SNP) | South Country Health Alliance | T1 | No | $0 | MN |
| AbilityCare (HMO D-SNP) | South Country Health Alliance | T1 | No | $0 | MN |
| Alameda Alliance Wellness (HMO D-SNP) | Alameda Alliance FOR Health | T1 | No | $0 | CA |
| CCA One Care (HMO D-SNP) | Commonwealth Care Alliance, Inc. | T1 | No | $0 | MA |
| CCA Senior Care Options (HMO D-SNP) | Commonwealth Care Alliance, Inc. | T1 | No | $0 | MA |
| Elevate Medicare Choice (HMO D-SNP) | Denver Health Medical Plan, Inc. | T1 | No | $0 | CO |
| AllCare Advantage Redwood Rx (HMO D-SNP) | Allcare Health Plan, Inc. | T1 | No | $0 | OR |
| PrimeWest Senior Health Complete (HMO D-SNP) | Primewest Rural MN Health Care Access Initiative | T1 | No | $0 | MN |
| Prime Health Complete (HMO D-SNP) | Primewest Rural MN Health Care Access Initiative | T1 | No | $0 | MN |
| Alterwood Advantage Dual Secure (HMO D-SNP) | Alterwood Advantage, Inc. | T1 | No | $0 | MD |
| Nascentia Dual Advantage (HMO D-SNP) | Visiting Nurse Association OF Central NEW York | T1 | No | $0 | NY |
| Provider Partners Pennsylvania Community Plan (HMO I-SNP) | Provider Partners Health Plan OF Pennsylvania, Inc | T1 | No | $0 | PA |
| Provider Partners North Carolina Community Plan (HMO I-SNP) | Provider Partners Health Plan OF North Carolina | T1 | No | $0 | NC |
| Provider Partners Indiana Community Plan (HMO I-SNP) | Provider Partners Health Plan OF Indiana | T1 | No | $0 | IN |
| Provider Partners Missouri Community Plan (HMO I-SNP) | Provider Partners Health Plan OF Missouri, Inc. | T1 | No | $0 | MO |
| 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 |
| Platino Blindao (HMO D-SNP) | Triple S Advantage, Inc. | T1 | No | $0 | PR |
| Platino Enlace (HMO D-SNP) | Triple S Advantage, Inc. | T1 | No | $0 | PR |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is levetiracetam 500 MG Tablet for Oral Suspension [Spritam] covered by Medicare Part D?
Yes, levetiracetam 500 MG Tablet for Oral Suspension [Spritam] is covered by 4,865 Medicare Part D plans (96.3% of all Part D formularies).
What tier is levetiracetam 500 MG Tablet for Oral Suspension [Spritam] on Medicare Part D plans?
levetiracetam 500 MG Tablet for Oral Suspension [Spritam] averages Tier 3.4 across Part D plans, ranging from Tier 1 to Tier 4.
Does levetiracetam 500 MG Tablet for Oral Suspension [Spritam] require prior authorization?
15.5% of Part D formularies require prior authorization for levetiracetam 500 MG Tablet for Oral Suspension [Spritam]. Step therapy: 24.3%. Quantity limits: 46.7%.
How much does Medicare spend on levetiracetam 500 MG Tablet for Oral Suspension [Spritam]?
In 2023, total Medicare Part D spending on levetiracetam 500 MG Tablet for Oral Suspension [Spritam] was $170,963,439, covering 766,583 beneficiaries. The average spend per beneficiary was $223.02.
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
- 1 ML penicillin G benzathine 600000 UNT/ML Prefilled Syringe [Bicillin L-A] T3.4
- teriflunomide 14 MG Oral Tablet T3.4
- 24 HR rotigotine 0.0417 MG/HR Transdermal System [Neupro] T3.4
- 24 HR rotigotine 0.0833 MG/HR Transdermal System [Neupro] T3.4
- auranofin 3 MG Oral Capsule [Ridaura] T3.4
- colistin 75 MG/ML Injectable Solution T3.4
Similar prior-authorization rate
- olanzapine 2.5 MG Oral Tablet 15.5% PA
- clozapine 50 MG Oral Tablet 15.5% PA
- clozapine 25 MG Oral Tablet 15.5% PA
- clozapine 100 MG Oral Tablet 15.5% PA
- clozapine 200 MG Oral Tablet 15.5% PA
- perphenazine 2 MG Oral Tablet 15.5% PA