lidocaine 0.018 MG/MG Medicated Patch [ZTlido]
lidocaine
RxCUI: 2001439
What the CMS Formulary Data Shows for lidocaine 0.018 MG/MG Medicated Patch [ZTlido]
Per the CMS 2026 Part D formulary file, lidocaine 0.018 MG/MG Medicated Patch [ZTlido] (RxNorm concept RXCUI 2001439, generic name lidocaine) appears on 82 distinct formulary files spanning 483 Medicare Part D plan offerings - 9.5% 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 lidocaine 0.018 MG/MG Medicated Patch [ZTlido] depends on utilization management as much as tier placement: 93.9% of covering formularies require prior authorization. 0% require step therapy. 100% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 481,042 Part D beneficiaries filled lidocaine 0.018 MG/MG Medicated Patch [ZTlido] in 2023, with total plan-and-beneficiary spending of $179,454,361 and an average per-beneficiary annual cost of $373.05. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry lidocaine 0.018 MG/MG Medicated Patch [ZTlido] today.
Coverage Details
- Formularies covering
- 82
- Plans covering
- 483
- Coverage rate
- 9.5%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 93.9% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 100% of formularies
2023 Medicare Spending
- Beneficiaries
- 481,042
- Total spending
- $179,454,361
- Avg per beneficiary
- $373.05
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering lidocaine 0.018 MG/MG Medicated Patch [ZTlido]
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Gold Coast Health Plan Total Care Advantage (HMO D-SNP) | Ventura County Medi-Cal Managed Care Commission | T1 | Yes | $0 | CA |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | Health Care Service Corporation | T1 | Yes | $0 | NM |
| Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) | Health Care Service Corporation | T1 | Yes | $0 | NM |
| SecureBlue (HMO D-SNP) | HMO Minnesota | T1 | Yes | $0 | MN |
| Hamaspik Medicare Choice (HMO D-SNP) | HAMASPIK, INC. | T1 | Yes | $0 | NY |
| SeniorCare Complete (HMO D-SNP) | SOUTH COUNTRY HEALTH ALLIANCE | T1 | Yes | $0 | MN |
| AbilityCare (HMO D-SNP) | SOUTH COUNTRY HEALTH ALLIANCE | T1 | Yes | $0 | MN |
| Alameda Alliance Wellness (HMO D-SNP) | ALAMEDA ALLIANCE FOR HEALTH | T1 | Yes | $0 | CA |
| Elevate Medicare Choice (HMO D-SNP) | DENVER HEALTH MEDICAL PLAN, INC. | T1 | Yes | $0 | CO |
| AllCare Advantage Redwood Rx (HMO D-SNP) | ALLCARE HEALTH PLAN, INC. | T1 | Yes | $0 | OR |
| PrimeWest Senior Health Complete (HMO D-SNP) | PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE | T1 | Yes | $0 | MN |
| Prime Health Complete (HMO D-SNP) | PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE | T1 | Yes | $0 | MN |
| Alterwood Advantage Dual Secure (HMO D-SNP) | ALTERWOOD ADVANTAGE, INC. | T1 | Yes | $0 | MD |
| Nascentia Dual Advantage (HMO D-SNP) | VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK | T1 | Yes | $0 | NY |
| Abilis Health Community (HMO I-SNP) | SIGNATURE ADVANTAGE, LLC | T1 | No | $0 | KY, TN |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | HCSC INSURANCE SERVICES COMPANY | T1 | Yes | $4.80 | TX |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | GOLD KIDNEY OF FLORIDA INC | T1 | Yes | $4.80 | FL |
| 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 |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | GHS INSURANCE COMPANY | T1 | Yes | $5.00 | OK |
| ATRIO Special Needs Plan (HMO D-SNP) | ATRIO HEALTH PLANS | T1 | Yes | $10.50 | OR |
| ATRIO Special Needs Plan (HMO D-SNP) | ATRIO HEALTH PLANS | T1 | Yes | $10.50 | OR |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | GOLD KIDNEY OF ARIZONA | T1 | Yes | $17.00 | AZ |
| Alterwood Advantage Dual Value (HMO D-SNP) | ALTERWOOD ADVANTAGE, INC. | T1 | Yes | $31.20 | MD |
| 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 |
| Hamaspik Medicare Select (HMO D-SNP) | HAMASPIK, INC. | T1 | Yes | $34.50 | NY |
| 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 |
| Nascentia Skilled Nursing Facility (HMO I-SNP) | VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK | T1 | Yes | $58.80 | NY |
| PHP (HMO C-SNP) | AIDS HEALTHCARE FOUNDATION | T2 | Yes | $0 | CA |
| DualConnect (HMO D-SNP) | SANTA CLARA COUNTY HEALTH AUTHORITY | T2 | Yes | $0 | CA |
| VNS Health Total (HMO D-SNP) | VNS CHOICE | T2 | Yes | $0 | NY |
| VNS Health EasyCare Plus (HMO D-SNP) | VNS CHOICE | T2 | Yes | $51.60 | NY |
| CenCal CareConnect (HMO D-SNP) | SANTA BARBARA SAN LUIS OBISPO REGIONAL HEALTH AUTHORITY DBA | T3 | Yes | $0 | CA |
| SummaCare Medicare Topaz (HMO) | SUMMACARE INC. | T3 | Yes | $0 | OH |
| SummaCare Medicare Quartz (HMO) | SUMMACARE INC. | T3 | Yes | $0 | OH |
| IEHP DualChoice (HMO D-SNP) | Inland Empire Health Plan | T3 | Yes | $0 | CA |
| Astiva Health Savings Plan (HMO) | ASTIVA HEALTH, INC. | T3 | Yes | $0 | CA |
| Astiva Health C-SNP Deluxe (HMO C-SNP) | ASTIVA HEALTH, INC. | T3 | Yes | $0 | CA |
| Astiva Health Savings Plan - NorCal (HMO) | ASTIVA HEALTH, INC. | T3 | Yes | $0 | CA |
| Astiva Health Premier Plan - NorCal (HMO) | ASTIVA HEALTH, INC. | T3 | Yes | $0 | CA |
| Astiva Health Premier Plan (HMO) | ASTIVA HEALTH, INC. | T3 | Yes | $0 | CA |
| ATRIO Prime Rx (HMO) | ATRIO HEALTH PLANS | T3 | Yes | $0 | OR |
| ATRIO Choice Rx (PPO) | ATRIO HEALTH PLANS | T3 | Yes | $0 | OR |
| ATRIO Choice Rx (PPO) | ATRIO HEALTH PLANS | T3 | Yes | $0 | OR |
| ATRIO Prime Rx (PPO) | ATRIO HEALTH PLANS | T3 | Yes | $0 | OR |
| ATRIO Prime Rx (PPO) | ATRIO HEALTH PLANS | T3 | Yes | $0 | OR |
| ATRIO Prime Rx (PPO) | ATRIO HEALTH PLANS | T3 | Yes | $0 | OR |
| ATRIO Choice Rx (PPO) | ATRIO HEALTH PLANS | T3 | Yes | $0 | OR |
Frequently Asked Questions
Is lidocaine 0.018 MG/MG Medicated Patch [ZTlido] covered by Medicare Part D?
Yes, lidocaine 0.018 MG/MG Medicated Patch [ZTlido] is covered by 483 Medicare Part D plans (9.5% of all Part D formularies).
What tier is lidocaine 0.018 MG/MG Medicated Patch [ZTlido] on Medicare Part D plans?
lidocaine 0.018 MG/MG Medicated Patch [ZTlido] averages Tier 2.8 across Part D plans, ranging from Tier 1 to Tier 4.
Does lidocaine 0.018 MG/MG Medicated Patch [ZTlido] require prior authorization?
93.9% of Part D formularies require prior authorization for lidocaine 0.018 MG/MG Medicated Patch [ZTlido]. Step therapy: 0%. Quantity limits: 100%.
How much does Medicare spend on lidocaine 0.018 MG/MG Medicated Patch [ZTlido]?
In 2023, total Medicare Part D spending on lidocaine 0.018 MG/MG Medicated Patch [ZTlido] was $179,454,361, covering 481,042 beneficiaries. The average spend per beneficiary was $373.05.
Read our methodology - how this data is sourced, computed, and verified.