Medicare Part D coverage · meclizine hydrochloride · RxCUI 995624
meclizine hydrochloride 12.5 MG Oral Tablet
Per the CMS 2026 Part D formulary file, meclizine hydrochloride 12.5 MG Oral Tablet is covered by 4,904 Medicare Part D plans (97.1% of enrollable products), averaging Tier 1.8, with prior authorization required on 22.4% of covering formularies.
- 97.1%
- Plan coverage
- 4,904
- Plans covering
- T1.8
- Avg tier
- 22.4%
- Prior auth required
What the CMS Formulary Data Shows for meclizine hydrochloride 12.5 MG Oral Tablet
Per the CMS 2026 Part D formulary file, meclizine hydrochloride 12.5 MG Oral Tablet (RxNorm concept RXCUI 995624, generic name meclizine hydrochloride) appears on 321 distinct formulary files spanning 4,904 Medicare Part D plan offerings - 97.1% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 1.8.
Real-world access to meclizine hydrochloride 12.5 MG Oral Tablet depends on utilization management as much as tier placement: 22.4% 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 1,294,975 Part D beneficiaries filled meclizine hydrochloride 12.5 MG Oral Tablet in 2023, with total plan-and-beneficiary spending of $27,941,978 and an average per-beneficiary annual cost of $21.58. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry meclizine hydrochloride 12.5 MG Oral Tablet today.
Coverage Details
- Formularies covering
- 321
- Plans covering
- 4,904
- Coverage rate
- 97.1%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 22.4% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 1,294,975
- Total spending
- $27,941,978
- Avg per beneficiary
- $21.58
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering meclizine hydrochloride 12.5 MG Oral Tablet
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 |
| Wellpoint Medicare Advantage (HMO-POS) | Wellpoint West Virginia , Inc. | T1 | Yes | $0 | WV |
| Anthem Medicare Advantage 3 (HMO-POS) | Healthkeepers, Inc. | T1 | Yes | $0 | VA |
| Anthem Medicare Advantage 3 (HMO-POS) | Healthkeepers, Inc. | T1 | Yes | $0 | VA |
| Anthem Medicare Advantage 3 (HMO-POS) | Healthkeepers, Inc. | T1 | Yes | $0 | VA |
| Wellpoint Medicare Advantage 2 (HMO-POS) | Wellpoint Tennessee, Inc. | T1 | Yes | $0 | TN |
| Wellpoint Medicare Advantage 2 (HMO-POS) | Wellpoint Tennessee, Inc. | T1 | Yes | $0 | TN |
| Wellpoint Medicare Advantage 2 (HMO-POS) | Wellpoint Tennessee, Inc. | T1 | Yes | $0 | TN |
| Wellpoint Medicare Advantage 2 (HMO-POS) | Wellpoint Tennessee, Inc. | T1 | Yes | $0 | TN |
| 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 |
Show the next 30 plans
| 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 |
| 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 |
| HealthSun HealthAdvantage Plan (HMO) | Healthsun Health Plans, Inc. | T1 | Yes | $0 | FL |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is meclizine hydrochloride 12.5 MG Oral Tablet covered by Medicare Part D?
Yes, meclizine hydrochloride 12.5 MG Oral Tablet is covered by 4,904 Medicare Part D plans (97.1% of all Part D formularies).
What tier is meclizine hydrochloride 12.5 MG Oral Tablet on Medicare Part D plans?
meclizine hydrochloride 12.5 MG Oral Tablet averages Tier 1.8 across Part D plans, ranging from Tier 1 to Tier 4.
Does meclizine hydrochloride 12.5 MG Oral Tablet require prior authorization?
22.4% of Part D formularies require prior authorization for meclizine hydrochloride 12.5 MG Oral Tablet. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on meclizine hydrochloride 12.5 MG Oral Tablet?
In 2023, total Medicare Part D spending on meclizine hydrochloride 12.5 MG Oral Tablet was $27,941,978, covering 1,294,975 beneficiaries. The average spend per beneficiary was $21.58.
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
- albuterol 0.83 MG/ML Inhalation Solution T1.8
- labetalol hydrochloride 200 MG Oral Tablet T1.8
- valproic acid 250 MG Oral Capsule T1.8
- 1 ML naloxone hydrochloride 0.4 MG/ML Injection T1.8
- 24 HR felodipine 10 MG Extended Release Oral Tablet T1.8
- potassium chloride 8 MEQ Extended Release Oral Tablet [Klor-Con] T1.8
Similar prior-authorization rate
- lemborexant 5 MG Oral Tablet [Dayvigo] 22.4% PA
- chlorambucil 2 MG Oral Tablet [Leukeran] 22.3% PA
- methocarbamol 500 MG Oral Tablet 22.3% PA
- delafloxacin 300 MG Injection [Baxdela] 22.2% PA
- 9 HR methylphenidate 1.11 MG/HR Transdermal System 22.2% PA
- prednisolone 4 MG/ML Oral Solution 22.2% PA