meclofenamate 100 MG Oral Capsule
meclofenamate
RxCUI: 618552
What the CMS Formulary Data Shows for meclofenamate 100 MG Oral Capsule
Per the CMS 2026 Part D formulary file, meclofenamate 100 MG Oral Capsule (RxNorm concept RXCUI 618552, generic name meclofenamate) appears on 17 distinct formulary files spanning 154 Medicare Part D plan offerings - 3% 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 1.9.
Real-world access to meclofenamate 100 MG Oral Capsule depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 11.8% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 153 Part D beneficiaries filled meclofenamate 100 MG Oral Capsule in 2023, with total plan-and-beneficiary spending of $255,302 and an average per-beneficiary annual cost of $1,668.64. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry meclofenamate 100 MG Oral Capsule today.
Coverage Details
- Formularies covering
- 17
- Plans covering
- 154
- Coverage rate
- 3%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 11.8% of formularies
2023 Medicare Spending
- Beneficiaries
- 153
- Total spending
- $255,302
- Avg per beneficiary
- $1,668.64
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering meclofenamate 100 MG Oral Capsule
100 Medicare Advantage plans with Part D drug coverage include this drug.
Frequently Asked Questions
Is meclofenamate 100 MG Oral Capsule covered by Medicare Part D?
Yes, meclofenamate 100 MG Oral Capsule is covered by 154 Medicare Part D plans (3% of all Part D formularies).
What tier is meclofenamate 100 MG Oral Capsule on Medicare Part D plans?
meclofenamate 100 MG Oral Capsule averages Tier 1.9 across Part D plans, ranging from Tier 1 to Tier 4.
Does meclofenamate 100 MG Oral Capsule require prior authorization?
0% of Part D formularies require prior authorization for meclofenamate 100 MG Oral Capsule. Step therapy: 0%. Quantity limits: 11.8%.
How much does Medicare spend on meclofenamate 100 MG Oral Capsule?
In 2023, total Medicare Part D spending on meclofenamate 100 MG Oral Capsule was $255,302, covering 153 beneficiaries. The average spend per beneficiary was $1,668.64.
Read our methodology - how this data is sourced, computed, and verified.