Medicare Part D coverage · memantine hydrochloride · RxCUI 996740
memantine hydrochloride 2 MG/ML Oral Solution
Per the CMS 2026 Part D formulary file, memantine hydrochloride 2 MG/ML Oral Solution is covered by 4,818 Medicare Part D plans (95.4% of enrollable products), averaging Tier 2.8, with prior authorization required on 56.7% of covering formularies.
- 95.4%
- Plan coverage
- 4,818
- Plans covering
- T2.8
- Avg tier
- 56.7%
- Prior auth required
What the CMS Formulary Data Shows for memantine hydrochloride 2 MG/ML Oral Solution
Per the CMS 2026 Part D formulary file, memantine hydrochloride 2 MG/ML Oral Solution (RxNorm concept RXCUI 996740, generic name memantine hydrochloride) appears on 291 distinct formulary files spanning 4,818 Medicare Part D plan offerings - 95.4% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 2.8.
Real-world access to memantine hydrochloride 2 MG/ML Oral Solution depends on utilization management as much as tier placement: 56.7% of covering formularies require prior authorization. 0% require step therapy. 42.3% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 892,907 Part D beneficiaries filled memantine hydrochloride 2 MG/ML Oral Solution in 2023, with total plan-and-beneficiary spending of $207,922,964 and an average per-beneficiary annual cost of $232.86. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry memantine hydrochloride 2 MG/ML Oral Solution today.
Coverage Details
- Formularies covering
- 291
- Plans covering
- 4,818
- Coverage rate
- 95.4%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 56.7% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 42.3% of formularies
2023 Medicare Spending
- Beneficiaries
- 892,907
- Total spending
- $207,922,964
- Avg per beneficiary
- $232.86
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering memantine hydrochloride 2 MG/ML Oral 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 |
| ElderServe MAP (HMO D-SNP) | Elderserve Health, Inc. | T1 | Yes | $0 | NY |
| Cooperative Advantage (HMO D-SNP) | Group Health Cooperative OF EAU Claire | T1 | Yes | $0 | WI |
| Longevity Health Plan (PPO I-SNP) | Longevity Health Plan OF NEW Jersey Insurance Comp | T1 | Yes | $0 | NJ |
| 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 |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is memantine hydrochloride 2 MG/ML Oral Solution covered by Medicare Part D?
Yes, memantine hydrochloride 2 MG/ML Oral Solution is covered by 4,818 Medicare Part D plans (95.4% of all Part D formularies).
What tier is memantine hydrochloride 2 MG/ML Oral Solution on Medicare Part D plans?
memantine hydrochloride 2 MG/ML Oral Solution averages Tier 2.8 across Part D plans, ranging from Tier 1 to Tier 4.
Does memantine hydrochloride 2 MG/ML Oral Solution require prior authorization?
56.7% of Part D formularies require prior authorization for memantine hydrochloride 2 MG/ML Oral Solution. Step therapy: 0%. Quantity limits: 42.3%.
How much does Medicare spend on memantine hydrochloride 2 MG/ML Oral Solution?
In 2023, total Medicare Part D spending on memantine hydrochloride 2 MG/ML Oral Solution was $207,922,964, covering 892,907 beneficiaries. The average spend per beneficiary was $232.86.
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
Similar prior-authorization rate
- hydroxyzine hydrochloride 25 MG Oral Tablet 56.7% PA
- hydroxyzine hydrochloride 50 MG Oral Tablet 56.7% PA
- {21 (memantine hydrochloride 10 MG Oral Tablet) / 28 (memantine hydrochloride 5 MG Oral Tablet) } Pack 56.5% PA
- lidocaine 25 MG/ML / prilocaine 25 MG/ML Topical Cream 56.4% PA
- promethazine hydrochloride 1.25 MG/ML Oral Solution 56.4% PA
- 0.375 ML leuprolide acetate 120 MG/ML Prefilled Syringe [Vabrinty] 57.1% PA