Medicare Part D coverage · meperidine hydrochloride · RxCUI 861467
meperidine hydrochloride 50 MG Oral Tablet
Per the CMS 2026 Part D formulary file, meperidine hydrochloride 50 MG Oral Tablet is covered by 76 Medicare Part D plans (1.5% of enrollable products), averaging Tier 2.3, with prior authorization required on 33.3% of covering formularies.
- 1.5%
- Plan coverage
- 76
- Plans covering
- T2.3
- Avg tier
- 33.3%
- Prior auth required
What the CMS Formulary Data Shows for meperidine hydrochloride 50 MG Oral Tablet
Per the CMS 2026 Part D formulary file, meperidine hydrochloride 50 MG Oral Tablet (RxNorm concept RXCUI 861467, generic name meperidine hydrochloride) appears on 3 distinct formulary files spanning 76 Medicare Part D plan offerings - 1.5% 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 2.3.
Real-world access to meperidine hydrochloride 50 MG Oral Tablet depends on utilization management as much as tier placement: 33.3% 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 5,472 Part D beneficiaries filled meperidine hydrochloride 50 MG Oral Tablet in 2023, with total plan-and-beneficiary spending of $56,311 and an average per-beneficiary annual cost of $10.29. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry meperidine hydrochloride 50 MG Oral Tablet today.
Coverage Details
- Formularies covering
- 3
- Plans covering
- 76
- Coverage rate
- 1.5%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 33.3% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 100% of formularies
2023 Medicare Spending
- Beneficiaries
- 5,472
- Total spending
- $56,311
- Avg per beneficiary
- $10.29
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering meperidine hydrochloride 50 MG Oral Tablet
76 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| CareAdvantage (HMO D-SNP) | SAN Mateo Health Commission | T1 | No | $0 | CA |
| HAP Medicare Explore (PPO) | Alliance Health AND Life Insurance Company | T2 | No | $0 | MI |
| HAP Medicare Prime (PPO) | Alliance Health AND Life Insurance Company | T2 | No | $0 | MI |
| HAP Medicare Connect (HMO) | Health Alliance Plan OF Michigan | T2 | No | $0 | MI |
| HAP Medicare Complete Duals (HMO D-SNP) | Health Alliance Plan OF Michigan | T2 | No | $0 | MI |
| HAP Medicare Superior (HMO) | Health Alliance Plan OF Michigan | T2 | No | $0 | MI |
| Henry Ford Select (HMO) | Health Alliance Plan OF Michigan | T2 | No | $0 | MI |
| HAP Member Assist (PPO) | Alliance Health AND Life Insurance Company | T2 | No | $8.80 | MI |
| HAP Medicare Complete Assist (PPO D-SNP) | Alliance Health AND Life Insurance Company | T2 | No | $8.80 | MI |
| HAP Medicare Diabetes and Heart (HMO C-SNP) | Health Alliance Plan OF Michigan | T2 | No | $8.80 | MI |
| HAP Senior Plus Henry Ford Tiered Access (HMO) | Health Alliance Plan OF Michigan | T2 | No | $11.30 | MI |
| HAP Senior Plus (HMO-POS) | Health Alliance Plan OF Michigan | T2 | No | $13.50 | MI |
| HAP Senior Plus (PPO) | Alliance Health AND Life Insurance Company | T2 | No | $42.60 | MI |
| HealthSun HealthAdvantage Plan (HMO) | Healthsun Health Plans, Inc. | T4 | Yes | $0 | FL |
| HealthSun MediMax (HMO) | Healthsun Health Plans, Inc. | T4 | Yes | $0 | FL |
| HealthSun HealthAdvantage Plan (HMO) | Healthsun Health Plans, Inc. | T4 | Yes | $0 | FL |
| HealthSun HealthAdvantage Plan (HMO) | Healthsun Health Plans, Inc. | T4 | Yes | $0 | FL |
| HealthSun MediSun Plus (HMO D-SNP) | Healthsun Health Plans, Inc. | T4 | Yes | $0 | FL |
| HealthSun HealthAdvantage Plus (HMO) | Healthsun Health Plans, Inc. | T4 | Yes | $0 | FL |
| HealthSun HealthAdvantage Plus (HMO) | Healthsun Health Plans, Inc. | T4 | Yes | $0 | FL |
Show the next 30 plans
| HealthSun MediSun Extra (HMO D-SNP) | Healthsun Health Plans, Inc. | T4 | Yes | $0 | FL |
| HealthSun HealthAdvantage Plus (HMO) | Healthsun Health Plans, Inc. | T4 | Yes | $0 | FL |
| HealthSun VitalCare (HMO C-SNP) | Healthsun Health Plans, Inc. | T4 | Yes | $0 | FL |
| HealthSun VitalCare (HMO C-SNP) | Healthsun Health Plans, Inc. | T4 | Yes | $0 | FL |
| HealthSun MediSun Full Dual Plus (HMO D-SNP) | Healthsun Health Plans, Inc. | T4 | Yes | $0 | FL |
| HealthSun MediSun Full Dual Extra (HMO D-SNP) | Healthsun Health Plans, Inc. | T4 | Yes | $0 | FL |
| Simply Complete (HMO D-SNP) | Simply Healthcare Plans, Inc. | T4 | Yes | $0 | FL |
| Simply More (HMO) | Simply Healthcare Plans, Inc. | T4 | Yes | $0 | FL |
| Simply Complete (HMO D-SNP) | Simply Healthcare Plans, Inc. | T4 | Yes | $0 | FL |
| Simply Level (HMO C-SNP) | Simply Healthcare Plans, Inc. | T4 | Yes | $0 | FL |
| Simply Level (HMO C-SNP) | Simply Healthcare Plans, Inc. | T4 | Yes | $0 | FL |
| Simply More (HMO) | Simply Healthcare Plans, Inc. | T4 | Yes | $0 | FL |
| Simply Level (HMO C-SNP) | Simply Healthcare Plans, Inc. | T4 | Yes | $0 | FL |
| Simply More (HMO) | Simply Healthcare Plans, Inc. | T4 | Yes | $0 | FL |
| Simply Level (HMO C-SNP) | Simply Healthcare Plans, Inc. | T4 | Yes | $0 | FL |
| Simply Complete (HMO D-SNP) | Simply Healthcare Plans, Inc. | T4 | Yes | $0 | FL |
| Simply More (HMO) | Simply Healthcare Plans, Inc. | T4 | Yes | $0 | FL |
| Simply More (HMO) | Simply Healthcare Plans, Inc. | T4 | Yes | $0 | FL |
| Simply Level (HMO C-SNP) | Simply Healthcare Plans, Inc. | T4 | Yes | $0 | FL |
| Simply Complete (HMO D-SNP) | Simply Healthcare Plans, Inc. | T4 | Yes | $0 | FL |
| Simply More (HMO) | Simply Healthcare Plans, Inc. | T4 | Yes | $0 | FL |
| Simply Extra (HMO) | Simply Healthcare Plans, Inc. | T4 | Yes | $0 | FL |
| Simply Extra Platinum (HMO) | Simply Healthcare Plans, Inc. | T4 | Yes | $0 | FL |
| Simply More Platinum (HMO) | Simply Healthcare Plans, Inc. | T4 | Yes | $0 | FL |
| Simply Complete Platinum (HMO D-SNP) | Simply Healthcare Plans, Inc. | T4 | Yes | $0 | FL |
| Simply Level Platinum (HMO C-SNP) | Simply Healthcare Plans, Inc. | T4 | Yes | $0 | FL |
| Simply Extra Platinum (HMO) | Simply Healthcare Plans, Inc. | T4 | Yes | $0 | FL |
| Simply Level Platinum (HMO C-SNP) | Simply Healthcare Plans, Inc. | T4 | Yes | $0 | FL |
| Simply Extra Platinum (HMO) | Simply Healthcare Plans, Inc. | T4 | Yes | $0 | FL |
| Simply Level Platinum (HMO C-SNP) | Simply Healthcare Plans, Inc. | T4 | Yes | $0 | FL |
Showing top 50 of 76 plans.
Frequently Asked Questions
Is meperidine hydrochloride 50 MG Oral Tablet covered by Medicare Part D?
Yes, meperidine hydrochloride 50 MG Oral Tablet is covered by 76 Medicare Part D plans (1.5% of all Part D formularies).
What tier is meperidine hydrochloride 50 MG Oral Tablet on Medicare Part D plans?
meperidine hydrochloride 50 MG Oral Tablet averages Tier 2.3 across Part D plans, ranging from Tier 1 to Tier 4.
Does meperidine hydrochloride 50 MG Oral Tablet require prior authorization?
33.3% of Part D formularies require prior authorization for meperidine hydrochloride 50 MG Oral Tablet. Step therapy: 0%. Quantity limits: 100%.
How much does Medicare spend on meperidine hydrochloride 50 MG Oral Tablet?
In 2023, total Medicare Part D spending on meperidine hydrochloride 50 MG Oral Tablet was $56,311, covering 5,472 beneficiaries. The average spend per beneficiary was $10.29.
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
- 0.25 ML tick-borne encephalitis purified antigen 0.0048 MG/ML Prefilled Syringe [Ticovac] T2.3
- 0.5 ML acellular pertussis vaccine, inactivated 0.116 MG/ML / diphtheria toxoid vaccine, inactivated 50 UNT/ML / hepatitis B surface antigen vaccine 0.02 MG/ML / poliovirus vaccine inactivated, type 1 (Mahoney) 80 UNT/ML / poliovirus vaccine inactivated, type 2 (MEF-1) 16 UNT/ML / poliovirus vaccine inactivated, type 3 (Saukett) 64 UNT/ML / tetanus toxoid vaccine, inactivated 20 UNT/ML Prefilled Syringe [PEDIARIX] T2.3
- acetaminophen 325 MG / oxycodone hydrochloride 5 MG Oral Tablet T2.3
- sodium polystyrene sulfonate 15000 MG Powder for Oral Suspension T2.3
- oxycodone hydrochloride 30 MG Oral Tablet T2.3
- fosinopril sodium 10 MG Oral Tablet T2.3
Similar prior-authorization rate
- pretomanid 200 MG Oral Tablet 33.3% PA
- aspirin 325 MG / butalbital 50 MG / caffeine 40 MG / codeine phosphate 30 MG Oral Capsule [Ascomp] 33.3% PA
- promethazine hydrochloride 25 MG Rectal Suppository 33.3% PA
- sevelamer carbonate 800 MG Oral Tablet 33.3% PA
- chlordiazepoxide hydrochloride 5 MG / clidinium bromide 2.5 MG Oral Capsule 33.3% PA
- lumateperone 42 MG Oral Capsule [Caplyta] 33.2% PA