meperidine hydrochloride 10 MG/ML Oral Solution

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meperidine hydrochloride

RxCUI: 861479

Important: Drug coverage and costs vary by plan and location. Verify coverage directly with your Medicare plan before filling a prescription. This is informational data only and should not replace advice from your healthcare provider or pharmacist.
1.3%
Plan Coverage
65
Plans Covering
T1.3
Avg Tier
66.7%
Prior Auth Required

What the CMS Formulary Data Shows for meperidine hydrochloride 10 MG/ML Oral Solution

Per the CMS 2026 Part D formulary file, meperidine hydrochloride 10 MG/ML Oral Solution (RxNorm concept RXCUI 861479, generic name meperidine hydrochloride) appears on 3 distinct formulary files spanning 65 Medicare Part D plan offerings - 1.3% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 2, with a cross-plan average of Tier 1.3.

Real-world access to meperidine hydrochloride 10 MG/ML Oral Solution depends on utilization management as much as tier placement: 66.7% of covering formularies require prior authorization. 0% require step therapy. 66.7% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 5,472 Part D beneficiaries filled meperidine hydrochloride 10 MG/ML Oral Solution 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 10 MG/ML Oral Solution today.

Coverage Details

Formularies covering
3
Plans covering
65
Coverage rate
1.3%
Tier range
Tier 1 – Tier 2
Average tier
Tier 1, Preferred Generic

Restrictions

Prior authorization required
66.7% of formularies
Step therapy required
0% of formularies
Quantity limits
66.7% of formularies

2023 Medicare Spending

Beneficiaries
5,472
Total spending
$56,311
Avg per beneficiary
$10.29

Tier Distribution Across Plans

2 plans
Tier 1, Preferred Generic
63 plans
Tier 2, Generic

Medicare Advantage Plans (MA-PD) Covering meperidine hydrochloride 10 MG/ML Oral Solution

65 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
CalOptima Health OneCare Complete (HMO D-SNP) ORANGE COUNTY HEALTH AUTHORITY T1 Yes $0 CA
HealthSun HealthAdvantage Plan (HMO) HEALTHSUN HEALTH PLANS, INC. T2 Yes $0 FL
HealthSun MediMax (HMO) HEALTHSUN HEALTH PLANS, INC. T2 Yes $0 FL
HealthSun HealthAdvantage Plan (HMO) HEALTHSUN HEALTH PLANS, INC. T2 Yes $0 FL
HealthSun HealthAdvantage Plan (HMO) HEALTHSUN HEALTH PLANS, INC. T2 Yes $0 FL
HealthSun MediSun Plus (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T2 Yes $0 FL
HealthSun HealthAdvantage Plus (HMO) HEALTHSUN HEALTH PLANS, INC. T2 Yes $0 FL
HealthSun HealthAdvantage Plus (HMO) HEALTHSUN HEALTH PLANS, INC. T2 Yes $0 FL
HealthSun MediSun Extra (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T2 Yes $0 FL
HealthSun HealthAdvantage Plus (HMO) HEALTHSUN HEALTH PLANS, INC. T2 Yes $0 FL
HealthSun VitalCare (HMO C-SNP) HEALTHSUN HEALTH PLANS, INC. T2 Yes $0 FL
HealthSun VitalCare (HMO C-SNP) HEALTHSUN HEALTH PLANS, INC. T2 Yes $0 FL
HealthSun MediSun Full Dual Plus (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T2 Yes $0 FL
HealthSun MediSun Full Dual Extra (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T2 Yes $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Extra (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Extra Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply More Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Complete Platinum (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Level Platinum (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Extra Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Level Platinum (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Extra Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Level Platinum (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Extra Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply More Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Complete Platinum (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Level Platinum (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Integrated (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Integrated (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Integrated (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Integrated (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Integrated (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Integrated (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL
Simply Integrated (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 Yes $0 FL

Frequently Asked Questions

Is meperidine hydrochloride 10 MG/ML Oral Solution covered by Medicare Part D?

Yes, meperidine hydrochloride 10 MG/ML Oral Solution is covered by 65 Medicare Part D plans (1.3% of all Part D formularies).

What tier is meperidine hydrochloride 10 MG/ML Oral Solution on Medicare Part D plans?

meperidine hydrochloride 10 MG/ML Oral Solution averages Tier 1.3 across Part D plans, ranging from Tier 1 to Tier 2.

Does meperidine hydrochloride 10 MG/ML Oral Solution require prior authorization?

66.7% of Part D formularies require prior authorization for meperidine hydrochloride 10 MG/ML Oral Solution. Step therapy: 0%. Quantity limits: 66.7%.

How much does Medicare spend on meperidine hydrochloride 10 MG/ML Oral Solution?

In 2023, total Medicare Part D spending on meperidine hydrochloride 10 MG/ML Oral Solution was $56,311, covering 5,472 beneficiaries. The average spend per beneficiary was $10.29.

Data sourced from the Centers for Medicare & Medicaid Services (CMS). See our methodology for details. Retrieved and formatted by PlainMedicare Editorial