Medicare Part D coverage · meprobamate · RxCUI 197928

meprobamate 200 MG Oral Tablet

Per the CMS 2026 Part D formulary file, meprobamate 200 MG Oral Tablet is covered by 204 Medicare Part D plans (4% of enrollable products), averaging Tier 1.9, with prior authorization required on 45.5% of covering formularies.

4%
Plan coverage
204
Plans covering
T1.9
Avg tier
45.5%
Prior auth required

Verify with CMS →

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.

What the CMS Formulary Data Shows for meprobamate 200 MG Oral Tablet

Per the CMS 2026 Part D formulary file, meprobamate 200 MG Oral Tablet (RxNorm concept RXCUI 197928, generic name meprobamate) appears on 11 distinct formulary files spanning 204 Medicare Part D plan offerings - 4% 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 meprobamate 200 MG Oral Tablet depends on utilization management as much as tier placement: 45.5% 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 719 Part D beneficiaries filled meprobamate 200 MG Oral Tablet in 2023, with total plan-and-beneficiary spending of $1,503,919 and an average per-beneficiary annual cost of $2,091.68. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry meprobamate 200 MG Oral Tablet today.

Coverage Details

Formularies covering
11
Plans covering
204
Coverage rate
4%
Tier range
Tier 1 – Tier 4
Average tier
Tier 2, Generic

Restrictions

Prior authorization required
45.5% of formularies
Step therapy required
0% of formularies
Quantity limits
0% of formularies

2023 Medicare Spending

Beneficiaries
719
Total spending
$1,503,919
Avg per beneficiary
$2,091.68

Tier Distribution Across Plans

41 plans
Tier 1, Preferred Generic
59 plans
Tier 2, Generic

Medicare Advantage Plans (MA-PD) Covering meprobamate 200 MG Oral Tablet

100 Medicare Advantage plans with Part D drug coverage include this drug.

Plan Insurer Tier PA Premium States
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
Freedom Platinum Plan Rx (HMO) 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 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
CareAdvantage (HMO D-SNP) SAN Mateo Health Commission T1 No $0 CA
CalOptima Health OneCare Complete (HMO D-SNP) Orange County Health Authority T1 No $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

Showing top 50 of 100 plans.

Frequently Asked Questions

Is meprobamate 200 MG Oral Tablet covered by Medicare Part D?

Yes, meprobamate 200 MG Oral Tablet is covered by 204 Medicare Part D plans (4% of all Part D formularies).

What tier is meprobamate 200 MG Oral Tablet on Medicare Part D plans?

meprobamate 200 MG Oral Tablet averages Tier 1.9 across Part D plans, ranging from Tier 1 to Tier 4.

Does meprobamate 200 MG Oral Tablet require prior authorization?

45.5% of Part D formularies require prior authorization for meprobamate 200 MG Oral Tablet. Step therapy: 0%. Quantity limits: 0%.

How much does Medicare spend on meprobamate 200 MG Oral Tablet?

In 2023, total Medicare Part D spending on meprobamate 200 MG Oral Tablet was $1,503,919, covering 719 beneficiaries. The average spend per beneficiary was $2,091.68.

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.

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