meropenem 1000 MG / vaborbactam 1000 MG Injection [Vabomere]
meropenem
RxCUI: 1946651
What the CMS Formulary Data Shows for meropenem 1000 MG / vaborbactam 1000 MG Injection [Vabomere]
Per the CMS 2026 Part D formulary file, meropenem 1000 MG / vaborbactam 1000 MG Injection [Vabomere] (RxNorm concept RXCUI 1946651, generic name meropenem) appears on 6 distinct formulary files spanning 37 Medicare Part D plan offerings - 0.7% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 2 to Tier 5, with a cross-plan average of Tier 4.
Real-world access to meropenem 1000 MG / vaborbactam 1000 MG Injection [Vabomere] depends on utilization management as much as tier placement: 16.7% 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 27,599 Part D beneficiaries filled meropenem 1000 MG / vaborbactam 1000 MG Injection [Vabomere] in 2023, with total plan-and-beneficiary spending of $19,817,629 and an average per-beneficiary annual cost of $718.06. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry meropenem 1000 MG / vaborbactam 1000 MG Injection [Vabomere] today.
Coverage Details
- Formularies covering
- 6
- Plans covering
- 37
- Coverage rate
- 0.7%
- Tier range
- Tier 2 – Tier 5
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 16.7% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 27,599
- Total spending
- $19,817,629
- Avg per beneficiary
- $718.06
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering meropenem 1000 MG / vaborbactam 1000 MG Injection [Vabomere]
37 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| CalOptima Health OneCare Complete (HMO D-SNP) | ORANGE COUNTY HEALTH AUTHORITY | T2 | Yes | $0 | CA |
| Medicare BlueEssential (PPO) | EXCELLUS HEALTH PLAN, INC. | T4 | No | $0 | NY |
| Medicare BlueActive (PPO) | EXCELLUS HEALTH PLAN, INC. | T4 | No | $0 | NY |
| Medicare BlueVital (PPO) | EXCELLUS HEALTH PLAN, INC. | T4 | No | $0 | NY |
| Univera SeniorChoice Basic (HMO) | EXCELLUS HEALTH PLAN, INC. | T4 | No | $0 | NY |
| Univera SeniorChoice Extra (HMO) | EXCELLUS HEALTH PLAN, INC. | T4 | No | $0 | NY |
| Medicare Blue Choice Core (HMO) | EXCELLUS HEALTH PLAN, INC. | T4 | No | $0 | NY |
| Univera Medicare Dual (HMO D-SNP) | EXCELLUS HEALTH PLAN COMMUNITY CARE LLC | T4 | No | $0 | NY |
| Medicare Blue Dual (HMO D-SNP) | EXCELLUS HEALTH PLAN COMMUNITY CARE LLC | T4 | No | $0 | NY |
| CDPHP $0 Medicare Rx (HMO) | CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC. | T4 | No | $0 | NY |
| Univera SeniorChoice Core (PPO) | EXCELLUS HEALTH PLAN, INC. | T4 | No | $33.00 | NY |
| Univera SeniorChoice Advanced (HMO-POS) | EXCELLUS HEALTH PLAN, INC. | T4 | No | $36.90 | NY |
| Medicare BlueClassic (PPO) | EXCELLUS HEALTH PLAN, INC. | T4 | No | $51.00 | NY |
| Univera SeniorChoice Secure (HMO-POS) | EXCELLUS HEALTH PLAN, INC. | T4 | No | $54.90 | NY |
| Medicare BlueBalanced (PPO) | EXCELLUS HEALTH PLAN, INC. | T4 | No | $55.00 | NY |
| Medicare Blue Choice Prime (HMO) | EXCELLUS HEALTH PLAN, INC. | T4 | No | $55.00 | NY |
| Univera SeniorChoice Value Plus (HMO-POS) | EXCELLUS HEALTH PLAN, INC. | T4 | No | $58.60 | NY |
| Medicare BlueEnhanced (PPO) | EXCELLUS HEALTH PLAN, INC. | T4 | No | $70.30 | NY |
| Medicare BluePlus (PPO) | EXCELLUS HEALTH PLAN, INC. | T4 | No | $86.40 | NY |
| CDPHP Clear Rx (HMO) | CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC. | T4 | No | $100.00 | NY |
| CDPHP Choice Rx (HMO) | CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC. | T4 | No | $135.00 | NY |
| Medicare Blue Choice Optimum (HMO-POS) | EXCELLUS HEALTH PLAN, INC. | T4 | No | $146.00 | NY |
| UPMC for Life HMO Premier Rx (HMO) | UPMC HEALTH PLAN, INC. | T5 | No | $0 | PA |
| UPMC for Life Complete Care (HMO D-SNP) | UPMC FOR YOU, INC | T5 | No | $0 | PA |
| UPMC for Life Complete Care (HMO D-SNP) | UPMC FOR YOU, INC | T5 | No | $0 | PA |
| UPMC for Life PPO Premier Rx (PPO) | UPMC HEALTH NETWORK, INC. | T5 | No | $0 | PA |
| UPMC for Life PPO Premier Rx (PPO) | UPMC HEALTH NETWORK, INC. | T5 | No | $0 | PA |
| UPMC for Life PPO Essential Care Rx (PPO) | UPMC HEALTH NETWORK, INC. | T5 | No | $0 | PA |
| UPMC for Life Complete Care (HMO D-SNP) | UPMC HEALTH COVERAGE, INC. | T5 | No | $0 | PA |
| UPMC for Life HMO Rx Choice (HMO) | UPMC HEALTH PLAN, INC. | T5 | No | $3.90 | OH, PA |
| UPMC for Life HMO Deductible Rx (HMO) | UPMC HEALTH PLAN, INC. | T5 | No | $18.10 | OH, PA |
| UPMC for Life PPO Rx Choice (PPO) | UPMC HEALTH NETWORK, INC. | T5 | No | $25.00 | PA |
| UPMC for Life PPO High Deductible Rx (PPO) | UPMC HEALTH NETWORK, INC. | T5 | No | $33.00 | PA |
| UPMC for Life HMO Rx (HMO) | UPMC HEALTH PLAN, INC. | T5 | No | $33.70 | OH, PA |
| UPMC for Life PPO Rx Enhanced (PPO) | UPMC HEALTH NETWORK, INC. | T5 | No | $42.70 | PA |
| UPMC for Life HMO Rx Enhanced (HMO) | UPMC HEALTH PLAN, INC. | T5 | No | $93.40 | OH, PA |
| UPMC for Life PPO Rx Enhanced (PPO) | UPMC HEALTH NETWORK, INC. | T5 | No | $140.00 | PA |
Frequently Asked Questions
Is meropenem 1000 MG / vaborbactam 1000 MG Injection [Vabomere] covered by Medicare Part D?
Yes, meropenem 1000 MG / vaborbactam 1000 MG Injection [Vabomere] is covered by 37 Medicare Part D plans (0.7% of all Part D formularies).
What tier is meropenem 1000 MG / vaborbactam 1000 MG Injection [Vabomere] on Medicare Part D plans?
meropenem 1000 MG / vaborbactam 1000 MG Injection [Vabomere] averages Tier 4 across Part D plans, ranging from Tier 2 to Tier 5.
Does meropenem 1000 MG / vaborbactam 1000 MG Injection [Vabomere] require prior authorization?
16.7% of Part D formularies require prior authorization for meropenem 1000 MG / vaborbactam 1000 MG Injection [Vabomere]. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on meropenem 1000 MG / vaborbactam 1000 MG Injection [Vabomere]?
In 2023, total Medicare Part D spending on meropenem 1000 MG / vaborbactam 1000 MG Injection [Vabomere] was $19,817,629, covering 27,599 beneficiaries. The average spend per beneficiary was $718.06.
Read our methodology - how this data is sourced, computed, and verified.