Medicare Part D coverage · meropenem · RxCUI 1946651

meropenem 1000 MG / vaborbactam 1000 MG Injection [Vabomere]

Per the CMS 2026 Part D formulary file, meropenem 1000 MG / vaborbactam 1000 MG Injection [Vabomere] is covered by 37 Medicare Part D plans (0.7% of enrollable products), averaging Tier 4, with prior authorization required on 16.7% of covering formularies.

0.7%
Plan coverage
37
Plans covering
T4
Avg tier
16.7%
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 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 $19,803,852 and an average per-beneficiary annual cost of $717.56. 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
$19,803,852
Avg per beneficiary
$717.56

Tier Distribution Across Plans

1 plans
Tier 2, Generic
21 plans
Tier 4, Non-Preferred
15 plans
Tier 5, Specialty

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
Show the next 17 plans
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 $19,803,852, covering 27,599 beneficiaries. The average spend per beneficiary was $717.56.

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