mesalamine 250 MG Extended Release Oral Capsule [Pentasa]

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mesalamine

RxCUI: 206791

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.
22.1%
Plan Coverage
1,119
Plans Covering
T3.4
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for mesalamine 250 MG Extended Release Oral Capsule [Pentasa]

Per the CMS 2026 Part D formulary file, mesalamine 250 MG Extended Release Oral Capsule [Pentasa] (RxNorm concept RXCUI 206791, generic name mesalamine) appears on 35 distinct formulary files spanning 1,119 Medicare Part D plan offerings - 22.1% 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 3.4.

Real-world access to mesalamine 250 MG Extended Release Oral Capsule [Pentasa] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 71.4% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 95,185 Part D beneficiaries filled mesalamine 250 MG Extended Release Oral Capsule [Pentasa] in 2023, with total plan-and-beneficiary spending of $271,604,425 and an average per-beneficiary annual cost of $2,853.44. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry mesalamine 250 MG Extended Release Oral Capsule [Pentasa] today.

Coverage Details

Formularies covering
35
Plans covering
1,119
Coverage rate
22.1%
Tier range
Tier 1 – Tier 4
Average tier
Tier 3, Preferred Brand

Restrictions

Prior authorization required
0% of formularies
Step therapy required
0% of formularies
Quantity limits
71.4% of formularies

2023 Medicare Spending

Beneficiaries
95,185
Total spending
$271,604,425
Avg per beneficiary
$2,853.44

Tier Distribution Across Plans

9 plans
Tier 1, Preferred Generic
4 plans
Tier 2, Generic
87 plans
Tier 3, Preferred Brand

Medicare Advantage Plans (MA-PD) Covering mesalamine 250 MG Extended Release Oral Capsule [Pentasa]

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

Plan Insurer Tier PA Premium States
Gold Coast Health Plan Total Care Advantage (HMO D-SNP) Ventura County Medi-Cal Managed Care Commission T1 No $0 CA
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) Health Care Service Corporation T1 No $0 NM
Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) Health Care Service Corporation T1 No $0 NM
SecureBlue (HMO D-SNP) HMO Minnesota T1 No $0 MN
Hamaspik Medicare Choice (HMO D-SNP) HAMASPIK, INC. T1 No $0 NY
Community Care's Partnership Program (HMO D-SNP) COMMUNITY CARE HEALTH PLAN, INC. T1 No $0 WI
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) HCSC INSURANCE SERVICES COMPANY T1 No $4.80 TX
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) GHS INSURANCE COMPANY T1 No $5.00 OK
Hamaspik Medicare Select (HMO D-SNP) HAMASPIK, INC. T1 No $34.50 NY
BlueCare Plus (HMO D-SNP) VOLUNTEER STATE HEALTH PLAN T2 No $0 TN
BlueCare Plus Choice (HMO D-SNP) VOLUNTEER STATE HEALTH PLAN T2 No $0 TN
BlueCare Plus Select (HMO D-SNP) VOLUNTEER STATE HEALTH PLAN T2 No $0 TN
CalOptima Health OneCare Complete (HMO D-SNP) ORANGE COUNTY HEALTH AUTHORITY T2 No $0 CA
BlueAdvantage Sapphire (PPO) BLUECROSS BLUESHIELD OF TENNESSEE, INC. T3 No $0 TN
BlueAdvantage Sapphire (PPO) BLUECROSS BLUESHIELD OF TENNESSEE, INC. T3 No $0 TN
BlueAdvantage Garnet (PPO) BLUECROSS BLUESHIELD OF TENNESSEE, INC. T3 No $0 TN
BlueAdvantage Garnet (PPO) BLUECROSS BLUESHIELD OF TENNESSEE, INC. T3 No $0 TN
BlueAdvantage Sapphire (PPO) BLUECROSS BLUESHIELD OF TENNESSEE, INC. T3 No $0 TN
BlueAdvantage Sapphire (PPO) BLUECROSS BLUESHIELD OF TENNESSEE, INC. T3 No $0 GA
BlueAdvantage Total Heart and Diabetes (PPO C-SNP) BLUECROSS BLUESHIELD OF TENNESSEE, INC. T3 No $0 GA, TN
BlueAdvantage Total Heart and Diabetes (PPO C-SNP) BLUECROSS BLUESHIELD OF TENNESSEE, INC. T3 No $0 TN
Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) KAISER FOUNDATION HP, INC. T3 No $0 CA
Kaiser Permanente Senior Advantage Enhanced Solano (HMO) KAISER FOUNDATION HP, INC. T3 No $0 CA
Kaiser Permanente Senior Advantage Inland Empire (HMO) KAISER FOUNDATION HP, INC. T3 No $0 CA
Kaiser Permanente Sr Adv Enhanced Marin San Mateo (HMO) KAISER FOUNDATION HP, INC. T3 No $0 CA
Kaiser Permanente Senior Advantage Ventura (HMO) KAISER FOUNDATION HP, INC. T3 No $0 CA
Kaiser Permanente Senior Advantage Enhanced Kern (HMO) KAISER FOUNDATION HP, INC. T3 No $0 CA
Kaiser Permanente Senior Advantage Basic Kern (HMO) KAISER FOUNDATION HP, INC. T3 No $0 CA
Kaiser Permanente Senior Advantage San Diego (HMO) KAISER FOUNDATION HP, INC. T3 No $0 CA
Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO) KAISER FOUNDATION HP, INC. T3 No $0 CA
Kaiser Permanente Senior Advantage Enhanced Stanis (HMO) KAISER FOUNDATION HP, INC. T3 No $0 CA
Kaiser Permanente Senior Advantage Basic Stanis (HMO) KAISER FOUNDATION HP, INC. T3 No $0 CA
Kaiser Permanente Senior Advantage Basic SnJoaq (HMO) KAISER FOUNDATION HP, INC. T3 No $0 CA
Kaiser Permanente Senior Advantage Basic Fresno (HMO) KAISER FOUNDATION HP, INC. T3 No $0 CA
Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO) KAISER FOUNDATION HP, INC. T3 No $0 CA
Kaiser Permanente Senior Advantage Santa Cruz (HMO) KAISER FOUNDATION HP, INC. T3 No $0 CA
Kaiser Permanente Senior Advantage Basic Alameda (HMO) KAISER FOUNDATION HP, INC. T3 No $0 CA
Kaiser Permanente Senior Advantage Basic SF (HMO) KAISER FOUNDATION HP, INC. T3 No $0 CA
Kaiser Permanente Sr Adv Basic Contra Costa (HMO) KAISER FOUNDATION HP, INC. T3 No $0 CA
Kaiser Permanente Sr Adv Basic Santa Clara (HMO) KAISER FOUNDATION HP, INC. T3 No $0 CA
Kaiser Permanente Senior Advantage Basic Solano (HMO) KAISER FOUNDATION HP, INC. T3 No $0 CA
Kaiser Permanente Senior Advantage Basic San Mateo (HMO) KAISER FOUNDATION HP, INC. T3 No $0 CA
Kaiser Permanente Sr Advantage LA, Orange Value (HMO) KAISER FOUNDATION HP, INC. T3 No $0 CA
Kaiser Permanente Sr Advantage Inland Empire Value (HMO) KAISER FOUNDATION HP, INC. T3 No $0 CA
Kaiser Permanente Senior Advantage San Diego Value (HMO) KAISER FOUNDATION HP, INC. T3 No $0 CA
Kaiser Permanente Senior Advantage Ventura Value (HMO) KAISER FOUNDATION HP, INC. T3 No $0 CA
Kaiser Permanente Senior Advantage Core DM (HMO) KAISER FOUNDATION HP OF CO T3 No $0 CO
Kaiser Permanente Dual Essential (HMO D-SNP) KAISER FOUNDATION HP OF CO T3 No $0 CO
Kaiser Permanente Senior Advantage Silver DM (HMO-POS) KAISER FOUNDATION HP OF CO T3 No $0 CO
Kaiser Permanente Senior Advantage Core South (HMO) KAISER FOUNDATION HP OF CO T3 No $0 CO

Frequently Asked Questions

Is mesalamine 250 MG Extended Release Oral Capsule [Pentasa] covered by Medicare Part D?

Yes, mesalamine 250 MG Extended Release Oral Capsule [Pentasa] is covered by 1,119 Medicare Part D plans (22.1% of all Part D formularies).

What tier is mesalamine 250 MG Extended Release Oral Capsule [Pentasa] on Medicare Part D plans?

mesalamine 250 MG Extended Release Oral Capsule [Pentasa] averages Tier 3.4 across Part D plans, ranging from Tier 1 to Tier 4.

Does mesalamine 250 MG Extended Release Oral Capsule [Pentasa] require prior authorization?

0% of Part D formularies require prior authorization for mesalamine 250 MG Extended Release Oral Capsule [Pentasa]. Step therapy: 0%. Quantity limits: 71.4%.

How much does Medicare spend on mesalamine 250 MG Extended Release Oral Capsule [Pentasa]?

In 2023, total Medicare Part D spending on mesalamine 250 MG Extended Release Oral Capsule [Pentasa] was $271,604,425, covering 95,185 beneficiaries. The average spend per beneficiary was $2,853.44.

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