mesna 400 MG Oral Tablet [Mesnex]
mesna
RxCUI: 352210
What the CMS Formulary Data Shows for mesna 400 MG Oral Tablet [Mesnex]
Per the CMS 2026 Part D formulary file, mesna 400 MG Oral Tablet [Mesnex] (RxNorm concept RXCUI 352210, generic name mesna) appears on 16 distinct formulary files spanning 105 Medicare Part D plan offerings - 2.1% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 5, with a cross-plan average of Tier 4.7.
Real-world access to mesna 400 MG Oral Tablet [Mesnex] depends on utilization management as much as tier placement: 0% 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 284 Part D beneficiaries filled mesna 400 MG Oral Tablet [Mesnex] in 2023, with total plan-and-beneficiary spending of $707,838 and an average per-beneficiary annual cost of $2,492.39. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry mesna 400 MG Oral Tablet [Mesnex] today.
Coverage Details
- Formularies covering
- 16
- Plans covering
- 105
- Coverage rate
- 2.1%
- Tier range
- Tier 1 – Tier 5
- Average tier
- Tier 5, Specialty
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 284
- Total spending
- $707,838
- Avg per beneficiary
- $2,492.39
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering mesna 400 MG Oral Tablet [Mesnex]
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Hamaspik Medicare Choice (HMO D-SNP) | HAMASPIK, INC. | T1 | No | $0 | NY |
| Hamaspik Medicare Select (HMO D-SNP) | HAMASPIK, INC. | T1 | No | $34.50 | NY |
| FHCP Medicare Classic (HMO) | FLORIDA BLUE MEDICARE, INC. | T4 | No | $0 | FL |
| FHCP Medicare Rx Plus (HMO-POS) | FLORIDA BLUE MEDICARE, INC. | T4 | No | $49.00 | FL |
| Medicare BlueEssential (PPO) | EXCELLUS HEALTH PLAN, INC. | T5 | No | $0 | NY |
| Medicare BlueActive (PPO) | EXCELLUS HEALTH PLAN, INC. | T5 | No | $0 | NY |
| Medicare BlueVital (PPO) | EXCELLUS HEALTH PLAN, INC. | T5 | No | $0 | NY |
| Univera SeniorChoice Basic (HMO) | EXCELLUS HEALTH PLAN, INC. | T5 | No | $0 | NY |
| Univera SeniorChoice Extra (HMO) | EXCELLUS HEALTH PLAN, INC. | T5 | No | $0 | NY |
| Medicare Blue Choice Core (HMO) | EXCELLUS HEALTH PLAN, INC. | T5 | No | $0 | NY |
| HAP Medicare Explore (PPO) | ALLIANCE HEALTH AND LIFE INSURANCE COMPANY | T5 | No | $0 | MI |
| HAP Medicare Prime (PPO) | ALLIANCE HEALTH AND LIFE INSURANCE COMPANY | T5 | No | $0 | MI |
| HAP Medicare Connect (HMO) | HEALTH ALLIANCE PLAN OF MICHIGAN | T5 | No | $0 | MI |
| HAP Medicare Complete Duals (HMO D-SNP) | HEALTH ALLIANCE PLAN OF MICHIGAN | T5 | No | $0 | MI |
| HAP Medicare Superior (HMO) | HEALTH ALLIANCE PLAN OF MICHIGAN | T5 | No | $0 | MI |
| Henry Ford Select (HMO) | HEALTH ALLIANCE PLAN OF MICHIGAN | T5 | No | $0 | MI |
| Univera Medicare Dual (HMO D-SNP) | EXCELLUS HEALTH PLAN COMMUNITY CARE LLC | T5 | No | $0 | NY |
| Medicare Blue Dual (HMO D-SNP) | EXCELLUS HEALTH PLAN COMMUNITY CARE LLC | T5 | No | $0 | NY |
| Providence Medicare Extra Part B Only + Rx (HMO) | PROVIDENCE HEALTH ASSURANCE | T5 | No | $0 | OR |
| Providence Medicare Prime + Rx (HMO) | PROVIDENCE HEALTH ASSURANCE | T5 | No | $0 | OR |
| Providence Medicare Dual Plus (HMO D-SNP) | PROVIDENCE HEALTH ASSURANCE | T5 | No | $0 | OR |
| Providence Medicare Timber + Rx (HMO) | PROVIDENCE HEALTH ASSURANCE | T5 | No | $0 | OR, WA |
| Providence Medicare Pine + Rx (HMO) | PROVIDENCE HEALTH ASSURANCE | T5 | No | $0 | WA |
| Providence Medicare Extra + Rx (HMO) | PROVIDENCE HEALTH ASSURANCE | T5 | No | $0 | OR, WA |
| Providence Medicare Sycamore + Rx (HMO) | PROVIDENCE HEALTH ASSURANCE | T5 | No | $0 | CA |
| Personal Choice 65 Achieve Rx (PPO) | QCC INSURANCE COMPANY | T5 | No | $0 | PA |
| Keystone 65 Focus Rx (HMO-POS) | KEYSTONE HEALTH PLAN EAST, INC. | T5 | No | $0 | PA |
| Keystone 65 Focus Rx (HMO-POS) | KEYSTONE HEALTH PLAN EAST, INC. | T5 | No | $0 | PA |
| Keystone 65 Basic Rx (HMO) | KEYSTONE HEALTH PLAN EAST, INC. | T5 | No | $0 | PA |
| AmeriHealth Medicare Core (PPO) | AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY | T5 | No | $0 | NJ |
| AmeriHealth Medicare Ultimate (PPO) | AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY | T5 | No | $0 | NJ |
| Capital Blue Cross Select (PPO) | CAPITAL ADVANTAGE INSURANCE COMPANY | T5 | No | $0 | PA |
| Capital Blue Cross Value (PPO) | CAPITAL ADVANTAGE INSURANCE COMPANY | T5 | No | $0 | PA |
| Capital Blue Cross Essential (HMO) | KEYSTONE HEALTH PLAN CENTRAL, INC. | T5 | No | $0 | PA |
| Health New England Medicare Compass (PPO) | HEALTH NEW ENGLAND, INC. | T5 | No | $0 | MA |
| Health New England Medicare Value (HMO) | HEALTH NEW ENGLAND, INC. | T5 | No | $0 | MA |
| Health First Rewards H1099-014 (HMO) | HEALTH FIRST HEALTH PLANS | T5 | No | $0 | FL |
| Health First SunSaver H1099-016 (HMO) | HEALTH FIRST HEALTH PLANS | T5 | No | $0 | FL |
| Health First Complete Care H1099-023 (HMO) | HEALTH FIRST HEALTH PLANS | T5 | No | $0 | FL |
| Health First Emerald Plus H1099-024 (HMO) | HEALTH FIRST HEALTH PLANS | T5 | No | $0 | FL |
| Health First Premier Access H1099-025 (HMO-POS) | HEALTH FIRST HEALTH PLANS | T5 | No | $0 | FL |
| Health First Emerald Plus H1099-026 (HMO) | HEALTH FIRST HEALTH PLANS | T5 | No | $0 | FL |
| Health First Premier Access H1099-027 (HMO-POS) | HEALTH FIRST HEALTH PLANS | T5 | No | $0 | FL |
| Health First Emerald Plus H1099-028 (HMO) | HEALTH FIRST HEALTH PLANS | T5 | No | $0 | FL |
| Prominence Plus (HMO) | PROMINENCE HEALTHFIRST | T5 | No | $0 | NV |
| Prominence Plus (HMO) | PROMINENCE HEALTHFIRST | T5 | No | $0 | NV |
| Prominence Dual (HMO D-SNP) | PROMINENCE HEALTHFIRST | T5 | No | $0 | NV |
| Prominence Dual (HMO D-SNP) | PROMINENCE HEALTHFIRST | T5 | No | $0 | NV |
| Prominence Giveback (HMO) | PROMINENCE HEALTHFIRST | T5 | No | $0 | NV |
| Prominence Plus (HMO) | PROMINENCE HEALTHFIRST OF FLORIDA INC | T5 | No | $0 | FL |
Frequently Asked Questions
Is mesna 400 MG Oral Tablet [Mesnex] covered by Medicare Part D?
Yes, mesna 400 MG Oral Tablet [Mesnex] is covered by 105 Medicare Part D plans (2.1% of all Part D formularies).
What tier is mesna 400 MG Oral Tablet [Mesnex] on Medicare Part D plans?
mesna 400 MG Oral Tablet [Mesnex] averages Tier 4.7 across Part D plans, ranging from Tier 1 to Tier 5.
Does mesna 400 MG Oral Tablet [Mesnex] require prior authorization?
0% of Part D formularies require prior authorization for mesna 400 MG Oral Tablet [Mesnex]. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on mesna 400 MG Oral Tablet [Mesnex]?
In 2023, total Medicare Part D spending on mesna 400 MG Oral Tablet [Mesnex] was $707,838, covering 284 beneficiaries. The average spend per beneficiary was $2,492.39.
Read our methodology - how this data is sourced, computed, and verified.