metformin hydrochloride 100 MG/ML Oral Solution
metformin hydrochloride
RxCUI: 861025
What the CMS Formulary Data Shows for metformin hydrochloride 100 MG/ML Oral Solution
Per the CMS 2026 Part D formulary file, metformin hydrochloride 100 MG/ML Oral Solution (RxNorm concept RXCUI 861025, generic name metformin hydrochloride) appears on 92 distinct formulary files spanning 1,377 Medicare Part D plan offerings - 27.2% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 6, with a cross-plan average of Tier 2.2.
Real-world access to metformin hydrochloride 100 MG/ML Oral Solution depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 2.2% require step therapy. 75% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 5,918,026 Part D beneficiaries filled metformin hydrochloride 100 MG/ML Oral Solution in 2023, with total plan-and-beneficiary spending of $247,531,906 and an average per-beneficiary annual cost of $41.83. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry metformin hydrochloride 100 MG/ML Oral Solution today.
Coverage Details
- Formularies covering
- 92
- Plans covering
- 1,377
- Coverage rate
- 27.2%
- Tier range
- Tier 1 – Tier 6
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 2.2% of formularies
- Quantity limits
- 75% of formularies
2023 Medicare Spending
- Beneficiaries
- 5,918,026
- Total spending
- $247,531,906
- Avg per beneficiary
- $41.83
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering metformin hydrochloride 100 MG/ML Oral Solution
100 Medicare Advantage plans with Part D drug coverage include this drug.
Frequently Asked Questions
Is metformin hydrochloride 100 MG/ML Oral Solution covered by Medicare Part D?
Yes, metformin hydrochloride 100 MG/ML Oral Solution is covered by 1,377 Medicare Part D plans (27.2% of all Part D formularies).
What tier is metformin hydrochloride 100 MG/ML Oral Solution on Medicare Part D plans?
metformin hydrochloride 100 MG/ML Oral Solution averages Tier 2.2 across Part D plans, ranging from Tier 1 to Tier 6.
Does metformin hydrochloride 100 MG/ML Oral Solution require prior authorization?
0% of Part D formularies require prior authorization for metformin hydrochloride 100 MG/ML Oral Solution. Step therapy: 2.2%. Quantity limits: 75%.
How much does Medicare spend on metformin hydrochloride 100 MG/ML Oral Solution?
In 2023, total Medicare Part D spending on metformin hydrochloride 100 MG/ML Oral Solution was $247,531,906, covering 5,918,026 beneficiaries. The average spend per beneficiary was $41.83.
Read our methodology - how this data is sourced, computed, and verified.