Medicare Part D coverage · metformin hydrochloride · RxCUI 2703582
metformin hydrochloride 750 MG Oral Tablet
Per the CMS 2026 Part D formulary file, metformin hydrochloride 750 MG Oral Tablet is covered by 155 Medicare Part D plans (3.1% of enrollable products), averaging Tier 3.3, with prior authorization required on 1.9% of covering formularies.
- 3.1%
- Plan coverage
- 155
- Plans covering
- T3.3
- Avg tier
- 1.9%
- Prior auth required
What the CMS Formulary Data Shows for metformin hydrochloride 750 MG Oral Tablet
Per the CMS 2026 Part D formulary file, metformin hydrochloride 750 MG Oral Tablet (RxNorm concept RXCUI 2703582, generic name metformin hydrochloride) appears on 54 distinct formulary files spanning 155 Medicare Part D plan offerings - 3.1% 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 3.3.
Real-world access to metformin hydrochloride 750 MG Oral Tablet depends on utilization management as much as tier placement: 1.9% of covering formularies require prior authorization. 0% require step therapy. 96.3% 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 750 MG Oral Tablet in 2023, with total plan-and-beneficiary spending of $247,530,899 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 750 MG Oral Tablet today.
Coverage Details
- Formularies covering
- 54
- Plans covering
- 155
- Coverage rate
- 3.1%
- Tier range
- Tier 1 – Tier 6
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 1.9% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 96.3% of formularies
2023 Medicare Spending
- Beneficiaries
- 5,918,026
- Total spending
- $247,530,899
- Avg per beneficiary
- $41.83
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering metformin hydrochloride 750 MG Oral Tablet
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| DrMax (HMO) | Doctors Healthcare Plans, Inc. | T1 | No | $0 | FL |
| DrExtraCare (HMO C-SNP) | Doctors Healthcare Plans, Inc. | T1 | No | $0 | FL |
| DrSelect (HMO) | Doctors Healthcare Plans, Inc. | T1 | No | $0 | FL |
| DrSelect-CFL (HMO) | Doctors Healthcare Plans, Inc. | T1 | No | $0 | FL |
| DrPlatinum-CFL (HMO D-SNP) | Doctors Healthcare Plans, Inc. | T1 | No | $0 | FL |
| DrTotalCare-CFL (HMO C-SNP) | Doctors Healthcare Plans, Inc. | T1 | No | $0 | FL |
| DrElite-SFL (HMO) | Doctors Healthcare Plans, Inc. | T1 | No | $0 | FL |
| SummaCare Medicare Topaz (HMO) | Summacare Inc. | T1 | No | $0 | OH |
| SummaCare Medicare Quartz (HMO) | Summacare Inc. | T1 | No | $0 | OH |
| IEHP DualChoice (HMO D-SNP) | Inland Empire Health Plan | T1 | No | $0 | CA |
| BayCarePlus Complete (HMO) | Baycare Select Health Plans, Inc. | T1 | No | $0 | FL |
| BayCarePlus Rewards (HMO) | Baycare Select Health Plans, Inc. | T1 | No | $0 | FL |
| BayCarePlus Premier (HMO) | Baycare Select Health Plans, Inc. | T1 | No | $0 | FL |
| Elevate Medicare Choice (HMO D-SNP) | Denver Health Medical Plan, Inc. | T1 | No | $0 | CO |
| Gold Heart & Diabetes (HMO-POS C-SNP) | Gold Kidney OF Florida Inc | T1 | No | $0 | FL |
| Gold Heart & Diabetes Complete (HMO-POS C-SNP) | Gold Kidney OF Florida Inc | T1 | No | $0 | FL |
| Gold Dialysis & Kidney (HMO-POS C-SNP) | Gold Kidney OF Florida Inc | T1 | No | $0 | FL |
| Gold Health (HMO-POS C-SNP) | Gold Kidney OF Florida Inc | T1 | No | $0 | FL |
| Gold Dialysis & Kidney (HMO-POS C-SNP) | Gold Kidney OF Florida Inc | T1 | No | $0 | FL |
| Gold Heart & Diabetes (HMO-POS C-SNP) | Gold Kidney OF Arizona | T1 | No | $0 | AZ |
Show the next 30 plans
| Gold Dialysis & Kidney (HMO-POS C-SNP) | Gold Kidney OF Arizona | T1 | No | $0 | AZ |
| Gold Heart & Diabetes (HMO-POS C-SNP) | Gold Kidney OF Arizona | T1 | No | $0 | AZ |
| Gold Dialysis & Kidney (HMO-POS C-SNP) | Gold Kidney OF Arizona | T1 | No | $0 | AZ |
| Imperial Dynamic Plan (HMO) | Imperial Health Plan OF California, Inc. | T1 | No | $0 | CA |
| AllCare Advantage Redwood Rx (HMO D-SNP) | Allcare Health Plan, Inc. | T1 | No | $0 | OR |
| UCLA Health Medicare Advantage Principal Plan (HMO) | NEW Century Health Plan, Inc. | T1 | No | $0 | CA |
| PrimeWest Senior Health Complete (HMO D-SNP) | Primewest Rural MN Health Care Access Initiative | T1 | No | $0 | MN |
| Prime Health Complete (HMO D-SNP) | Primewest Rural MN Health Care Access Initiative | T1 | No | $0 | MN |
| CCHP Senior Program (HMO) | Chinese Community Health Plan | T1 | No | $0 | CA |
| CCHP Senior Select Program (HMO D-SNP) | Chinese Community Health Plan | T1 | No | $0 | CA |
| CCHP Senior Value Program (HMO) | Chinese Community Health Plan | T1 | No | $0 | CA |
| CCHP Senior Program (HMO) | Chinese Community Health Plan | T1 | No | $0 | CA |
| CCHP Senior Value Program (HMO) | Chinese Community Health Plan | T1 | No | $0 | CA |
| Alterwood Advantage Dual Secure (HMO D-SNP) | Alterwood Advantage, Inc. | T1 | No | $0 | MD |
| Alterwood Advantage Select (HMO) | Alterwood Advantage, Inc. | T1 | No | $0 | MD |
| CommuniCare Advantage CSNP (HMO C-SNP) | OH CHS SNP Inc. | T1 | No | $0 | MD, OH |
| CoxHealth Medicare Advantage (HMO) | COX Health Systems HMO Inc | T1 | No | $0 | MO |
| CMH Medicare Advantage (HMO) | COX Health Systems HMO Inc | T1 | No | $0 | MO |
| Phelps Health Medicare Advantage (HMO) | COX Health Systems HMO Inc | T1 | No | $0 | MO |
| Generations Classic Rewards (HMO) | Globalhealth, Inc. | T1 | No | $0 | OK |
| Generations Classic Plus (HMO) | Globalhealth, Inc. | T1 | No | $0 | OK |
| Generations Chronic Care (HMO C-SNP) | Globalhealth, Inc. | T1 | No | $0 | OK |
| Generations Chronic Care Savings (HMO C-SNP) | Globalhealth, Inc. | T1 | No | $0 | OK |
| Generations Dual Support (HMO D-SNP) | Globalhealth, Inc. | T1 | No | $0 | OK |
| Generations Dual Premier (HMO D-SNP) | Globalhealth, Inc. | T1 | No | $0 | OK |
| Nascentia Dual Advantage (HMO D-SNP) | Visiting Nurse Association OF Central NEW York | T1 | No | $0 | NY |
| Abilis Health Community (HMO I-SNP) | Signature Advantage, LLC | T1 | No | $0 | KY, TN |
| Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) | Arkansas Superior Select, Inc. | T1 | No | $0 | AR |
| CalOptima Health OneCare Complete (HMO D-SNP) | Orange County Health Authority | T1 | No | $0 | CA |
| DrFlex (HMO D-SNP) | Doctors Healthcare Plans, Inc. | T1 | No | $1.10 | FL |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is metformin hydrochloride 750 MG Oral Tablet covered by Medicare Part D?
Yes, metformin hydrochloride 750 MG Oral Tablet is covered by 155 Medicare Part D plans (3.1% of all Part D formularies).
What tier is metformin hydrochloride 750 MG Oral Tablet on Medicare Part D plans?
metformin hydrochloride 750 MG Oral Tablet averages Tier 3.3 across Part D plans, ranging from Tier 1 to Tier 6.
Does metformin hydrochloride 750 MG Oral Tablet require prior authorization?
1.9% of Part D formularies require prior authorization for metformin hydrochloride 750 MG Oral Tablet. Step therapy: 0%. Quantity limits: 96.3%.
How much does Medicare spend on metformin hydrochloride 750 MG Oral Tablet?
In 2023, total Medicare Part D spending on metformin hydrochloride 750 MG Oral Tablet was $247,530,899, covering 5,918,026 beneficiaries. The average spend per beneficiary was $41.83.
Read our methodology - how this data is sourced, computed, and verified.
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.
Closest average formulary tier
- 0.375 ML leuprolide acetate 60 MG/ML Prefilled Syringe [Eligard] T3.3
- 0.5 ML leuprolide acetate 60 MG/ML Prefilled Syringe [Eligard] T3.3
- 250 ML soybean oil 200 MG/ML Injection [Intralipid] T3.3
- cefotetan 1000 MG Injection T3.3
- cefotetan 2000 MG Injection T3.3
- {14 (lamotrigine 100 MG Oral Tablet [Subvenite]) / 84 (lamotrigine 25 MG Oral Tablet [Subvenite]) } Pack [Subvenite Green (for Patients Taking Carbamazepine, Phenytoin, Phenobarbital, or Primidone and Not Taking Valproate)] T3.3
Similar prior-authorization rate
- prucalopride 1 MG Oral Tablet 1.9% PA
- {28 (estradiol 0.5 MG / norethindrone acetate 0.1 MG Oral Tablet) } Pack [Abigale Lo 0.5/0.1 28 Day] 1.9% PA
- 24 HR dexmethylphenidate hydrochloride 5 MG Extended Release Oral Capsule 1.9% PA
- 2 ML penicillin G benzathine 300000 UNT/ML / penicillin G procaine 300000 UNT/ML Prefilled Syringe [Bicillin] 1.9% PA
- dibasic potassium phosphate 0.26 MG/ML / glucose 50 MG/ML / magnesium chloride 0.00373 MEQ/ML / potassium chloride 0.00174 MEQ/ML / sodium acetate 0.039 MEQ/ML Injectable Solution [Isolyte P] 1.9% PA
- 3 ML insulin lispro 100 UNT/ML Pen Injector [Admelog] 1.8% PA