metformin hydrochloride 750 MG Oral Tablet

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metformin hydrochloride

RxCUI: 2703582

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.
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 $247,531,906 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 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
$247,531,906
Avg per beneficiary
$41.83

Tier Distribution Across Plans

71 plans
Tier 1, Preferred Generic
2 plans
Tier 2, Generic
16 plans
Tier 4, Non-Preferred
6 plans
Tier 5, Specialty
5 plans
Tier 6, Select Care

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
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

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 $247,531,906, covering 5,918,026 beneficiaries. The average spend per beneficiary was $41.83.

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