methamphetamine hydrochloride 5 MG Oral Tablet

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methamphetamine hydrochloride

RxCUI: 977860

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.
1.1%
Plan Coverage
56
Plans Covering
T3.4
Avg Tier
100%
Prior Auth Required

What the CMS Formulary Data Shows for methamphetamine hydrochloride 5 MG Oral Tablet

Per the CMS 2026 Part D formulary file, methamphetamine hydrochloride 5 MG Oral Tablet (RxNorm concept RXCUI 977860, generic name methamphetamine hydrochloride) appears on 5 distinct formulary files spanning 56 Medicare Part D plan offerings - 1.1% 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 methamphetamine hydrochloride 5 MG Oral Tablet depends on utilization management as much as tier placement: 100% of covering formularies require prior authorization. 0% require step therapy. 40% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 39 Part D beneficiaries filled methamphetamine hydrochloride 5 MG Oral Tablet in 2023, with total plan-and-beneficiary spending of $57,335 and an average per-beneficiary annual cost of $1,470.12. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry methamphetamine hydrochloride 5 MG Oral Tablet today.

Coverage Details

Formularies covering
5
Plans covering
56
Coverage rate
1.1%
Tier range
Tier 1 – Tier 4
Average tier
Tier 3, Preferred Brand

Restrictions

Prior authorization required
100% of formularies
Step therapy required
0% of formularies
Quantity limits
40% of formularies

2023 Medicare Spending

Beneficiaries
39
Total spending
$57,335
Avg per beneficiary
$1,470.12

Tier Distribution Across Plans

1 plans
Tier 1, Preferred Generic
55 plans
Tier 4, Non-Preferred

Standalone Drug Plans (PDP) Covering methamphetamine hydrochloride 5 MG Oral Tablet

34 standalone prescription drug plans include this drug.

Plan Insurer Tier PA ST Premium States
AARP Medicare Rx Saver from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T4 Yes No $0 -
AARP Medicare Rx Saver from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T4 Yes No $0 -
AARP Medicare Rx Saver from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T4 Yes No $0 -
AARP Medicare Rx Saver from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T4 Yes No $5.30 -
AARP Medicare Rx Saver from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T4 Yes No $14.10 -
AARP Medicare Rx Saver from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T4 Yes No $37.00 -
AARP Medicare Rx Saver from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T4 Yes No $37.80 -
AARP Medicare Rx Saver from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T4 Yes No $38.40 -
AARP Medicare Rx Saver from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T4 Yes No $38.70 -
AARP Medicare Rx Saver from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T4 Yes No $38.70 -
AARP Medicare Rx Saver from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T4 Yes No $39.60 -
AARP Medicare Rx Saver from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T4 Yes No $40.20 -
AARP Medicare Rx Saver from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T4 Yes No $43.50 -
AARP Medicare Rx Saver from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T4 Yes No $53.20 -
AARP Medicare Rx Saver from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T4 Yes No $56.50 -
AARP Medicare Rx Saver from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T4 Yes No $56.90 -
AARP Medicare Rx Saver from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T4 Yes No $63.20 -
AARP Medicare Rx Saver from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T4 Yes No $65.10 -
AARP Medicare Rx Saver from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T4 Yes No $71.90 -
AARP Medicare Rx Saver from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T4 Yes No $73.70 -
AARP Medicare Rx Saver from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T4 Yes No $76.70 -
AARP Medicare Rx Saver from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T4 Yes No $77.40 -
AARP Medicare Rx Saver from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T4 Yes No $82.40 -
AARP Medicare Rx Saver from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T4 Yes No $82.40 -
AARP Medicare Rx Saver from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T4 Yes No $84.70 -
AARP Medicare Rx Saver from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T4 Yes No $89.20 -
AARP Medicare Rx Saver from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T4 Yes No $90.30 -
AARP Medicare Rx Saver from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T4 Yes No $98.00 -
AARP Medicare Rx Saver from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T4 Yes No $98.70 -
AARP Medicare Rx Saver from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T4 Yes No $105.40 -
AARP Medicare Rx Saver from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T4 Yes No $105.80 -
AARP Medicare Rx Saver from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T4 Yes No $109.40 -
AARP Medicare Rx Saver from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T4 Yes No $122.10 -
AARP Medicare Rx Saver from UHC (PDP) UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY T4 Yes No $125.00 -

Medicare Advantage Plans (MA-PD) Covering methamphetamine hydrochloride 5 MG Oral Tablet

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

Plan Insurer Tier PA Premium States
CareAdvantage (HMO D-SNP) SAN MATEO HEALTH COMMISSION T1 Yes $0 CA
Medicare BlueEssential (PPO) EXCELLUS HEALTH PLAN, INC. T4 Yes $0 NY
Medicare BlueActive (PPO) EXCELLUS HEALTH PLAN, INC. T4 Yes $0 NY
Medicare BlueVital (PPO) EXCELLUS HEALTH PLAN, INC. T4 Yes $0 NY
Univera SeniorChoice Basic (HMO) EXCELLUS HEALTH PLAN, INC. T4 Yes $0 NY
Univera SeniorChoice Extra (HMO) EXCELLUS HEALTH PLAN, INC. T4 Yes $0 NY
Medicare Blue Choice Core (HMO) EXCELLUS HEALTH PLAN, INC. T4 Yes $0 NY
Univera Medicare Dual (HMO D-SNP) EXCELLUS HEALTH PLAN COMMUNITY CARE LLC T4 Yes $0 NY
Medicare Blue Dual (HMO D-SNP) EXCELLUS HEALTH PLAN COMMUNITY CARE LLC T4 Yes $0 NY
CDPHP $0 Medicare Rx (HMO) CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC. T4 Yes $0 NY
Univera SeniorChoice Core (PPO) EXCELLUS HEALTH PLAN, INC. T4 Yes $33.00 NY
Univera SeniorChoice Advanced (HMO-POS) EXCELLUS HEALTH PLAN, INC. T4 Yes $36.90 NY
Medicare BlueClassic (PPO) EXCELLUS HEALTH PLAN, INC. T4 Yes $51.00 NY
Univera SeniorChoice Secure (HMO-POS) EXCELLUS HEALTH PLAN, INC. T4 Yes $54.90 NY
Medicare BlueBalanced (PPO) EXCELLUS HEALTH PLAN, INC. T4 Yes $55.00 NY
Medicare Blue Choice Prime (HMO) EXCELLUS HEALTH PLAN, INC. T4 Yes $55.00 NY
Univera SeniorChoice Value Plus (HMO-POS) EXCELLUS HEALTH PLAN, INC. T4 Yes $58.60 NY
Medicare BlueEnhanced (PPO) EXCELLUS HEALTH PLAN, INC. T4 Yes $70.30 NY
Medicare BluePlus (PPO) EXCELLUS HEALTH PLAN, INC. T4 Yes $86.40 NY
CDPHP Clear Rx (HMO) CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC. T4 Yes $100.00 NY
CDPHP Choice Rx (HMO) CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC. T4 Yes $135.00 NY
Medicare Blue Choice Optimum (HMO-POS) EXCELLUS HEALTH PLAN, INC. T4 Yes $146.00 NY

Frequently Asked Questions

Is methamphetamine hydrochloride 5 MG Oral Tablet covered by Medicare Part D?

Yes, methamphetamine hydrochloride 5 MG Oral Tablet is covered by 56 Medicare Part D plans (1.1% of all Part D formularies).

What tier is methamphetamine hydrochloride 5 MG Oral Tablet on Medicare Part D plans?

methamphetamine hydrochloride 5 MG Oral Tablet averages Tier 3.4 across Part D plans, ranging from Tier 1 to Tier 4.

Does methamphetamine hydrochloride 5 MG Oral Tablet require prior authorization?

100% of Part D formularies require prior authorization for methamphetamine hydrochloride 5 MG Oral Tablet. Step therapy: 0%. Quantity limits: 40%.

How much does Medicare spend on methamphetamine hydrochloride 5 MG Oral Tablet?

In 2023, total Medicare Part D spending on methamphetamine hydrochloride 5 MG Oral Tablet was $57,335, covering 39 beneficiaries. The average spend per beneficiary was $1,470.12.

Read our methodology - how this data is sourced, computed, and verified.

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