methscopolamine bromide 5 MG Oral Tablet

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methscopolamine bromide

RxCUI: 403914

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.
40.5%
Plan Coverage
2,051
Plans Covering
T3.1
Avg Tier
9.6%
Prior Auth Required

What the CMS Formulary Data Shows for methscopolamine bromide 5 MG Oral Tablet

Per the CMS 2026 Part D formulary file, methscopolamine bromide 5 MG Oral Tablet (RxNorm concept RXCUI 403914, generic name methscopolamine bromide) appears on 73 distinct formulary files spanning 2,051 Medicare Part D plan offerings - 40.5% 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 3.1.

Real-world access to methscopolamine bromide 5 MG Oral Tablet depends on utilization management as much as tier placement: 9.6% 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 1,596 Part D beneficiaries filled methscopolamine bromide 5 MG Oral Tablet in 2023, with total plan-and-beneficiary spending of $836,854 and an average per-beneficiary annual cost of $524.34. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry methscopolamine bromide 5 MG Oral Tablet today.

Coverage Details

Formularies covering
73
Plans covering
2,051
Coverage rate
40.5%
Tier range
Tier 1 – Tier 4
Average tier
Tier 3, Preferred Brand

Restrictions

Prior authorization required
9.6% of formularies
Step therapy required
0% of formularies
Quantity limits
0% of formularies

2023 Medicare Spending

Beneficiaries
1,596
Total spending
$836,854
Avg per beneficiary
$524.34

Tier Distribution Across Plans

27 plans
Tier 1, Preferred Generic
73 plans
Tier 2, Generic

Medicare Advantage Plans (MA-PD) Covering methscopolamine bromide 5 MG Oral Tablet

100 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 No $0 CA
Gold Coast Health Plan Total Care Advantage (HMO D-SNP) Ventura County Medi-Cal Managed Care Commission T1 No $0 CA
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) Health Care Service Corporation T1 No $0 NM
Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) Health Care Service Corporation T1 No $0 NM
SecureBlue (HMO D-SNP) HMO Minnesota T1 No $0 MN
Hamaspik Medicare Choice (HMO D-SNP) HAMASPIK, INC. T1 No $0 NY
PHP (HMO C-SNP) AIDS HEALTHCARE FOUNDATION T1 No $0 CA
VNS Health Total (HMO D-SNP) VNS CHOICE T1 No $0 NY
Mass General Brigham SCO (HMO D-SNP) MASS GENERAL BRIGHAM HEALTH PLAN, INC T1 No $0 MA
Mass General Brigham One Care (HMO D-SNP) MASS GENERAL BRIGHAM HEALTH PLAN, INC T1 No $0 MA
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) GATEWAY HEALTH PLAN, INC. T1 Yes $0 PA
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) GATEWAY HEALTH PLAN, INC. T1 Yes $0 PA
Highmark Health Options Duals (HMO D-SNP) HIGHMARK HEALTH OPTIONS WEST VIRGINIA INC. T1 Yes $0 WV
Highmark Health Options Duals (HMO D-SNP) HIGHMARK BCBSD, INC. T1 Yes $0 DE
Leon MediExtra (HMO) LEON HEALTH, INC. T1 No $0 FL
Leon MediDual (HMO D-SNP) LEON HEALTH, INC. T1 No $0 FL
Leon MediMore (HMO) LEON HEALTH, INC. T1 No $0 FL
Leon MediMax (HMO D-SNP) LEON HEALTH, INC. T1 No $0 FL
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) HCSC INSURANCE SERVICES COMPANY T1 No $4.80 TX
Gold Dialysis & Kidney Complete (HMO-POS C-SNP) GOLD KIDNEY OF FLORIDA INC T1 No $4.80 FL
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) GHS INSURANCE COMPANY T1 No $5.00 OK
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) GATEWAY HEALTH PLAN, INC. T1 Yes $13.10 PA
Gold Dialysis & Kidney Complete (HMO-POS C-SNP) GOLD KIDNEY OF ARIZONA T1 No $17.00 AZ
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) GATEWAY HEALTH PLAN, INC. T1 Yes $17.60 PA
Highmark Health Options Duals Select (HMO D-SNP) HIGHMARK BCBSD, INC. T1 Yes $31.20 DE
Hamaspik Medicare Select (HMO D-SNP) HAMASPIK, INC. T1 No $34.50 NY
VNS Health EasyCare Plus (HMO D-SNP) VNS CHOICE T1 No $51.60 NY
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T2 No $0 UT
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T2 No $0 NV
Select Health Medicare Dual (HMO D-SNP) SELECTHEALTH, INC. T2 No $0 UT
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T2 No $0 UT
Select Health Medicare + Kroger (HMO) SELECTHEALTH, INC. T2 No $0 NV
Select Health Medicare + Kroger (HMO) SELECTHEALTH, INC. T2 No $0 UT
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T2 No $0 CO
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T2 No $0 CO
Select Health Medicare + Kroger (HMO) SELECTHEALTH, INC. T2 No $0 CO
Select Health Medicare Flex (HMO) SELECTHEALTH, INC. T2 No $0 CO
Select Health Medicare + Kroger (HMO) SELECTHEALTH, INC. T2 No $0 CO
Select Health Medicare Active (HMO) SELECTHEALTH, INC. T2 No $0 CO
Select Health Medicare Dual (HMO D-SNP) SELECTHEALTH, INC. T2 No $0 NV
Select Health Medicare Wellness (HMO) SELECTHEALTH, INC. T2 No $0 NV
Freedom VIP Care (HMO C-SNP) FREEDOM HEALTH, INC. T2 No $0 FL
Freedom VIP Savings (HMO C-SNP) FREEDOM HEALTH, INC. T2 No $0 FL
Freedom VIP Savings (HMO C-SNP) FREEDOM HEALTH, INC. T2 No $0 FL
Freedom VIP Rewards (HMO C-SNP) FREEDOM HEALTH, INC. T2 No $0 FL
Freedom VIP Rewards (HMO C-SNP) FREEDOM HEALTH, INC. T2 No $0 FL
Optimum Diamond Rewards (HMO C-SNP) OPTIMUM HEALTHCARE, INC. T2 No $0 FL
Optimum Diamond Savings (HMO C-SNP) OPTIMUM HEALTHCARE, INC. T2 No $0 FL
Optimum Diamond Rewards (HMO C-SNP) OPTIMUM HEALTHCARE, INC. T2 No $0 FL
Optimum Diamond (HMO C-SNP) OPTIMUM HEALTHCARE, INC. T2 No $0 FL

Frequently Asked Questions

Is methscopolamine bromide 5 MG Oral Tablet covered by Medicare Part D?

Yes, methscopolamine bromide 5 MG Oral Tablet is covered by 2,051 Medicare Part D plans (40.5% of all Part D formularies).

What tier is methscopolamine bromide 5 MG Oral Tablet on Medicare Part D plans?

methscopolamine bromide 5 MG Oral Tablet averages Tier 3.1 across Part D plans, ranging from Tier 1 to Tier 4.

Does methscopolamine bromide 5 MG Oral Tablet require prior authorization?

9.6% of Part D formularies require prior authorization for methscopolamine bromide 5 MG Oral Tablet. Step therapy: 0%. Quantity limits: 0%.

How much does Medicare spend on methscopolamine bromide 5 MG Oral Tablet?

In 2023, total Medicare Part D spending on methscopolamine bromide 5 MG Oral Tablet was $836,854, covering 1,596 beneficiaries. The average spend per beneficiary was $524.34.

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