methyltestosterone 10 MG Oral Tablet [Methitest]
methyltestosterone
RxCUI: 541524
What the CMS Formulary Data Shows for methyltestosterone 10 MG Oral Tablet [Methitest]
Per the CMS 2026 Part D formulary file, methyltestosterone 10 MG Oral Tablet [Methitest] (RxNorm concept RXCUI 541524, generic name methyltestosterone) appears on 9 distinct formulary files spanning 143 Medicare Part D plan offerings - 2.8% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 4 to Tier 5, with a cross-plan average of Tier 4.7.
Real-world access to methyltestosterone 10 MG Oral Tablet [Methitest] depends on utilization management as much as tier placement: 11.1% 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 20 Part D beneficiaries filled methyltestosterone 10 MG Oral Tablet [Methitest] in 2023, with total plan-and-beneficiary spending of $390,812 and an average per-beneficiary annual cost of $19,540.61. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry methyltestosterone 10 MG Oral Tablet [Methitest] today.
Coverage Details
- Formularies covering
- 9
- Plans covering
- 143
- Coverage rate
- 2.8%
- Tier range
- Tier 4 – Tier 5
- Average tier
- Tier 5, Specialty
Restrictions
- Prior authorization required
- 11.1% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 20
- Total spending
- $390,812
- Avg per beneficiary
- $19,540.61
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering methyltestosterone 10 MG Oral Tablet [Methitest]
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Medicare BlueEssential (PPO) | EXCELLUS HEALTH PLAN, INC. | T4 | No | $0 | NY |
| Medicare BlueActive (PPO) | EXCELLUS HEALTH PLAN, INC. | T4 | No | $0 | NY |
| Medicare BlueVital (PPO) | EXCELLUS HEALTH PLAN, INC. | T4 | No | $0 | NY |
| Univera SeniorChoice Basic (HMO) | EXCELLUS HEALTH PLAN, INC. | T4 | No | $0 | NY |
| Univera SeniorChoice Extra (HMO) | EXCELLUS HEALTH PLAN, INC. | T4 | No | $0 | NY |
| Medicare Blue Choice Core (HMO) | EXCELLUS HEALTH PLAN, INC. | T4 | No | $0 | NY |
| Univera Medicare Dual (HMO D-SNP) | EXCELLUS HEALTH PLAN COMMUNITY CARE LLC | T4 | No | $0 | NY |
| Medicare Blue Dual (HMO D-SNP) | EXCELLUS HEALTH PLAN COMMUNITY CARE LLC | T4 | No | $0 | NY |
| CDPHP $0 Medicare Rx (HMO) | CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC. | T4 | No | $0 | NY |
| Univera SeniorChoice Core (PPO) | EXCELLUS HEALTH PLAN, INC. | T4 | No | $33.00 | NY |
| Univera SeniorChoice Advanced (HMO-POS) | EXCELLUS HEALTH PLAN, INC. | T4 | No | $36.90 | NY |
| Medicare BlueClassic (PPO) | EXCELLUS HEALTH PLAN, INC. | T4 | No | $51.00 | NY |
| Univera SeniorChoice Secure (HMO-POS) | EXCELLUS HEALTH PLAN, INC. | T4 | No | $54.90 | NY |
| Medicare BlueBalanced (PPO) | EXCELLUS HEALTH PLAN, INC. | T4 | No | $55.00 | NY |
| Medicare Blue Choice Prime (HMO) | EXCELLUS HEALTH PLAN, INC. | T4 | No | $55.00 | NY |
| Univera SeniorChoice Value Plus (HMO-POS) | EXCELLUS HEALTH PLAN, INC. | T4 | No | $58.60 | NY |
| Medicare BlueEnhanced (PPO) | EXCELLUS HEALTH PLAN, INC. | T4 | No | $70.30 | NY |
| Medicare BluePlus (PPO) | EXCELLUS HEALTH PLAN, INC. | T4 | No | $86.40 | NY |
| CDPHP Clear Rx (HMO) | CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC. | T4 | No | $100.00 | NY |
| CDPHP Choice Rx (HMO) | CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC. | T4 | No | $135.00 | NY |
| Medicare Blue Choice Optimum (HMO-POS) | EXCELLUS HEALTH PLAN, INC. | T4 | No | $146.00 | NY |
| Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Enhanced Solano (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Inland Empire (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
| Kaiser Permanente Sr Adv Enhanced Marin San Mateo (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Ventura (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Enhanced Kern (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Basic Kern (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
| Kaiser Permanente Senior Advantage San Diego (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
| Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Enhanced Stanis (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Basic Stanis (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Basic SnJoaq (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Basic Fresno (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
| Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Santa Cruz (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Basic Alameda (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Basic SF (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
| Kaiser Permanente Sr Adv Basic Contra Costa (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
| Kaiser Permanente Sr Adv Basic Santa Clara (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Basic Solano (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Basic San Mateo (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
| Kaiser Permanente Sr Advantage LA, Orange Value (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
| Kaiser Permanente Sr Advantage Inland Empire Value (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
| Kaiser Permanente Senior Advantage San Diego Value (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Ventura Value (HMO) | KAISER FOUNDATION HP, INC. | T5 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Core DM (HMO) | KAISER FOUNDATION HP OF CO | T5 | No | $0 | CO |
| Kaiser Permanente Dual Essential (HMO D-SNP) | KAISER FOUNDATION HP OF CO | T5 | No | $0 | CO |
| Kaiser Permanente Senior Advantage Silver DM (HMO-POS) | KAISER FOUNDATION HP OF CO | T5 | No | $0 | CO |
| Kaiser Permanente Senior Advantage Core South (HMO) | KAISER FOUNDATION HP OF CO | T5 | No | $0 | CO |
Frequently Asked Questions
Is methyltestosterone 10 MG Oral Tablet [Methitest] covered by Medicare Part D?
Yes, methyltestosterone 10 MG Oral Tablet [Methitest] is covered by 143 Medicare Part D plans (2.8% of all Part D formularies).
What tier is methyltestosterone 10 MG Oral Tablet [Methitest] on Medicare Part D plans?
methyltestosterone 10 MG Oral Tablet [Methitest] averages Tier 4.7 across Part D plans, ranging from Tier 4 to Tier 5.
Does methyltestosterone 10 MG Oral Tablet [Methitest] require prior authorization?
11.1% of Part D formularies require prior authorization for methyltestosterone 10 MG Oral Tablet [Methitest]. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on methyltestosterone 10 MG Oral Tablet [Methitest]?
In 2023, total Medicare Part D spending on methyltestosterone 10 MG Oral Tablet [Methitest] was $390,812, covering 20 beneficiaries. The average spend per beneficiary was $19,540.61.
Read our methodology - how this data is sourced, computed, and verified.