metoclopramide 10 MG Oral Tablet [Reglan]
metoclopramide
RxCUI: 207266
What the CMS Formulary Data Shows for metoclopramide 10 MG Oral Tablet [Reglan]
Per the CMS 2026 Part D formulary file, metoclopramide 10 MG Oral Tablet [Reglan] (RxNorm concept RXCUI 207266, generic name metoclopramide) appears on 1 distinct formulary file spanning 2 Medicare Part D plan offerings - 0% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 1, with a cross-plan average of Tier 1.
Real-world access to metoclopramide 10 MG Oral Tablet [Reglan] depends on utilization management as much as tier placement: 0% 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 402,098 Part D beneficiaries filled metoclopramide 10 MG Oral Tablet [Reglan] in 2023, with total plan-and-beneficiary spending of $10,453,313 and an average per-beneficiary annual cost of $26.00. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry metoclopramide 10 MG Oral Tablet [Reglan] today.
Coverage Details
- Formularies covering
- 1
- Plans covering
- 2
- Coverage rate
- 0%
- Tier range
- Tier 1, Preferred Generic
- Average tier
- Tier 1, Preferred Generic
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 402,098
- Total spending
- $10,453,313
- Avg per beneficiary
- $26.00
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering metoclopramide 10 MG Oral Tablet [Reglan]
2 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Hamaspik Medicare Choice (HMO D-SNP) | HAMASPIK, INC. | T1 | No | $0 | NY |
| Hamaspik Medicare Select (HMO D-SNP) | HAMASPIK, INC. | T1 | No | $34.50 | NY |
Frequently Asked Questions
Is metoclopramide 10 MG Oral Tablet [Reglan] covered by Medicare Part D?
Yes, metoclopramide 10 MG Oral Tablet [Reglan] is covered by 2 Medicare Part D plans (0% of all Part D formularies).
What tier is metoclopramide 10 MG Oral Tablet [Reglan] on Medicare Part D plans?
metoclopramide 10 MG Oral Tablet [Reglan] averages Tier 1 across Part D plans, ranging from Tier 1 to Tier 1.
Does metoclopramide 10 MG Oral Tablet [Reglan] require prior authorization?
0% of Part D formularies require prior authorization for metoclopramide 10 MG Oral Tablet [Reglan]. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on metoclopramide 10 MG Oral Tablet [Reglan]?
In 2023, total Medicare Part D spending on metoclopramide 10 MG Oral Tablet [Reglan] was $10,453,313, covering 402,098 beneficiaries. The average spend per beneficiary was $26.00.
Read our methodology - how this data is sourced, computed, and verified.