Medicare Part D coverage · minoxidil · RxCUI 197987
minoxidil 2.5 MG Oral Tablet
Per the CMS 2026 Part D formulary file, minoxidil 2.5 MG Oral Tablet is covered by 5,052 Medicare Part D plans (100% of enrollable products), averaging Tier 1.7, with prior authorization required on 0.3% of covering formularies.
- 100%
- Plan coverage
- 5,052
- Plans covering
- T1.7
- Avg tier
- 0.3%
- Prior auth required
What the CMS Formulary Data Shows for minoxidil 2.5 MG Oral Tablet
Per the CMS 2026 Part D formulary file, minoxidil 2.5 MG Oral Tablet (RxNorm concept RXCUI 197987, generic name minoxidil) appears on 328 distinct formulary files spanning 5,052 Medicare Part D plan offerings - 100% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 6, with a cross-plan average of Tier 1.7.
Real-world access to minoxidil 2.5 MG Oral Tablet depends on utilization management as much as tier placement: 0.3% 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 122,359 Part D beneficiaries filled minoxidil 2.5 MG Oral Tablet in 2023, with total plan-and-beneficiary spending of $8,975,225 and an average per-beneficiary annual cost of $73.35. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry minoxidil 2.5 MG Oral Tablet today.
Coverage Details
- Formularies covering
- 328
- Plans covering
- 5,052
- Coverage rate
- 100%
- Tier range
- Tier 1 – Tier 6
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 0.3% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 122,359
- Total spending
- $8,975,225
- Avg per beneficiary
- $73.35
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering minoxidil 2.5 MG Oral Tablet
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Aetna Medicare Chronic Care (HMO C-SNP) | Aetna Health OF Ohio Inc. | T1 | No | $0 | OH |
| Aetna Medicare Chronic Care (HMO C-SNP) | Aetna Health OF Ohio Inc. | T1 | No | $0 | OH |
| Aetna Medicare Chronic Care (HMO C-SNP) | Aetna Health OF Ohio Inc. | T1 | No | $0 | OH |
| Aetna Medicare Chronic Care (HMO C-SNP) | Aetna Health OF Ohio Inc. | T1 | No | $0 | OH |
| Aetna Medicare Chronic Care (PPO C-SNP) | Silverscript Insurance Company | T1 | No | $0 | GA |
| Aetna Medicare Chronic Care (HMO C-SNP) | Coventry Health Care OF Missouri, Inc. | T1 | No | $0 | KS, MO |
| Aetna Medicare Chronic Care (HMO C-SNP) | Coventry Health Care OF Missouri, Inc. | T1 | No | $0 | IL |
| Aetna Medicare Chronic Care (HMO C-SNP) | Coventry Health Care OF Missouri, Inc. | T1 | No | $0 | MO |
| Aetna Medicare Chronic Care (HMO C-SNP) | Aetna Better Health Inc. (GA) | T1 | No | $0 | NC |
| Aetna Medicare Chronic Care (HMO C-SNP) | Aetna Better Health Inc. (GA) | T1 | No | $0 | SC |
| Aetna Medicare Chronic Care (HMO C-SNP) | Aetna Health OF Michigan Inc. | T1 | No | $0 | MI |
| Aetna Medicare Chronic Care (HMO C-SNP) | Aetna Better Health, Inc. (LA) | T1 | No | $0 | LA |
| Aetna Medicare Chronic Care (HMO C-SNP) | Aetna Health Inc. (NY) | T1 | No | $0 | NY |
| Aetna Medicare Prime Chronic Care (HMO C-SNP) | Aetna Health Inc. (PA) | T1 | No | $0 | AZ |
| Aetna Medicare Chronic Care (HMO C-SNP) | Aetna Health Inc. (PA) | T1 | No | $0 | NV |
| Aetna Medicare Chronic Care (HMO C-SNP) | Aetna Health Inc. (PA) | T1 | No | $0 | PA |
| Aetna Medicare Chronic Care (HMO C-SNP) | Aetna Health Inc. (PA) | T1 | No | $0 | DE |
| Aetna Medicare Prime Chronic Care (HMO C-SNP) | Aetna Health Inc. (TX) | T1 | No | $0 | TX |
| Aetna Medicare Prime Chronic Care (HMO C-SNP) | Aetna Health Inc. (TX) | T1 | No | $0 | TX |
| Aetna Medicare Chronic Care (HMO C-SNP) | Aetna Health Inc. (GA) | T1 | No | $0 | GA |
Show the next 30 plans
| Sentara Community Complete Select (HMO D-SNP) | Sentara Health Plans | T1 | No | $0 | VA |
| Sentara Community Complete (HMO D-SNP) | Sentara Health Plans | T1 | No | $0 | VA |
| Wellpoint Medicare Advantage (HMO-POS) | Wellpoint West Virginia , Inc. | T1 | No | $0 | WV |
| Anthem Medicare Advantage 3 (HMO-POS) | Healthkeepers, Inc. | T1 | No | $0 | VA |
| Anthem Medicare Advantage 3 (HMO-POS) | Healthkeepers, Inc. | T1 | No | $0 | VA |
| Anthem Medicare Advantage 3 (HMO-POS) | Healthkeepers, Inc. | T1 | No | $0 | VA |
| Wellpoint Medicare Advantage 2 (HMO-POS) | Wellpoint Tennessee, Inc. | T1 | No | $0 | TN |
| Wellpoint Medicare Advantage 2 (HMO-POS) | Wellpoint Tennessee, Inc. | T1 | No | $0 | TN |
| Wellpoint Medicare Advantage 2 (HMO-POS) | Wellpoint Tennessee, Inc. | T1 | No | $0 | TN |
| Wellpoint Medicare Advantage 2 (HMO-POS) | Wellpoint Tennessee, Inc. | T1 | No | $0 | TN |
| Freedom VIP Care (HMO C-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom VIP Savings (HMO C-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom VIP Savings (HMO C-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom VIP Rewards (HMO C-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom VIP Rewards (HMO C-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Optimum Diamond Rewards (HMO C-SNP) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Optimum Diamond Savings (HMO C-SNP) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Optimum Diamond Rewards (HMO C-SNP) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Optimum Diamond (HMO C-SNP) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Freedom Medi-Medi Partial (HMO D-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Medi-Medi Full (HMO D-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Optimum Emerald Partial (HMO D-SNP) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Optimum Emerald Full (HMO D-SNP) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Freedom Medicare Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Medicare Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom VIP Savings COPD (HMO C-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom VIP Savings COPD (HMO C-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is minoxidil 2.5 MG Oral Tablet covered by Medicare Part D?
Yes, minoxidil 2.5 MG Oral Tablet is covered by 5,052 Medicare Part D plans (100% of all Part D formularies).
What tier is minoxidil 2.5 MG Oral Tablet on Medicare Part D plans?
minoxidil 2.5 MG Oral Tablet averages Tier 1.7 across Part D plans, ranging from Tier 1 to Tier 6.
Does minoxidil 2.5 MG Oral Tablet require prior authorization?
0.3% of Part D formularies require prior authorization for minoxidil 2.5 MG Oral Tablet. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on minoxidil 2.5 MG Oral Tablet?
In 2023, total Medicare Part D spending on minoxidil 2.5 MG Oral Tablet was $8,975,225, covering 122,359 beneficiaries. The average spend per beneficiary was $73.35.
Read our methodology - how this data is sourced, computed, and verified.
Nationwide similar Part D drugs
Data-derived peers across the CMS Part D formulary extract: nearest average tier placement and nearest prior-authorization rate. Not therapeutic alternatives or same-generic strengths.
Closest average formulary tier
Similar prior-authorization rate
- mitotane 500 MG Oral Tablet [Lysodren] 0.3% PA
- diazoxide 50 MG/ML Oral Suspension 0.3% PA
- nitroglycerin 0.004 MG/MG Rectal Ointment 0.3% PA
- cromolyn sodium 20 MG/ML Oral Solution 0.3% PA
- methsuximide 300 MG Oral Capsule 0.3% PA
- amylase 252600 UNT / lipase 60000 UNT / protease 189600 UNT Delayed Release Oral Capsule [Zenpep] 0.3% PA