Medicare Part D coverage · Modified · RxCUI 1807888
Modified 24 HR metformin hydrochloride 1000 MG Extended Release Oral Tablet
Per the CMS 2026 Part D formulary file, Modified 24 HR metformin hydrochloride 1000 MG Extended Release Oral Tablet is covered by 97 Medicare Part D plans (1.9% of enrollable products), averaging Tier 3.3, with prior authorization required on 25% of covering formularies.
- 1.9%
- Plan coverage
- 97
- Plans covering
- T3.3
- Avg tier
- 25%
- Prior auth required
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.
What the CMS Formulary Data Shows for Modified 24 HR metformin hydrochloride 1000 MG Extended Release Oral Tablet
Per the CMS 2026 Part D formulary file, Modified 24 HR metformin hydrochloride 1000 MG Extended Release Oral Tablet (RxNorm concept RXCUI 1807888, generic name Modified) appears on 4 distinct formulary files spanning 97 Medicare Part D plan offerings - 1.9% 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 3.3.
Real-world access to Modified 24 HR metformin hydrochloride 1000 MG Extended Release Oral Tablet depends on utilization management as much as tier placement: 25% of covering formularies require prior authorization. 25% require step therapy. 75% apply quantity limits.
Medicare Part D spending dashboard figures are not published for this drug. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry Modified 24 HR metformin hydrochloride 1000 MG Extended Release Oral Tablet today.
Coverage Details
- Formularies covering
- 4
- Plans covering
- 97
- Coverage rate
- 1.9%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 25% of formularies
- Step therapy required
- 25% of formularies
- Quantity limits
- 75% of formularies
Tier Distribution Across Plans
1 plans
Tier 1, Preferred Generic
96 plans
Tier 4, Non-Preferred
Standalone Drug Plans (PDP) Covering Modified 24 HR metformin hydrochloride 1000 MG Extended Release Oral Tablet
27 standalone prescription drug plans include this drug.
| Plan | Insurer | Tier | PA | ST | Premium | States |
|---|---|---|---|---|---|---|
| HealthSpring Extra Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | Yes | $50.00 | - |
| HealthSpring Extra Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | Yes | $50.00 | - |
| HealthSpring Extra Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | Yes | $50.40 | - |
| HealthSpring Extra Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | Yes | $52.60 | - |
| HealthSpring Extra Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | Yes | $54.50 | - |
| HealthSpring Extra Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | Yes | $56.30 | - |
| HealthSpring Extra Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | Yes | $56.30 | - |
| HealthSpring Extra Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | Yes | $59.90 | - |
| HealthSpring Extra Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | Yes | $60.60 | - |
| HealthSpring Extra Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | Yes | $62.60 | - |
| HealthSpring Extra Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | Yes | $65.40 | - |
| HealthSpring Extra Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | Yes | $65.70 | - |
| HealthSpring Extra Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | Yes | $66.40 | - |
| HealthSpring Extra Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | Yes | $66.50 | - |
| HealthSpring Extra Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | Yes | $66.60 | - |
| HealthSpring Extra Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | Yes | $66.60 | - |
| HealthSpring Extra Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | Yes | $70.00 | - |
| HealthSpring Extra Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | Yes | $70.60 | - |
| HealthSpring Extra Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | Yes | $70.70 | - |
| HealthSpring Extra Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | Yes | $70.70 | - |
Show the next 7 plans
| HealthSpring Extra Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | Yes | $71.20 | - |
| HealthSpring Extra Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | Yes | $71.20 | - |
| HealthSpring Extra Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | Yes | $77.10 | - |
| HealthSpring Extra Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | Yes | $77.50 | - |
| HealthSpring Extra Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | Yes | $78.00 | - |
| HealthSpring Extra Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | Yes | $78.20 | - |
| HealthSpring Extra Rx (PDP) | Medco Containment Life AND Medco Containment NY | T4 | No | Yes | $91.60 | - |
Medicare Advantage Plans (MA-PD) Covering Modified 24 HR metformin hydrochloride 1000 MG Extended Release Oral Tablet
70 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Community Care's Partnership Program (HMO D-SNP) | Community Care Health Plan, Inc. | T1 | No | $0 | WI |
| HealthSun HealthAdvantage Plan (HMO) | Healthsun Health Plans, Inc. | T4 | No | $0 | FL |
| HealthSun MediMax (HMO) | Healthsun Health Plans, Inc. | T4 | No | $0 | FL |
| HealthSun HealthAdvantage Plan (HMO) | Healthsun Health Plans, Inc. | T4 | No | $0 | FL |
| HealthSun HealthAdvantage Plan (HMO) | Healthsun Health Plans, Inc. | T4 | No | $0 | FL |
| HealthSun MediSun Plus (HMO D-SNP) | Healthsun Health Plans, Inc. | T4 | No | $0 | FL |
| HealthSun HealthAdvantage Plus (HMO) | Healthsun Health Plans, Inc. | T4 | No | $0 | FL |
| HealthSun HealthAdvantage Plus (HMO) | Healthsun Health Plans, Inc. | T4 | No | $0 | FL |
| HealthSun MediSun Extra (HMO D-SNP) | Healthsun Health Plans, Inc. | T4 | No | $0 | FL |
| HealthSun HealthAdvantage Plus (HMO) | Healthsun Health Plans, Inc. | T4 | No | $0 | FL |
| HealthSun VitalCare (HMO C-SNP) | Healthsun Health Plans, Inc. | T4 | No | $0 | FL |
| HealthSun VitalCare (HMO C-SNP) | Healthsun Health Plans, Inc. | T4 | No | $0 | FL |
| HealthSun MediSun Full Dual Plus (HMO D-SNP) | Healthsun Health Plans, Inc. | T4 | No | $0 | FL |
| HealthSun MediSun Full Dual Extra (HMO D-SNP) | Healthsun Health Plans, Inc. | T4 | No | $0 | FL |
| Simply Complete (HMO D-SNP) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
| Simply More (HMO) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
| Simply Complete (HMO D-SNP) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
| Simply Level (HMO C-SNP) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
| Simply Level (HMO C-SNP) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
| Simply More (HMO) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
Show the next 30 plans
| Simply Level (HMO C-SNP) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
| Simply More (HMO) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
| Simply Level (HMO C-SNP) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
| Simply Complete (HMO D-SNP) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
| Simply More (HMO) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
| Simply More (HMO) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
| Simply Level (HMO C-SNP) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
| Simply Complete (HMO D-SNP) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
| Simply More (HMO) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
| Simply Extra (HMO) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
| Simply Extra Platinum (HMO) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
| Simply More Platinum (HMO) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
| Simply Complete Platinum (HMO D-SNP) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
| Simply Level Platinum (HMO C-SNP) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
| Simply Extra Platinum (HMO) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
| Simply Level Platinum (HMO C-SNP) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
| Simply Extra Platinum (HMO) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
| Simply Level Platinum (HMO C-SNP) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
| Simply Extra Platinum (HMO) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
| Simply More Platinum (HMO) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
| Simply Complete Platinum (HMO D-SNP) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
| Simply Level Platinum (HMO C-SNP) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
| Simply Integrated (HMO D-SNP) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
| Simply Integrated (HMO D-SNP) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
| Simply Integrated (HMO D-SNP) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
| Simply Integrated (HMO D-SNP) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
| Simply Integrated (HMO D-SNP) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
| Simply Integrated (HMO D-SNP) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
| Simply Integrated (HMO D-SNP) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
| Simply Integrated Platinum (HMO D-SNP) | Simply Healthcare Plans, Inc. | T4 | No | $0 | FL |
Showing top 50 of 70 plans.
Frequently Asked Questions
Is Modified 24 HR metformin hydrochloride 1000 MG Extended Release Oral Tablet covered by Medicare Part D?
Yes, Modified 24 HR metformin hydrochloride 1000 MG Extended Release Oral Tablet is covered by 97 Medicare Part D plans (1.9% of all Part D formularies).
What tier is Modified 24 HR metformin hydrochloride 1000 MG Extended Release Oral Tablet on Medicare Part D plans?
Modified 24 HR metformin hydrochloride 1000 MG Extended Release Oral Tablet averages Tier 3.3 across Part D plans, ranging from Tier 1 to Tier 4.
Does Modified 24 HR metformin hydrochloride 1000 MG Extended Release Oral Tablet require prior authorization?
25% of Part D formularies require prior authorization for Modified 24 HR metformin hydrochloride 1000 MG Extended Release Oral Tablet. Step therapy: 25%. Quantity limits: 75%.
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
- buprenorphine 2 MG / naloxone 0.5 MG Sublingual Film [Suboxone] T3.3
- 0.5 ML ustekinumab-ttwe 90 MG/ML Prefilled Syringe T3.3
- prednisolone 10 MG Disintegrating Oral Tablet [Orapred] T3.3
- molindone hydrochloride 5 MG Oral Tablet T3.2
- degarelix 80 MG Injection [Firmagon] T3.2
- 50 ML penicillin G potassium 40000 UNT/ML Injection T3.2
Similar prior-authorization rate
- lorazepam 0.5 MG Oral Tablet 25% PA
- tiopronin 100 MG Delayed Release Oral Tablet [Venxxiva] 25% PA
- insulin lispro-aabc 100 UNT/ML Injectable Solution [Lyumjev] 25% PA
- hydroxyurea 100 MG/ML Oral Solution [Xromi] 25% PA
- desipramine hydrochloride 10 MG Oral Tablet 25% PA
- desipramine hydrochloride 100 MG Oral Tablet 25% PA
Data sourced from the Centers for Medicare & Medicaid Services (CMS). See our methodology for details. Retrieved and formatted by PlainMedicare