NDA019430 0.3 ML epinephrine 1 MG/ML Auto-Injector [Epipen]
NDA019430
RxCUI: 727347
What the CMS Formulary Data Shows for NDA019430 0.3 ML epinephrine 1 MG/ML Auto-Injector [Epipen]
Per the CMS 2026 Part D formulary file, NDA019430 0.3 ML epinephrine 1 MG/ML Auto-Injector [Epipen] (RxNorm concept RXCUI 727347, generic name NDA019430) appears on 1 distinct formulary file spanning 9 Medicare Part D plan offerings - 0.2% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 4 to Tier 4, with a cross-plan average of Tier 4.
Real-world access to NDA019430 0.3 ML epinephrine 1 MG/ML Auto-Injector [Epipen] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 100% 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 NDA019430 0.3 ML epinephrine 1 MG/ML Auto-Injector [Epipen] today.
Coverage Details
- Formularies covering
- 1
- Plans covering
- 9
- Coverage rate
- 0.2%
- Tier range
- Tier 4, Non-Preferred
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 100% of formularies
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering NDA019430 0.3 ML epinephrine 1 MG/ML Auto-Injector [Epipen]
9 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| DrMax (HMO) | DOCTORS HEALTHCARE PLANS, INC. | T4 | No | $0 | FL |
| DrExtraCare (HMO C-SNP) | DOCTORS HEALTHCARE PLANS, INC. | T4 | No | $0 | FL |
| DrSelect (HMO) | DOCTORS HEALTHCARE PLANS, INC. | T4 | No | $0 | FL |
| DrSelect-CFL (HMO) | DOCTORS HEALTHCARE PLANS, INC. | T4 | No | $0 | FL |
| DrPlatinum-CFL (HMO D-SNP) | DOCTORS HEALTHCARE PLANS, INC. | T4 | No | $0 | FL |
| DrTotalCare-CFL (HMO C-SNP) | DOCTORS HEALTHCARE PLANS, INC. | T4 | No | $0 | FL |
| DrElite-SFL (HMO) | DOCTORS HEALTHCARE PLANS, INC. | T4 | No | $0 | FL |
| DrFlex (HMO D-SNP) | DOCTORS HEALTHCARE PLANS, INC. | T4 | No | $1.10 | FL |
| DrPlus (HMO D-SNP) | DOCTORS HEALTHCARE PLANS, INC. | T4 | No | $4.80 | FL |
Frequently Asked Questions
Is NDA019430 0.3 ML epinephrine 1 MG/ML Auto-Injector [Epipen] covered by Medicare Part D?
Yes, NDA019430 0.3 ML epinephrine 1 MG/ML Auto-Injector [Epipen] is covered by 9 Medicare Part D plans (0.2% of all Part D formularies).
What tier is NDA019430 0.3 ML epinephrine 1 MG/ML Auto-Injector [Epipen] on Medicare Part D plans?
NDA019430 0.3 ML epinephrine 1 MG/ML Auto-Injector [Epipen] averages Tier 4 across Part D plans, ranging from Tier 4 to Tier 4.
Does NDA019430 0.3 ML epinephrine 1 MG/ML Auto-Injector [Epipen] require prior authorization?
0% of Part D formularies require prior authorization for NDA019430 0.3 ML epinephrine 1 MG/ML Auto-Injector [Epipen]. Step therapy: 0%. Quantity limits: 100%.
Read our methodology - how this data is sourced, computed, and verified.