niacin 500 MG Oral Tablet [Niacor]
niacin
RxCUI: 311944
What the CMS Formulary Data Shows for niacin 500 MG Oral Tablet [Niacor]
Per the CMS 2026 Part D formulary file, niacin 500 MG Oral Tablet [Niacor] (RxNorm concept RXCUI 311944, generic name niacin) appears on 44 distinct formulary files spanning 2,761 Medicare Part D plan offerings - 54.5% of enrollable Part D products, mid-range placement; shopping across contracts changes access. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 2.7.
Real-world access to niacin 500 MG Oral Tablet [Niacor] 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 42,698 Part D beneficiaries filled niacin 500 MG Oral Tablet [Niacor] in 2023, with total plan-and-beneficiary spending of $18,332,378 and an average per-beneficiary annual cost of $429.35. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry niacin 500 MG Oral Tablet [Niacor] today.
Coverage Details
- Formularies covering
- 44
- Plans covering
- 2,761
- Coverage rate
- 54.5%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 42,698
- Total spending
- $18,332,378
- Avg per beneficiary
- $429.35
Tier Distribution Across Plans
Standalone Drug Plans (PDP) Covering niacin 500 MG Oral Tablet [Niacor]
5 standalone prescription drug plans include this drug.
| Plan | Insurer | Tier | PA | ST | Premium | States |
|---|---|---|---|---|---|---|
| Anthem Full Dual Advantage (PPO D-SNP) | ANTHEM HEALTH PLANS, INC. | T2 | No | No | $0 | CT |
| Anthem Dual Advantage (PPO D-SNP) | ANTHEM HEALTH PLANS, INC. | T2 | No | No | $0 | CT |
| Anthem Kidney Care (HMO-POS C-SNP) | ANTHEM HEALTH PLANS, INC. | T2 | No | No | $0 | CT |
| Anthem Full Dual Advantage Select (HMO D-SNP) | ANTHEM HEALTH PLANS, INC. | T2 | No | No | $0 | CT |
| Anthem Dual Advantage (HMO D-SNP) | ANTHEM HEALTH PLANS, INC. | T2 | No | No | $0 | CT |
Medicare Advantage Plans (MA-PD) Covering niacin 500 MG Oral Tablet [Niacor]
95 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| CareAdvantage (HMO D-SNP) | SAN MATEO HEALTH COMMISSION | T1 | No | $0 | CA |
| NaviCare (HMO D-SNP) | FALLON COMMUNITY HEALTH PLAN | T1 | No | $0 | MA |
| PHP (HMO C-SNP) | AIDS HEALTHCARE FOUNDATION | T1 | No | $0 | CA |
| VNS Health Total (HMO D-SNP) | VNS CHOICE | T1 | No | $0 | NY |
| Mass General Brigham SCO (HMO D-SNP) | MASS GENERAL BRIGHAM HEALTH PLAN, INC | T1 | No | $0 | MA |
| Mass General Brigham One Care (HMO D-SNP) | MASS GENERAL BRIGHAM HEALTH PLAN, INC | T1 | No | $0 | MA |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) | GATEWAY HEALTH PLAN, INC. | T1 | No | $0 | PA |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) | GATEWAY HEALTH PLAN, INC. | T1 | No | $0 | PA |
| Highmark Health Options Duals (HMO D-SNP) | HIGHMARK HEALTH OPTIONS WEST VIRGINIA INC. | T1 | No | $0 | WV |
| Highmark Health Options Duals (HMO D-SNP) | HIGHMARK BCBSD, INC. | T1 | No | $0 | DE |
| Leon MediExtra (HMO) | LEON HEALTH, INC. | T1 | No | $0 | FL |
| Leon MediDual (HMO D-SNP) | LEON HEALTH, INC. | T1 | No | $0 | FL |
| Leon MediMore (HMO) | LEON HEALTH, INC. | T1 | No | $0 | FL |
| Leon MediMax (HMO D-SNP) | LEON HEALTH, INC. | T1 | No | $0 | FL |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | GOLD KIDNEY OF FLORIDA INC | T1 | No | $4.80 | FL |
| Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) | GATEWAY HEALTH PLAN, INC. | T1 | No | $13.10 | PA |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | GOLD KIDNEY OF ARIZONA | T1 | No | $17.00 | AZ |
| Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) | GATEWAY HEALTH PLAN, INC. | T1 | No | $17.60 | PA |
| Highmark Health Options Duals Select (HMO D-SNP) | HIGHMARK BCBSD, INC. | T1 | No | $31.20 | DE |
| VNS Health EasyCare Plus (HMO D-SNP) | VNS CHOICE | T1 | No | $51.60 | NY |
| Anthem Medicare Advantage (HMO-POS) | BLUE CROSS OF CALIFORNIA | T2 | No | $0 | CA |
| Anthem Medicare Advantage (HMO-POS) | BLUE CROSS OF CALIFORNIA | T2 | No | $0 | CA |
| Anthem Medicare Advantage (HMO-POS) | BLUE CROSS OF CALIFORNIA | T2 | No | $0 | CA |
| Anthem Medicare Advantage (HMO-POS) | BLUE CROSS OF CALIFORNIA | T2 | No | $0 | CA |
| Anthem Full Dual Advantage (HMO D-SNP) | ANTHEM INSURANCE COMPANIES, INC. | T2 | No | $0 | IN |
| Anthem I PathWays Dual Care Advantage (HMO D-SNP) | ANTHEM INSURANCE COMPANIES, INC. | T2 | No | $0 | IN |
| Anthem I PathWays Dual Care Advantage NFLOC (HMO D-SNP) | ANTHEM INSURANCE COMPANIES, INC. | T2 | No | $0 | IN |
| Wellpoint Full Dual Advantage (HMO-POS D-SNP) | WELLPOINT IOWA, INC. | T2 | No | $0 | IA |
| Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP) | WELLPOINT IOWA, INC. | T2 | No | $0 | IA |
| Wellpoint Full Dual Advantage (HMO D-SNP) | WELLPOINT WEST VIRGINIA , INC. | T2 | No | $0 | WV |
| Wellpoint Full Dual Advantage (HMO D-SNP) | WELLPOINT WASHINGTON, INC. | T2 | No | $0 | WA |
| Wellpoint Dual Advantage (HMO D-SNP) | WELLPOINT WASHINGTON, INC. | T2 | No | $0 | WA |
| Healthy Blue Dual Advantage (HMO D-SNP) | COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC. | T2 | No | $0 | LA |
| Healthy Blue Dual Advantage 2 (HMO D-SNP) | COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC. | T2 | No | $0 | LA |
| Anthem Dual Advantage (PPO D-SNP) | ANTHEM INSURANCE COMPANIES, INC. | T2 | No | $0 | VA |
| Wellpoint Medicare Advantage 2 (HMO-POS) | WELLPOINT TEXAS, INC. | T2 | No | $0 | TX |
| Wellpoint Kidney Care (HMO-POS C-SNP) | WELLPOINT TEXAS, INC. | T2 | No | $0 | TX |
| Wellpoint Dual Advantage 2 (HMO D-SNP) | WELLPOINT TEXAS, INC. | T2 | No | $0 | TX |
| Wellpoint Kidney Care (HMO-POS C-SNP) | WELLPOINT TEXAS, INC. | T2 | No | $0 | TX |
| Wellpoint Full Dual Advantage Aligned (HMO D-SNP) | WELLPOINT TEXAS, INC. | T2 | No | $0 | TX |
| Wellpoint Full Dual Advantage Aligned (HMO D-SNP) | WELLPOINT TEXAS, INC. | T2 | No | $0 | TX |
| Wellpoint Full Dual Advantage Aligned (HMO D-SNP) | WELLPOINT TEXAS, INC. | T2 | No | $0 | TX |
| Wellpoint Full Dual Advantage Aligned (HMO D-SNP) | WELLPOINT TEXAS, INC. | T2 | No | $0 | TX |
| Wellpoint Full Dual Advantage 2 (HMO D-SNP) | WELLPOINT TEXAS, INC. | T2 | No | $0 | TX |
| Wellpoint Full Dual Advantage 2 (HMO D-SNP) | WELLPOINT TEXAS, INC. | T2 | No | $0 | TX |
| Wellpoint Full Dual Advantage (HMO D-SNP) | WELLPOINT TEXAS, INC. | T2 | No | $0 | TX |
| Anthem I MyCare Ohio Full Dual Advantage (HMO D-SNP) | COMMUNITY INSURANCE COMPANY | T2 | No | $0 | OH |
| Anthem Full Dual Advantage (HMO D-SNP) | COMMUNITY INSURANCE COMPANY | T2 | No | $0 | OH |
| Anthem Full Dual Advantage 2 (HMO D-SNP) | COMMUNITY INSURANCE COMPANY | T2 | No | $0 | OH |
| Wellpoint Full Dual Advantage (HMO D-SNP) | WELLPOINT NEW JERSEY, INC. | T2 | No | $0 | NJ |
Frequently Asked Questions
Is niacin 500 MG Oral Tablet [Niacor] covered by Medicare Part D?
Yes, niacin 500 MG Oral Tablet [Niacor] is covered by 2,761 Medicare Part D plans (54.5% of all Part D formularies).
What tier is niacin 500 MG Oral Tablet [Niacor] on Medicare Part D plans?
niacin 500 MG Oral Tablet [Niacor] averages Tier 2.7 across Part D plans, ranging from Tier 1 to Tier 4.
Does niacin 500 MG Oral Tablet [Niacor] require prior authorization?
0% of Part D formularies require prior authorization for niacin 500 MG Oral Tablet [Niacor]. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on niacin 500 MG Oral Tablet [Niacor]?
In 2023, total Medicare Part D spending on niacin 500 MG Oral Tablet [Niacor] was $18,332,378, covering 42,698 beneficiaries. The average spend per beneficiary was $429.35.
Read our methodology - how this data is sourced, computed, and verified.