nimodipine 6 MG/ML Oral Solution [Nymalize]

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nimodipine

RxCUI: 2361313

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.
0.8%
Plan Coverage
40
Plans Covering
T3.8
Avg Tier
11.1%
Prior Auth Required

What the CMS Formulary Data Shows for nimodipine 6 MG/ML Oral Solution [Nymalize]

Per the CMS 2026 Part D formulary file, nimodipine 6 MG/ML Oral Solution [Nymalize] (RxNorm concept RXCUI 2361313, generic name nimodipine) appears on 9 distinct formulary files spanning 40 Medicare Part D plan offerings - 0.8% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 5, with a cross-plan average of Tier 3.8.

Real-world access to nimodipine 6 MG/ML Oral Solution [Nymalize] depends on utilization management as much as tier placement: 11.1% of covering formularies require prior authorization. 0% require step therapy. 22.2% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 1,005 Part D beneficiaries filled nimodipine 6 MG/ML Oral Solution [Nymalize] in 2023, with total plan-and-beneficiary spending of $1,126,640 and an average per-beneficiary annual cost of $1,121.03. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry nimodipine 6 MG/ML Oral Solution [Nymalize] today.

Coverage Details

Formularies covering
9
Plans covering
40
Coverage rate
0.8%
Tier range
Tier 1 – Tier 5
Average tier
Tier 4, Non-Preferred

Restrictions

Prior authorization required
11.1% of formularies
Step therapy required
0% of formularies
Quantity limits
22.2% of formularies

2023 Medicare Spending

Beneficiaries
1,005
Total spending
$1,126,640
Avg per beneficiary
$1,121.03

Tier Distribution Across Plans

2 plans
Tier 1, Preferred Generic
1 plans
Tier 2, Generic
37 plans
Tier 5, Specialty

Medicare Advantage Plans (MA-PD) Covering nimodipine 6 MG/ML Oral Solution [Nymalize]

40 Medicare Advantage plans with Part D drug coverage include this drug.

Plan Insurer Tier PA Premium States
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
CalOptima Health OneCare Complete (HMO D-SNP) ORANGE COUNTY HEALTH AUTHORITY T2 Yes $0 CA
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T5 No $0 UT
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T5 No $0 NV
Select Health Medicare Dual (HMO D-SNP) SELECTHEALTH, INC. T5 No $0 UT
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T5 No $0 UT
Select Health Medicare + Kroger (HMO) SELECTHEALTH, INC. T5 No $0 NV
Select Health Medicare + Kroger (HMO) SELECTHEALTH, INC. T5 No $0 UT
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T5 No $0 CO
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T5 No $0 CO
Select Health Medicare + Kroger (HMO) SELECTHEALTH, INC. T5 No $0 CO
Select Health Medicare Flex (HMO) SELECTHEALTH, INC. T5 No $0 CO
Select Health Medicare + Kroger (HMO) SELECTHEALTH, INC. T5 No $0 CO
Select Health Medicare Active (HMO) SELECTHEALTH, INC. T5 No $0 CO
Select Health Medicare Dual (HMO D-SNP) SELECTHEALTH, INC. T5 No $0 NV
Select Health Medicare Wellness (HMO) SELECTHEALTH, INC. T5 No $0 NV
Network Health Select (PPO) NETWORK HEALTH INSURANCE CORPORATION T5 No $0 WI
Network Health Go (PPO) NETWORK HEALTH INSURANCE CORPORATION T5 No $0 WI
Network Health Anywhere (PPO) NETWORK HEALTH INSURANCE CORPORATION T5 No $0 WI
Network Health Choice (PPO) NETWORK HEALTH INSURANCE CORPORATION T5 No $0 WI
Network Health Zero (PPO) NETWORK HEALTH INSURANCE CORPORATION T5 No $0 WI
Healthy Mississippi Premier Advantage (HMO-POS) Healthy Mississippi, Inc. T5 No $0 MS
Health First Rewards H1099-014 (HMO) HEALTH FIRST HEALTH PLANS T5 No $0 FL
Health First SunSaver H1099-016 (HMO) HEALTH FIRST HEALTH PLANS T5 No $0 FL
Health First Complete Care H1099-023 (HMO) HEALTH FIRST HEALTH PLANS T5 No $0 FL
Health First Emerald Plus H1099-024 (HMO) HEALTH FIRST HEALTH PLANS T5 No $0 FL
Health First Premier Access H1099-025 (HMO-POS) HEALTH FIRST HEALTH PLANS T5 No $0 FL
Health First Emerald Plus H1099-026 (HMO) HEALTH FIRST HEALTH PLANS T5 No $0 FL
Health First Premier Access H1099-027 (HMO-POS) HEALTH FIRST HEALTH PLANS T5 No $0 FL
Health First Emerald Plus H1099-028 (HMO) HEALTH FIRST HEALTH PLANS T5 No $0 FL
Mass General Brigham Advantage (PPO) Mass General Brigham Health Plan, Inc. T5 No $0 MA
Health First Value H1099-006 (HMO) HEALTH FIRST HEALTH PLANS T5 No $15.00 FL
Network Health Cares (PPO D-SNP) NETWORK HEALTH INSURANCE CORPORATION T5 No $21.10 WI
Network Health PlusRx (PPO) NETWORK HEALTH INSURANCE CORPORATION T5 No $38.60 WI
Health First Classic H1099-001 (HMO-POS) HEALTH FIRST HEALTH PLANS T5 No $49.40 FL
Mass General Brigham Advantage Secure (HMO-POS) Mass General Brigham Health Plan, Inc. T5 No $62.00 MA
Mass General Brigham Advantage Premier (PPO) Mass General Brigham Health Plan, Inc. T5 No $79.70 MA
Network Health PremierRx (PPO) NETWORK HEALTH INSURANCE CORPORATION T5 No $92.80 WI
Mass General Brigham Advantage Signature (PPO) Mass General Brigham Health Plan, Inc. T5 No $147.20 MA

Frequently Asked Questions

Is nimodipine 6 MG/ML Oral Solution [Nymalize] covered by Medicare Part D?

Yes, nimodipine 6 MG/ML Oral Solution [Nymalize] is covered by 40 Medicare Part D plans (0.8% of all Part D formularies).

What tier is nimodipine 6 MG/ML Oral Solution [Nymalize] on Medicare Part D plans?

nimodipine 6 MG/ML Oral Solution [Nymalize] averages Tier 3.8 across Part D plans, ranging from Tier 1 to Tier 5.

Does nimodipine 6 MG/ML Oral Solution [Nymalize] require prior authorization?

11.1% of Part D formularies require prior authorization for nimodipine 6 MG/ML Oral Solution [Nymalize]. Step therapy: 0%. Quantity limits: 22.2%.

How much does Medicare spend on nimodipine 6 MG/ML Oral Solution [Nymalize]?

In 2023, total Medicare Part D spending on nimodipine 6 MG/ML Oral Solution [Nymalize] was $1,126,640, covering 1,005 beneficiaries. The average spend per beneficiary was $1,121.03.

Data sourced from the Centers for Medicare & Medicaid Services (CMS). See our methodology for details. Retrieved and formatted by PlainMedicare Editorial