nitrofurantoin 10 MG/ML Oral Suspension
nitrofurantoin
RxCUI: 422434
What the CMS Formulary Data Shows for nitrofurantoin 10 MG/ML Oral Suspension
Per the CMS 2026 Part D formulary file, nitrofurantoin 10 MG/ML Oral Suspension (RxNorm concept RXCUI 422434, generic name nitrofurantoin) appears on 6 distinct formulary files spanning 121 Medicare Part D plan offerings - 2.4% 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 3.7.
Real-world access to nitrofurantoin 10 MG/ML Oral Suspension 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 1,444 Part D beneficiaries filled nitrofurantoin 10 MG/ML Oral Suspension in 2023, with total plan-and-beneficiary spending of $8,114,037 and an average per-beneficiary annual cost of $5,619.14. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry nitrofurantoin 10 MG/ML Oral Suspension today.
Coverage Details
- Formularies covering
- 6
- Plans covering
- 121
- Coverage rate
- 2.4%
- Tier range
- Tier 1 – Tier 5
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 1,444
- Total spending
- $8,114,037
- Avg per beneficiary
- $5,619.14
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering nitrofurantoin 10 MG/ML Oral Suspension
100 Medicare Advantage plans with Part D drug coverage include this drug.
Frequently Asked Questions
Is nitrofurantoin 10 MG/ML Oral Suspension covered by Medicare Part D?
Yes, nitrofurantoin 10 MG/ML Oral Suspension is covered by 121 Medicare Part D plans (2.4% of all Part D formularies).
What tier is nitrofurantoin 10 MG/ML Oral Suspension on Medicare Part D plans?
nitrofurantoin 10 MG/ML Oral Suspension averages Tier 3.7 across Part D plans, ranging from Tier 1 to Tier 5.
Does nitrofurantoin 10 MG/ML Oral Suspension require prior authorization?
0% of Part D formularies require prior authorization for nitrofurantoin 10 MG/ML Oral Suspension. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on nitrofurantoin 10 MG/ML Oral Suspension?
In 2023, total Medicare Part D spending on nitrofurantoin 10 MG/ML Oral Suspension was $8,114,037, covering 1,444 beneficiaries. The average spend per beneficiary was $5,619.14.
Read our methodology - how this data is sourced, computed, and verified.