nitroglycerin 0.4 MG/ACTUAT Mucosal Spray [Nitrolingual]

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nitroglycerin

RxCUI: 995019

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.
0.3%
Plan Coverage
17
Plans Covering
T2
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for nitroglycerin 0.4 MG/ACTUAT Mucosal Spray [Nitrolingual]

Per the CMS 2026 Part D formulary file, nitroglycerin 0.4 MG/ACTUAT Mucosal Spray [Nitrolingual] (RxNorm concept RXCUI 995019, generic name nitroglycerin) appears on 3 distinct formulary files spanning 17 Medicare Part D plan offerings - 0.3% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 3, with a cross-plan average of Tier 2.

Real-world access to nitroglycerin 0.4 MG/ACTUAT Mucosal Spray [Nitrolingual] 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 1,348,161 Part D beneficiaries filled nitroglycerin 0.4 MG/ACTUAT Mucosal Spray [Nitrolingual] in 2023, with total plan-and-beneficiary spending of $46,051,994 and an average per-beneficiary annual cost of $34.16. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry nitroglycerin 0.4 MG/ACTUAT Mucosal Spray [Nitrolingual] today.

Coverage Details

Formularies covering
3
Plans covering
17
Coverage rate
0.3%
Tier range
Tier 1 – Tier 3
Average tier
Tier 2, Generic

Restrictions

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

2023 Medicare Spending

Beneficiaries
1,348,161
Total spending
$46,051,994
Avg per beneficiary
$34.16

Tier Distribution Across Plans

2 plans
Tier 1, Preferred Generic
1 plans
Tier 2, Generic
14 plans
Tier 3, Preferred Brand

Medicare Advantage Plans (MA-PD) Covering nitroglycerin 0.4 MG/ACTUAT Mucosal Spray [Nitrolingual]

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

Plan Insurer Tier PA Premium States
Hamaspik Medicare Choice (HMO D-SNP) HAMASPIK, INC. T1 No $0 NY
Hamaspik Medicare Select (HMO D-SNP) HAMASPIK, INC. T1 No $34.50 NY
Healthy Mississippi Premier Advantage (HMO-POS) Healthy Mississippi, Inc. T2 No $0 MS
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T3 No $0 UT
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T3 No $0 NV
Select Health Medicare Dual (HMO D-SNP) SELECTHEALTH, INC. T3 No $0 UT
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T3 No $0 UT
Select Health Medicare + Kroger (HMO) SELECTHEALTH, INC. T3 No $0 NV
Select Health Medicare + Kroger (HMO) SELECTHEALTH, INC. T3 No $0 UT
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T3 No $0 CO
Select Health Medicare Essential (HMO) SELECTHEALTH, INC. T3 No $0 CO
Select Health Medicare + Kroger (HMO) SELECTHEALTH, INC. T3 No $0 CO
Select Health Medicare Flex (HMO) SELECTHEALTH, INC. T3 No $0 CO
Select Health Medicare + Kroger (HMO) SELECTHEALTH, INC. T3 No $0 CO
Select Health Medicare Active (HMO) SELECTHEALTH, INC. T3 No $0 CO
Select Health Medicare Dual (HMO D-SNP) SELECTHEALTH, INC. T3 No $0 NV
Select Health Medicare Wellness (HMO) SELECTHEALTH, INC. T3 No $0 NV

Frequently Asked Questions

Is nitroglycerin 0.4 MG/ACTUAT Mucosal Spray [Nitrolingual] covered by Medicare Part D?

Yes, nitroglycerin 0.4 MG/ACTUAT Mucosal Spray [Nitrolingual] is covered by 17 Medicare Part D plans (0.3% of all Part D formularies).

What tier is nitroglycerin 0.4 MG/ACTUAT Mucosal Spray [Nitrolingual] on Medicare Part D plans?

nitroglycerin 0.4 MG/ACTUAT Mucosal Spray [Nitrolingual] averages Tier 2 across Part D plans, ranging from Tier 1 to Tier 3.

Does nitroglycerin 0.4 MG/ACTUAT Mucosal Spray [Nitrolingual] require prior authorization?

0% of Part D formularies require prior authorization for nitroglycerin 0.4 MG/ACTUAT Mucosal Spray [Nitrolingual]. Step therapy: 0%. Quantity limits: 0%.

How much does Medicare spend on nitroglycerin 0.4 MG/ACTUAT Mucosal Spray [Nitrolingual]?

In 2023, total Medicare Part D spending on nitroglycerin 0.4 MG/ACTUAT Mucosal Spray [Nitrolingual] was $46,051,994, covering 1,348,161 beneficiaries. The average spend per beneficiary was $34.16.

Read our methodology - how this data is sourced, computed, and verified.

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