nitroglycerin 0.004 MG/MG Rectal Ointment [Rectiv]

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nitroglycerin

RxCUI: 1114470

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.
1%
Plan Coverage
52
Plans Covering
T3.3
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for nitroglycerin 0.004 MG/MG Rectal Ointment [Rectiv]

Per the CMS 2026 Part D formulary file, nitroglycerin 0.004 MG/MG Rectal Ointment [Rectiv] (RxNorm concept RXCUI 1114470, generic name nitroglycerin) appears on 9 distinct formulary files spanning 52 Medicare Part D plan offerings - 1% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 3.3.

Real-world access to nitroglycerin 0.004 MG/MG Rectal Ointment [Rectiv] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 77.8% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 1,348,161 Part D beneficiaries filled nitroglycerin 0.004 MG/MG Rectal Ointment [Rectiv] 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 0.004 MG/MG Rectal Ointment [Rectiv] today.

Coverage Details

Formularies covering
9
Plans covering
52
Coverage rate
1%
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
77.8% of formularies

2023 Medicare Spending

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

Tier Distribution Across Plans

6 plans
Tier 1, Preferred Generic
46 plans
Tier 4, Non-Preferred

Medicare Advantage Plans (MA-PD) Covering nitroglycerin 0.004 MG/MG Rectal Ointment [Rectiv]

52 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
Platino Blindao (HMO D-SNP) TRIPLE S ADVANTAGE, INC. T1 No $0 PR
Platino Enlace (HMO D-SNP) TRIPLE S ADVANTAGE, INC. T1 No $0 PR
PLATINO ADVANCE (HMO D-SNP) TRIPLE S ADVANTAGE, INC. T1 No $0 PR
PLATINO PLUS (HMO D-SNP) TRIPLE S ADVANTAGE, INC. T1 No $0 PR
Hamaspik Medicare Select (HMO D-SNP) HAMASPIK, INC. T1 No $34.50 NY
Health New England Medicare Compass (PPO) HEALTH NEW ENGLAND, INC. T4 No $0 MA
Health New England Medicare Value (HMO) HEALTH NEW ENGLAND, INC. T4 No $0 MA
Health First Rewards H1099-014 (HMO) HEALTH FIRST HEALTH PLANS T4 No $0 FL
Health First SunSaver H1099-016 (HMO) HEALTH FIRST HEALTH PLANS T4 No $0 FL
Health First Complete Care H1099-023 (HMO) HEALTH FIRST HEALTH PLANS T4 No $0 FL
Health First Emerald Plus H1099-024 (HMO) HEALTH FIRST HEALTH PLANS T4 No $0 FL
Health First Premier Access H1099-025 (HMO-POS) HEALTH FIRST HEALTH PLANS T4 No $0 FL
Health First Emerald Plus H1099-026 (HMO) HEALTH FIRST HEALTH PLANS T4 No $0 FL
Health First Premier Access H1099-027 (HMO-POS) HEALTH FIRST HEALTH PLANS T4 No $0 FL
Health First Emerald Plus H1099-028 (HMO) HEALTH FIRST HEALTH PLANS T4 No $0 FL
Óptimo Plus (PPO) TRIPLE S ADVANTAGE, INC. T4 No $0 PR
Contigo Plus (HMO C-SNP) TRIPLE S ADVANTAGE, INC. T4 No $0 PR
Brillante (HMO-POS) TRIPLE S ADVANTAGE, INC. T4 No $0 PR
Enlace Plus (HMO) TRIPLE S ADVANTAGE, INC. T4 No $0 PR
ContigoEnMente (HMO C-SNP) TRIPLE S ADVANTAGE, INC. T4 No $0 PR
Ahorro Plus (HMO) TRIPLE S ADVANTAGE, INC. T4 No $0 PR
Prominence Plus (HMO) PROMINENCE HEALTHFIRST T4 No $0 NV
Prominence Plus (HMO) PROMINENCE HEALTHFIRST T4 No $0 NV
Prominence Dual (HMO D-SNP) PROMINENCE HEALTHFIRST T4 No $0 NV
Prominence Dual (HMO D-SNP) PROMINENCE HEALTHFIRST T4 No $0 NV
Prominence Giveback (HMO) PROMINENCE HEALTHFIRST T4 No $0 NV
Prominence Plus (HMO) PROMINENCE HEALTHFIRST OF FLORIDA INC T4 No $0 FL
Prominence Giveback (HMO) PROMINENCE HEALTHFIRST OF FLORIDA INC T4 No $0 FL
Prominence Plus (HMO) PROMINENCE HEALTHFIRST OF TEXAS T4 No $0 TX
Prominence Plus (HMO) PROMINENCE HEALTHFIRST OF TEXAS T4 No $0 TX
Prominence Dual (HMO D-SNP) PROMINENCE HEALTHFIRST OF TEXAS T4 No $0 TX
Prominence Extra Help (HMO) PROMINENCE HEALTHFIRST OF TEXAS T4 No $0 TX
Prominence Beyond (HMO) PROMINENCE HEALTHFIRST OF TEXAS T4 No $0 TX
Prominence Giveback (HMO) PROMINENCE HEALTHFIRST OF TEXAS T4 No $0 TX
Prominence Giveback (HMO) PROMINENCE HEALTHFIRST OF TEXAS T4 No $0 TX
Prominence Dual (HMO D-SNP) PROMINENCE HEALTHFIRST OF TEXAS T4 No $0 TX
Prominence Beyond (HMO-POS) PROMINENCE HEALTHFIRST OF TEXAS T4 No $0 TX
Prominence Dual (HMO D-SNP) PROMINENCE HEALTHFIRST OF FLORIDA INC T4 No $0 FL
Prominence Diabetes and Heart Giveback (HMO C-SNP) PROMINENCE HEALTHFIRST T4 No $0 NV
Prominence Diabetes and Heart Giveback (HMO C-SNP) PROMINENCE HEALTHFIRST OF FLORIDA INC T4 No $0 FL
Prominence Diabetes and Heart Giveback (HMO C-SNP) PROMINENCE HEALTHFIRST OF TEXAS T4 No $0 TX
Prominence Diabetes and Heart Care Plus (HMO C-SNP) PROMINENCE HEALTHFIRST OF TEXAS T4 No $0 TX
Prominence Diabetes and Heart Giveback (HMO C-SNP) PROMINENCE HEALTHFIRST OF TEXAS T4 No $0 TX
Prominence Extra Help (HMO) PROMINENCE HEALTHFIRST T4 No $4.20 NV
Prominence Extra Help (HMO) PROMINENCE HEALTHFIRST OF FLORIDA INC T4 No $4.80 FL
Prominence Extra Help (HMO) PROMINENCE HEALTHFIRST OF TEXAS T4 No $4.80 TX
Prominence Extra Help (HMO) PROMINENCE HEALTHFIRST T4 No $9.50 NV
Health First Value H1099-006 (HMO) HEALTH FIRST HEALTH PLANS T4 No $15.00 FL
Health New England Medicare Premium (HMO) HEALTH NEW ENGLAND, INC. T4 No $15.80 MA

Frequently Asked Questions

Is nitroglycerin 0.004 MG/MG Rectal Ointment [Rectiv] covered by Medicare Part D?

Yes, nitroglycerin 0.004 MG/MG Rectal Ointment [Rectiv] is covered by 52 Medicare Part D plans (1% of all Part D formularies).

What tier is nitroglycerin 0.004 MG/MG Rectal Ointment [Rectiv] on Medicare Part D plans?

nitroglycerin 0.004 MG/MG Rectal Ointment [Rectiv] averages Tier 3.3 across Part D plans, ranging from Tier 1 to Tier 4.

Does nitroglycerin 0.004 MG/MG Rectal Ointment [Rectiv] require prior authorization?

0% of Part D formularies require prior authorization for nitroglycerin 0.004 MG/MG Rectal Ointment [Rectiv]. Step therapy: 0%. Quantity limits: 77.8%.

How much does Medicare spend on nitroglycerin 0.004 MG/MG Rectal Ointment [Rectiv]?

In 2023, total Medicare Part D spending on nitroglycerin 0.004 MG/MG Rectal Ointment [Rectiv] was $46,051,994, covering 1,348,161 beneficiaries. The average spend per beneficiary was $34.16.

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