olanzapine 10 MG Injection [Zyprexa]
olanzapine
RxCUI: 545353
What the CMS Formulary Data Shows for olanzapine 10 MG Injection [Zyprexa]
Per the CMS 2026 Part D formulary file, olanzapine 10 MG Injection [Zyprexa] (RxNorm concept RXCUI 545353, generic name olanzapine) appears on 8 distinct formulary files spanning 855 Medicare Part D plan offerings - 16.9% 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 3.6.
Real-world access to olanzapine 10 MG Injection [Zyprexa] depends on utilization management as much as tier placement: 12.5% of covering formularies require prior authorization. 0% require step therapy. 12.5% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 516,737 Part D beneficiaries filled olanzapine 10 MG Injection [Zyprexa] in 2023, with total plan-and-beneficiary spending of $127,379,077 and an average per-beneficiary annual cost of $246.51. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry olanzapine 10 MG Injection [Zyprexa] today.
Coverage Details
- Formularies covering
- 8
- Plans covering
- 855
- Coverage rate
- 16.9%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 12.5% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 12.5% of formularies
2023 Medicare Spending
- Beneficiaries
- 516,737
- Total spending
- $127,379,077
- Avg per beneficiary
- $246.51
Tier Distribution Across Plans
Standalone Drug Plans (PDP) Covering olanzapine 10 MG Injection [Zyprexa]
26 standalone prescription drug plans include this drug.
| Plan | Insurer | Tier | PA | ST | Premium | States |
|---|---|---|---|---|---|---|
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T4 | No | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T4 | No | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T4 | No | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T4 | No | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T4 | No | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T4 | No | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T4 | No | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T4 | No | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T4 | No | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T4 | No | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T4 | No | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T4 | No | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T4 | No | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T4 | No | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T4 | No | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T4 | No | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T4 | No | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T4 | No | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T4 | No | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T4 | No | No | $0 | - |
| Humana Basic Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T4 | No | No | $0 | - |
| Humana Value Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T4 | No | No | $0 | - |
| Humana Value Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T4 | No | No | $0 | - |
| Humana Value Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T4 | No | No | $0 | - |
| Humana Value Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T4 | No | No | $0 | - |
| Humana Value Rx Plan (PDP) | Humana Insurance Co. & Humana Insurance Co. of NY | T4 | No | No | $0 | - |
Medicare Advantage Plans (MA-PD) Covering olanzapine 10 MG Injection [Zyprexa]
74 Medicare Advantage plans with Part D drug coverage include this drug.
Frequently Asked Questions
Is olanzapine 10 MG Injection [Zyprexa] covered by Medicare Part D?
Yes, olanzapine 10 MG Injection [Zyprexa] is covered by 855 Medicare Part D plans (16.9% of all Part D formularies).
What tier is olanzapine 10 MG Injection [Zyprexa] on Medicare Part D plans?
olanzapine 10 MG Injection [Zyprexa] averages Tier 3.6 across Part D plans, ranging from Tier 1 to Tier 4.
Does olanzapine 10 MG Injection [Zyprexa] require prior authorization?
12.5% of Part D formularies require prior authorization for olanzapine 10 MG Injection [Zyprexa]. Step therapy: 0%. Quantity limits: 12.5%.
How much does Medicare spend on olanzapine 10 MG Injection [Zyprexa]?
In 2023, total Medicare Part D spending on olanzapine 10 MG Injection [Zyprexa] was $127,379,077, covering 516,737 beneficiaries. The average spend per beneficiary was $246.51.
Read our methodology - how this data is sourced, computed, and verified.