Medicare Part D coverage · oxazepam · RxCUI 198057
oxazepam 10 MG Oral Capsule
Per the CMS 2026 Part D formulary file, oxazepam 10 MG Oral Capsule is covered by 1,393 Medicare Part D plans (27.6% of enrollable products), averaging Tier 3.2, with prior authorization required on 42.6% of covering formularies.
- 27.6%
- Plan coverage
- 1,393
- Plans covering
- T3.2
- Avg tier
- 42.6%
- Prior auth required
What the CMS Formulary Data Shows for oxazepam 10 MG Oral Capsule
Per the CMS 2026 Part D formulary file, oxazepam 10 MG Oral Capsule (RxNorm concept RXCUI 198057, generic name oxazepam) appears on 54 distinct formulary files spanning 1,393 Medicare Part D plan offerings - 27.6% 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 3.2.
Real-world access to oxazepam 10 MG Oral Capsule depends on utilization management as much as tier placement: 42.6% of covering formularies require prior authorization. 0% require step therapy. 81.5% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 6,587 Part D beneficiaries filled oxazepam 10 MG Oral Capsule in 2023, with total plan-and-beneficiary spending of $2,352,897 and an average per-beneficiary annual cost of $357.20. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry oxazepam 10 MG Oral Capsule today.
Coverage Details
- Formularies covering
- 54
- Plans covering
- 1,393
- Coverage rate
- 27.6%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 42.6% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 81.5% of formularies
2023 Medicare Spending
- Beneficiaries
- 6,587
- Total spending
- $2,352,897
- Avg per beneficiary
- $357.20
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering oxazepam 10 MG Oral Capsule
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| CareAdvantage (HMO D-SNP) | SAN Mateo Health Commission | T1 | No | $0 | CA |
| Gold Coast Health Plan Total Care Advantage (HMO D-SNP) | Ventura County Medi-Cal Managed Care Commission | T1 | Yes | $0 | CA |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | Health Care Service Corporation | T1 | Yes | $0 | NM |
| Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) | Health Care Service Corporation | T1 | Yes | $0 | NM |
| SecureBlue (HMO D-SNP) | HMO Minnesota | T1 | Yes | $0 | MN |
| Hamaspik Medicare Choice (HMO D-SNP) | Hamaspik, Inc. | T1 | Yes | $0 | NY |
| PHP (HMO C-snp) | Aids Healthcare Foundation | T1 | No | $0 | CA |
| VNS Health Total (HMO D-SNP) | VNS Choice | T1 | No | $0 | NY |
| Community Care's Partnership Program (HMO D-SNP) | Community Care Health Plan, Inc. | T1 | No | $0 | WI |
| CalOptima Health OneCare Complete (HMO D-SNP) | Orange County Health Authority | T1 | Yes | $0 | CA |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | Hcsc Insurance Services Company | T1 | Yes | $4.80 | TX |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | Gold Kidney OF Florida Inc | T1 | No | $4.80 | FL |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | GHS Insurance Company | T1 | Yes | $5.00 | OK |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | Gold Kidney OF Arizona | T1 | No | $17.00 | AZ |
| Hamaspik Medicare Select (HMO D-SNP) | Hamaspik, Inc. | T1 | Yes | $34.50 | NY |
| VNS Health EasyCare Plus (HMO D-SNP) | VNS Choice | T1 | No | $51.60 | NY |
| HealthSun HealthAdvantage Plan (HMO) | Healthsun Health Plans, Inc. | T2 | No | $0 | FL |
| HealthSun MediMax (HMO) | Healthsun Health Plans, Inc. | T2 | No | $0 | FL |
| HealthSun HealthAdvantage Plan (HMO) | Healthsun Health Plans, Inc. | T2 | No | $0 | FL |
| HealthSun HealthAdvantage Plan (HMO) | Healthsun Health Plans, Inc. | T2 | No | $0 | FL |
Show the next 30 plans
| HealthSun MediSun Plus (HMO D-SNP) | Healthsun Health Plans, Inc. | T2 | No | $0 | FL |
| HealthSun HealthAdvantage Plus (HMO) | Healthsun Health Plans, Inc. | T2 | No | $0 | FL |
| HealthSun HealthAdvantage Plus (HMO) | Healthsun Health Plans, Inc. | T2 | No | $0 | FL |
| HealthSun MediSun Extra (HMO D-SNP) | Healthsun Health Plans, Inc. | T2 | No | $0 | FL |
| HealthSun HealthAdvantage Plus (HMO) | Healthsun Health Plans, Inc. | T2 | No | $0 | FL |
| HealthSun VitalCare (HMO C-SNP) | Healthsun Health Plans, Inc. | T2 | No | $0 | FL |
| HealthSun VitalCare (HMO C-SNP) | Healthsun Health Plans, Inc. | T2 | No | $0 | FL |
| HealthSun MediSun Full Dual Plus (HMO D-SNP) | Healthsun Health Plans, Inc. | T2 | No | $0 | FL |
| HealthSun MediSun Full Dual Extra (HMO D-SNP) | Healthsun Health Plans, Inc. | T2 | No | $0 | FL |
| Simply Complete (HMO D-SNP) | Simply Healthcare Plans, Inc. | T2 | No | $0 | FL |
| Simply More (HMO) | Simply Healthcare Plans, Inc. | T2 | No | $0 | FL |
| Simply Complete (HMO D-SNP) | Simply Healthcare Plans, Inc. | T2 | No | $0 | FL |
| Simply Level (HMO C-SNP) | Simply Healthcare Plans, Inc. | T2 | No | $0 | FL |
| Simply Level (HMO C-SNP) | Simply Healthcare Plans, Inc. | T2 | No | $0 | FL |
| Simply More (HMO) | Simply Healthcare Plans, Inc. | T2 | No | $0 | FL |
| Simply Level (HMO C-SNP) | Simply Healthcare Plans, Inc. | T2 | No | $0 | FL |
| Simply More (HMO) | Simply Healthcare Plans, Inc. | T2 | No | $0 | FL |
| Simply Level (HMO C-SNP) | Simply Healthcare Plans, Inc. | T2 | No | $0 | FL |
| Simply Complete (HMO D-SNP) | Simply Healthcare Plans, Inc. | T2 | No | $0 | FL |
| Simply More (HMO) | Simply Healthcare Plans, Inc. | T2 | No | $0 | FL |
| Simply More (HMO) | Simply Healthcare Plans, Inc. | T2 | No | $0 | FL |
| Simply Level (HMO C-SNP) | Simply Healthcare Plans, Inc. | T2 | No | $0 | FL |
| Simply Complete (HMO D-SNP) | Simply Healthcare Plans, Inc. | T2 | No | $0 | FL |
| Simply More (HMO) | Simply Healthcare Plans, Inc. | T2 | No | $0 | FL |
| Simply Extra (HMO) | Simply Healthcare Plans, Inc. | T2 | No | $0 | FL |
| Simply Extra Platinum (HMO) | Simply Healthcare Plans, Inc. | T2 | No | $0 | FL |
| Simply More Platinum (HMO) | Simply Healthcare Plans, Inc. | T2 | No | $0 | FL |
| Simply Complete Platinum (HMO D-SNP) | Simply Healthcare Plans, Inc. | T2 | No | $0 | FL |
| Simply Level Platinum (HMO C-SNP) | Simply Healthcare Plans, Inc. | T2 | No | $0 | FL |
| Simply Extra Platinum (HMO) | Simply Healthcare Plans, Inc. | T2 | No | $0 | FL |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is oxazepam 10 MG Oral Capsule covered by Medicare Part D?
Yes, oxazepam 10 MG Oral Capsule is covered by 1,393 Medicare Part D plans (27.6% of all Part D formularies).
What tier is oxazepam 10 MG Oral Capsule on Medicare Part D plans?
oxazepam 10 MG Oral Capsule averages Tier 3.2 across Part D plans, ranging from Tier 1 to Tier 4.
Does oxazepam 10 MG Oral Capsule require prior authorization?
42.6% of Part D formularies require prior authorization for oxazepam 10 MG Oral Capsule. Step therapy: 0%. Quantity limits: 81.5%.
How much does Medicare spend on oxazepam 10 MG Oral Capsule?
In 2023, total Medicare Part D spending on oxazepam 10 MG Oral Capsule was $2,352,897, covering 6,587 beneficiaries. The average spend per beneficiary was $357.20.
Read our methodology - how this data is sourced, computed, and verified.
Nationwide similar Part D drugs
Data-derived peers across the CMS Part D formulary extract: nearest average tier placement and nearest prior-authorization rate. Not therapeutic alternatives or same-generic strengths.
Closest average formulary tier
- vortioxetine 10 MG Oral Tablet [Trintellix] T3.2
- benzoyl peroxide 0.05 MG/MG / erythromycin 0.03 MG/MG Topical Gel T3.2
- arformoterol 0.0075 MG/ML Inhalation Solution T3.2
- magnesium sulfate 225 MG / potassium chloride 188 MG / sodium sulfate 1479 MG Oral Tablet [Sutab] T3.2
- crisaborole 0.02 MG/MG Topical Ointment [Eucrisa] T3.2
- {56 (amoxicillin 500 MG Oral Capsule) / 28 (clarithromycin 500 MG Oral Tablet) / 28 (vonoprazan 20 MG Oral Tablet) } Pack [Voquezna 14 Day TriplePak 20;500;500] T3.2
Similar prior-authorization rate
- ivabradine 5 MG Oral Tablet 42.7% PA
- 8 HR methylphenidate hydrochloride 20 MG Extended Release Oral Tablet 42.8% PA
- dicyclomine hydrochloride 2 MG/ML Oral Solution 42.3% PA
- bupropion hydrochloride 105 MG / dextromethorphan hydrobromide 45 MG Extended Release Oral Tablet [Auvelity] 43% PA
- dipyridamole 50 MG Oral Tablet 42.2% PA
- dipyridamole 75 MG Oral Tablet 42.2% PA