Medicare Part D coverage · penicillin G sodium · RxCUI 745302
penicillin G sodium 100000 UNT/ML Injectable Solution
Per the CMS 2026 Part D formulary file, penicillin G sodium 100000 UNT/ML Injectable Solution is covered by 4,510 Medicare Part D plans (89.3% of enrollable products), averaging Tier 3.1, with prior authorization required on 10.1% of covering formularies.
- 89.3%
- Plan coverage
- 4,510
- Plans covering
- T3.1
- Avg tier
- 10.1%
- Prior auth required
What the CMS Formulary Data Shows for penicillin G sodium 100000 UNT/ML Injectable Solution
Per the CMS 2026 Part D formulary file, penicillin G sodium 100000 UNT/ML Injectable Solution (RxNorm concept RXCUI 745302, generic name penicillin G sodium) appears on 238 distinct formulary files spanning 4,510 Medicare Part D plan offerings - 89.3% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 6, with a cross-plan average of Tier 3.1.
Real-world access to penicillin G sodium 100000 UNT/ML Injectable Solution depends on utilization management as much as tier placement: 10.1% 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 53 Part D beneficiaries filled penicillin G sodium 100000 UNT/ML Injectable Solution in 2023, with total plan-and-beneficiary spending of $116,855 and an average per-beneficiary annual cost of $2,204.80. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry penicillin G sodium 100000 UNT/ML Injectable Solution today.
Coverage Details
- Formularies covering
- 238
- Plans covering
- 4,510
- Coverage rate
- 89.3%
- Tier range
- Tier 1 – Tier 6
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 10.1% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 53
- Total spending
- $116,855
- Avg per beneficiary
- $2,204.80
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering penicillin G sodium 100000 UNT/ML Injectable Solution
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Sentara Community Complete Select (HMO D-SNP) | Sentara Health Plans | T1 | No | $0 | VA |
| Sentara Community Complete (HMO D-SNP) | Sentara Health Plans | T1 | No | $0 | VA |
| Florida Complete Care-Duals VIP (HMO-POS D-SNP) | Hpmp OF Florida, Inc. | T1 | No | $0 | FL |
| ElderServe MAP (HMO D-SNP) | Elderserve Health, Inc. | T1 | Yes | $0 | NY |
| Cooperative Advantage (HMO D-SNP) | Group Health Cooperative OF EAU Claire | T1 | Yes | $0 | WI |
| Longevity Health Plan (PPO I-SNP) | Longevity Health Plan OF NEW Jersey Insurance Comp | T1 | Yes | $0 | NJ |
| Mercy Care Advantage (HMO D-SNP) | Mercy Care | T1 | No | $0 | AZ |
| Mercy Care Advantage (HMO D-SNP) | Mercy Care | T1 | No | $0 | AZ |
| Mercy Care Advantage (HMO D-SNP) | Mercy Care | T1 | No | $0 | AZ |
| Elderplan Plus Long-Term Care (HMO-POS D-SNP) | Elderplan, Inc. | T1 | No | $0 | NY |
| Health Choice Pathway (HMO D-SNP) | Health Choice Arizona, Inc. | T1 | No | $0 | AZ |
| Healthfirst CompleteCare (HMO D-SNP) | Healthfirst Health Plan, Inc. | T1 | No | $0 | NY |
| IMCare Classic (HMO D-SNP) | Itasca Medical Care | T1 | No | $0 | MN |
| Johns Hopkins Advantage MD D-SNP (HMO D-SNP) | Hopkins Health Advantage, Inc. | T1 | No | $0 | MD |
| MetroPlus UltraCare (HMO D-SNP) | Metroplus Health Plan, Inc. | T1 | No | $0 | NY |
| Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP) | Upper Peninsula Health Plan, LLC | T1 | Yes | $0 | MI |
| CareSource Dual Advantage (HMO D-SNP) | Caresource Georgia Co. | T1 | Yes | $0 | GA |
| Senior Whole Health SCO (HMO D-SNP) | Senior Whole Health, LLC | T1 | No | $0 | MA |
| Senior Whole Health SCO NHC (HMO D-SNP) | Senior Whole Health, LLC | T1 | No | $0 | MA |
| Molina One Care (HMO D-SNP) | Senior Whole Health, LLC | T1 | No | $0 | MA |
Show the next 30 plans
| HAP CareSource MI Coordinated Health (HMO D-SNP) | HAP Caresource | T1 | Yes | $0 | MI |
| PruittHealth Premier D-SNP (HMO D-SNP) | Pruitthealth Premier, Inc. | T1 | No | $0 | GA |
| Simpra Advantage Dual Care (PPO D-SNP) | Simpra Advantage, Inc. | T1 | No | $0 | AL |
| 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 | No | $0 | CA |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | Health Care Service Corporation | T1 | No | $0 | NM |
| Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) | Health Care Service Corporation | T1 | No | $0 | NM |
| SecureBlue (HMO D-SNP) | HMO Minnesota | T1 | No | $0 | MN |
| NaviCare (HMO D-SNP) | Fallon Community Health Plan | T1 | No | $0 | MA |
| Hamaspik Medicare Choice (HMO D-SNP) | Hamaspik, Inc. | T1 | No | $0 | NY |
| SeniorCare Complete (HMO D-SNP) | South Country Health Alliance | T1 | No | $0 | MN |
| AbilityCare (HMO D-SNP) | South Country Health Alliance | T1 | No | $0 | MN |
| Alameda Alliance Wellness (HMO D-SNP) | Alameda Alliance FOR Health | T1 | No | $0 | CA |
| CCA One Care (HMO D-SNP) | Commonwealth Care Alliance, Inc. | T1 | No | $0 | MA |
| CCA Senior Care Options (HMO D-SNP) | Commonwealth Care Alliance, Inc. | T1 | No | $0 | MA |
| Provider Partners Pennsylvania Community Plan (HMO I-SNP) | Provider Partners Health Plan OF Pennsylvania, Inc | T1 | No | $0 | PA |
| Provider Partners North Carolina Community Plan (HMO I-SNP) | Provider Partners Health Plan OF North Carolina | T1 | No | $0 | NC |
| Provider Partners Indiana Community Plan (HMO I-SNP) | Provider Partners Health Plan OF Indiana | T1 | No | $0 | IN |
| Provider Partners Missouri Community Plan (HMO I-SNP) | Provider Partners Health Plan OF Missouri, Inc. | T1 | No | $0 | MO |
| Community Care's Partnership Program (HMO D-SNP) | Community Care Health Plan, Inc. | T1 | No | $0 | WI |
| Platino Blindao (HMO D-SNP) | Triple S Advantage, Inc. | T1 | Yes | $0 | PR |
| Platino Enlace (HMO D-SNP) | Triple S Advantage, Inc. | T1 | Yes | $0 | PR |
| Platino Advance (HMO D-snp) | Triple S Advantage, Inc. | T1 | Yes | $0 | PR |
| Platino Plus (HMO D-snp) | Triple S Advantage, Inc. | T1 | Yes | $0 | PR |
| CalOptima Health OneCare Complete (HMO D-SNP) | Orange County Health Authority | T1 | No | $0 | CA |
| Mass General Brigham SCO (HMO D-SNP) | Mass General Brigham Health Plan, Inc | T1 | No | $0 | MA |
| Mass General Brigham One Care (HMO D-SNP) | Mass General Brigham Health Plan, Inc | T1 | No | $0 | MA |
| Tufts Health One Care (HMO D-SNP) | Tufts Health Public Plans, Inc. | T1 | No | $0 | MA |
| Tufts Health One Care CW (HMO D-SNP) | Tufts Health Public Plans, Inc. | T1 | No | $0 | MA |
| Tufts Health Plan Senior Care Options (HMO D-SNP) | Tufts Associated Health Maintenance Organization | T1 | No | $0 | MA |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is penicillin G sodium 100000 UNT/ML Injectable Solution covered by Medicare Part D?
Yes, penicillin G sodium 100000 UNT/ML Injectable Solution is covered by 4,510 Medicare Part D plans (89.3% of all Part D formularies).
What tier is penicillin G sodium 100000 UNT/ML Injectable Solution on Medicare Part D plans?
penicillin G sodium 100000 UNT/ML Injectable Solution averages Tier 3.1 across Part D plans, ranging from Tier 1 to Tier 6.
Does penicillin G sodium 100000 UNT/ML Injectable Solution require prior authorization?
10.1% of Part D formularies require prior authorization for penicillin G sodium 100000 UNT/ML Injectable Solution. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on penicillin G sodium 100000 UNT/ML Injectable Solution?
In 2023, total Medicare Part D spending on penicillin G sodium 100000 UNT/ML Injectable Solution was $116,855, covering 53 beneficiaries. The average spend per beneficiary was $2,204.80.
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
- aprepitant 125 MG Oral Capsule T3.1
- isotretinoin 30 MG Oral Capsule [Claravis] T3.1
- 3 ML insulin, regular, human 500 UNT/ML Pen Injector [Humulin R] T3.1
- Abuse-Deterrent 24 HR hydrocodone bitartrate 20 MG Extended Release Oral Tablet T3.1
- magnesium chloride 0.00148 MEQ/ML / potassium chloride 0.00497 MEQ/ML / sodium acetate 0.027 MEQ/ML / sodium chloride 0.0899 MEQ/ML / sodium gluconate 5.02 MG/ML Injectable Solution [Plasmalyte A] T3.1
- itraconazole 10 MG/ML Oral Solution T3.1
Similar prior-authorization rate
- 100 ML metronidazole 5 MG/ML Injection 10.1% PA
- cefuroxime 750 MG Injection 10.1% PA
- cefuroxime 1500 MG Injection 10.1% PA
- tobramycin 40 MG/ML Injectable Solution 10.1% PA
- cefoxitin 1000 MG Injection 10.1% PA
- cefoxitin 2000 MG Injection 10.1% PA