phenoxybenzamine hydrochloride 10 MG Oral Capsule
phenoxybenzamine hydrochloride
RxCUI: 861402
What the CMS Formulary Data Shows for phenoxybenzamine hydrochloride 10 MG Oral Capsule
Per the CMS 2026 Part D formulary file, phenoxybenzamine hydrochloride 10 MG Oral Capsule (RxNorm concept RXCUI 861402, generic name phenoxybenzamine hydrochloride) appears on 75 distinct formulary files spanning 655 Medicare Part D plan offerings - 12.9% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 5, with a cross-plan average of Tier 4.5.
Real-world access to phenoxybenzamine hydrochloride 10 MG Oral Capsule depends on utilization management as much as tier placement: 26.7% of covering formularies require prior authorization. 0% require step therapy. 2.7% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 157 Part D beneficiaries filled phenoxybenzamine hydrochloride 10 MG Oral Capsule in 2023, with total plan-and-beneficiary spending of $4,461,275 and an average per-beneficiary annual cost of $28,415.77. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry phenoxybenzamine hydrochloride 10 MG Oral Capsule today.
Coverage Details
- Formularies covering
- 75
- Plans covering
- 655
- Coverage rate
- 12.9%
- Tier range
- Tier 1 – Tier 5
- Average tier
- Tier 5, Specialty
Restrictions
- Prior authorization required
- 26.7% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 2.7% of formularies
2023 Medicare Spending
- Beneficiaries
- 157
- Total spending
- $4,461,275
- Avg per beneficiary
- $28,415.77
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering phenoxybenzamine hydrochloride 10 MG Oral Capsule
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| 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 |
| Horizon NJ TotalCare (HMO D-SNP) | HORIZON HEALTHCARE OF NEW JERSEY, INC. | T1 | No | $0 | NJ |
| SecureBlue (HMO D-SNP) | HMO Minnesota | T1 | No | $0 | MN |
| Hamaspik Medicare Choice (HMO D-SNP) | HAMASPIK, INC. | T1 | No | $0 | NY |
| SeniorCare Complete (HMO D-SNP) | SOUTH COUNTRY HEALTH ALLIANCE | T1 | Yes | $0 | MN |
| AbilityCare (HMO D-SNP) | SOUTH COUNTRY HEALTH ALLIANCE | T1 | Yes | $0 | MN |
| Alameda Alliance Wellness (HMO D-SNP) | ALAMEDA ALLIANCE FOR HEALTH | T1 | Yes | $0 | CA |
| 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 | No | $4.80 | TX |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | GHS INSURANCE COMPANY | T1 | No | $5.00 | OK |
| Hamaspik Medicare Select (HMO D-SNP) | HAMASPIK, INC. | T1 | No | $34.50 | NY |
| Aspire Health Protect (HMO) | ASPIRE HEALTH PLAN | T2 | No | $0 | CA |
| Aspire Health Value (HMO) | ASPIRE HEALTH PLAN | T2 | No | $22.60 | CA |
| Aspire Health Advantage (HMO) | ASPIRE HEALTH PLAN | T2 | No | $44.80 | CA |
| Aspire Health Plus (HMO-POS) | ASPIRE HEALTH PLAN | T2 | No | $119.20 | CA |
| Geisinger Gold Preferred Complete Rx (PPO) | GEISINGER INDEMNITY INSURANCE COMPANY | T4 | Yes | $0 | PA |
| Geisinger Gold Secure Rx (HMO D-SNP) | GEISINGER HEALTH PLAN | T4 | Yes | $0 | PA |
| Geisinger Gold Classic 360 Rx (HMO) | GEISINGER HEALTH PLAN | T4 | Yes | $0 | PA |
| Geisinger Gold Classic Essential Rx (HMO) | GEISINGER HEALTH PLAN | T4 | Yes | $0 | PA |
| Geisinger Gold Value Rx (HMO) | GEISINGER HEALTH PLAN | T4 | Yes | $23.00 | PA |
| Geisinger Gold Classic Complete Rx (HMO) | GEISINGER HEALTH PLAN | T4 | Yes | $48.00 | PA |
| Geisinger Gold Classic Advantage Rx (HMO) | GEISINGER HEALTH PLAN | T4 | Yes | $99.30 | PA |
| Geisinger Gold Preferred Advantage Rx (PPO) | GEISINGER INDEMNITY INSURANCE COMPANY | T4 | Yes | $112.00 | PA |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T5 | Yes | $0 | UT |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T5 | Yes | $0 | NV |
| Select Health Medicare Dual (HMO D-SNP) | SELECTHEALTH, INC. | T5 | Yes | $0 | UT |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T5 | Yes | $0 | UT |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T5 | Yes | $0 | NV |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T5 | Yes | $0 | UT |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T5 | Yes | $0 | CO |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T5 | Yes | $0 | CO |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T5 | Yes | $0 | CO |
| Select Health Medicare Flex (HMO) | SELECTHEALTH, INC. | T5 | Yes | $0 | CO |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T5 | Yes | $0 | CO |
| Select Health Medicare Active (HMO) | SELECTHEALTH, INC. | T5 | Yes | $0 | CO |
| Select Health Medicare Dual (HMO D-SNP) | SELECTHEALTH, INC. | T5 | Yes | $0 | NV |
| Select Health Medicare Wellness (HMO) | SELECTHEALTH, INC. | T5 | Yes | $0 | NV |
| Medicare BlueEssential (PPO) | EXCELLUS HEALTH PLAN, INC. | T5 | No | $0 | NY |
| Medicare BlueActive (PPO) | EXCELLUS HEALTH PLAN, INC. | T5 | No | $0 | NY |
| Medicare BlueVital (PPO) | EXCELLUS HEALTH PLAN, INC. | T5 | No | $0 | NY |
| Univera SeniorChoice Basic (HMO) | EXCELLUS HEALTH PLAN, INC. | T5 | No | $0 | NY |
| Univera SeniorChoice Extra (HMO) | EXCELLUS HEALTH PLAN, INC. | T5 | No | $0 | NY |
| Medicare Blue Choice Core (HMO) | EXCELLUS HEALTH PLAN, INC. | T5 | No | $0 | NY |
| Univera Medicare Dual (HMO D-SNP) | EXCELLUS HEALTH PLAN COMMUNITY CARE LLC | T5 | No | $0 | NY |
| Medicare Blue Dual (HMO D-SNP) | EXCELLUS HEALTH PLAN COMMUNITY CARE LLC | T5 | No | $0 | NY |
| HealthSpring Preferred (HMO) | BRAVO HEALTH PENNSYLVANIA, INC. | T5 | No | $0 | AZ |
| HealthSpring Alliance (HMO) | BRAVO HEALTH PENNSYLVANIA, INC. | T5 | No | $0 | AZ |
| HealthSpring Preferred Savings (HMO) | BRAVO HEALTH PENNSYLVANIA, INC. | T5 | No | $0 | AZ |
Frequently Asked Questions
Is phenoxybenzamine hydrochloride 10 MG Oral Capsule covered by Medicare Part D?
Yes, phenoxybenzamine hydrochloride 10 MG Oral Capsule is covered by 655 Medicare Part D plans (12.9% of all Part D formularies).
What tier is phenoxybenzamine hydrochloride 10 MG Oral Capsule on Medicare Part D plans?
phenoxybenzamine hydrochloride 10 MG Oral Capsule averages Tier 4.5 across Part D plans, ranging from Tier 1 to Tier 5.
Does phenoxybenzamine hydrochloride 10 MG Oral Capsule require prior authorization?
26.7% of Part D formularies require prior authorization for phenoxybenzamine hydrochloride 10 MG Oral Capsule. Step therapy: 0%. Quantity limits: 2.7%.
How much does Medicare spend on phenoxybenzamine hydrochloride 10 MG Oral Capsule?
In 2023, total Medicare Part D spending on phenoxybenzamine hydrochloride 10 MG Oral Capsule was $4,461,275, covering 157 beneficiaries. The average spend per beneficiary was $28,415.77.
Read our methodology - how this data is sourced, computed, and verified.