pitavastatin calcium 4 MG Oral Tablet
pitavastatin calcium
RxCUI: 861652
What the CMS Formulary Data Shows for pitavastatin calcium 4 MG Oral Tablet
Per the CMS 2026 Part D formulary file, pitavastatin calcium 4 MG Oral Tablet (RxNorm concept RXCUI 861652, generic name pitavastatin calcium) appears on 147 distinct formulary files spanning 1,640 Medicare Part D plan offerings - 32.4% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 6, with a cross-plan average of Tier 2.3.
Real-world access to pitavastatin calcium 4 MG Oral Tablet depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 14.3% require step therapy. 74.1% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 70,926 Part D beneficiaries filled pitavastatin calcium 4 MG Oral Tablet in 2023, with total plan-and-beneficiary spending of $189,914,605 and an average per-beneficiary annual cost of $2,677.64. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry pitavastatin calcium 4 MG Oral Tablet today.
Coverage Details
- Formularies covering
- 147
- Plans covering
- 1,640
- Coverage rate
- 32.4%
- Tier range
- Tier 1 – Tier 6
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 14.3% of formularies
- Quantity limits
- 74.1% of formularies
2023 Medicare Spending
- Beneficiaries
- 70,926
- Total spending
- $189,914,605
- Avg per beneficiary
- $2,677.64
Tier Distribution Across Plans
Standalone Drug Plans (PDP) Covering pitavastatin calcium 4 MG Oral Tablet
9 standalone prescription drug plans include this drug.
| Plan | Insurer | Tier | PA | ST | Premium | States |
|---|---|---|---|---|---|---|
| HealthSpring Assurance Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T1 | No | No | $0 | - |
| HealthSpring Assurance Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T1 | No | No | $0 | - |
| HealthSpring Assurance Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T1 | No | No | $0 | - |
| HealthSpring Assurance Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T1 | No | No | $0 | - |
| HealthSpring Assurance Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T1 | No | No | $0 | - |
| HealthSpring Assurance Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T1 | No | No | $0 | - |
| HealthSpring Assurance Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T1 | No | No | $0 | - |
| HealthSpring Assurance Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T1 | No | No | $0 | - |
| HealthSpring Assurance Rx (PDP) | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | T1 | No | No | $0 | - |
Medicare Advantage Plans (MA-PD) Covering pitavastatin calcium 4 MG Oral Tablet
91 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | UT |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | NV |
| Select Health Medicare Dual (HMO D-SNP) | SELECTHEALTH, INC. | T1 | No | $0 | UT |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | UT |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | NV |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | UT |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | CO |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | CO |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | CO |
| Select Health Medicare Flex (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | CO |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | CO |
| Select Health Medicare Active (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | CO |
| Select Health Medicare Dual (HMO D-SNP) | SELECTHEALTH, INC. | T1 | No | $0 | NV |
| Select Health Medicare Wellness (HMO) | SELECTHEALTH, INC. | T1 | No | $0 | NV |
| ElderServe MAP (HMO D-SNP) | ELDERSERVE HEALTH, INC. | T1 | No | $0 | NY |
| The Health Plan SecureCare - Option II (HMO) | THE HEALTH PLAN OF WEST VIRGINIA, INC. | T1 | No | $0 | OH |
| The Health Plan SecureCare - Option II (HMO) | THE HEALTH PLAN OF WEST VIRGINIA, INC. | T1 | No | $0 | OH, WV |
| The Health Plan SecureCare Capitol Plan (HMO) | THE HEALTH PLAN OF WEST VIRGINIA, INC. | T1 | No | $0 | WV |
| The Health Plan SecureChoice Optimum (PPO) | THP INSURANCE COMPANY | T1 | No | $0 | OH, WV |
| Cooperative Advantage (HMO D-SNP) | GROUP HEALTH COOPERATIVE OF EAU CLAIRE | T1 | No | $0 | WI |
| WellSense Signature (HMO) | BOSTON MEDICAL CENTER HEALTH PLAN, INC. | T1 | No | $0 | NH |
| WellSense Signature Access (PPO) | BOSTON MEDICAL CENTER HEALTH PLAN, INC. | T1 | No | $0 | NH |
| Longevity Health Plan (PPO I-SNP) | LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP | T1 | No | $0 | NJ |
| Essence Advantage (HMO) | ESSENCE HEALTHCARE, INC. | T1 | No | $0 | IL, MO |
| Essence Advantage (HMO) | ESSENCE HEALTHCARE, INC. | T1 | No | $0 | AR, MO |
| Essence Advantage Select (HMO) | ESSENCE HEALTHCARE, INC. | T1 | No | $0 | IL, MO |
| Essence Advantage (HMO) | ESSENCE HEALTHCARE, INC. | T1 | No | $0 | IN, KY |
| Essence Advantage Select (HMO) | ESSENCE HEALTHCARE, INC. | T1 | No | $0 | IL |
| Clover Health Choice (PPO) | CLOVER INSURANCE COMPANY | T1 | No | $0 | TX |
| Clover Health LiveHealthy (PPO) | CLOVER INSURANCE COMPANY | T1 | No | $0 | GA |
| Clover Health LiveHealthy (PPO) | CLOVER INSURANCE COMPANY | T1 | No | $0 | SC |
| Clover Health Choice (PPO) | CLOVER INSURANCE COMPANY | T1 | No | $0 | PA |
| Clover Health LiveHealthy Giveback (PPO) | CLOVER INSURANCE COMPANY | T1 | No | $0 | GA, SC |
| Clover Health Choice (PPO) | CLOVER INSURANCE COMPANY | T1 | No | $0 | NJ |
| Clover Health Choice (PPO) | CLOVER INSURANCE COMPANY | T1 | No | $0 | NJ |
| Clover Health Choice Giveback (PPO) | CLOVER INSURANCE COMPANY | T1 | No | $0 | NJ |
| Clover Health Classic (HMO) | CLOVER HMO OF NEW JERSEY INC. | T1 | No | $0 | NJ |
| HealthSpring Preferred (HMO) | BRAVO HEALTH PENNSYLVANIA, INC. | T1 | No | $0 | AZ |
| HealthSpring Alliance (HMO) | BRAVO HEALTH PENNSYLVANIA, INC. | T1 | No | $0 | AZ |
| HealthSpring Preferred Savings (HMO) | BRAVO HEALTH PENNSYLVANIA, INC. | T1 | No | $0 | AZ |
| HealthSpring Preferred Full Savings (HMO) | BRAVO HEALTH PENNSYLVANIA, INC. | T1 | No | $0 | AZ |
| HealthSpring Preferred GA (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T1 | No | $0 | GA |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T1 | No | $0 | GA |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T1 | No | $0 | GA |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T1 | No | $0 | GA |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T1 | No | $0 | GA |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T1 | No | $0 | GA |
| HealthSpring Preferred (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T1 | No | $0 | GA |
| HealthSpring Preferred Savings (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T1 | No | $0 | GA |
| HealthSpring Preferred Savings (HMO) | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | T1 | No | $0 | GA |
Frequently Asked Questions
Is pitavastatin calcium 4 MG Oral Tablet covered by Medicare Part D?
Yes, pitavastatin calcium 4 MG Oral Tablet is covered by 1,640 Medicare Part D plans (32.4% of all Part D formularies).
What tier is pitavastatin calcium 4 MG Oral Tablet on Medicare Part D plans?
pitavastatin calcium 4 MG Oral Tablet averages Tier 2.3 across Part D plans, ranging from Tier 1 to Tier 6.
Does pitavastatin calcium 4 MG Oral Tablet require prior authorization?
0% of Part D formularies require prior authorization for pitavastatin calcium 4 MG Oral Tablet. Step therapy: 14.3%. Quantity limits: 74.1%.
How much does Medicare spend on pitavastatin calcium 4 MG Oral Tablet?
In 2023, total Medicare Part D spending on pitavastatin calcium 4 MG Oral Tablet was $189,914,605, covering 70,926 beneficiaries. The average spend per beneficiary was $2,677.64.
Read our methodology - how this data is sourced, computed, and verified.