Medicare Part D coverage · posaconazole · RxCUI 2558607

posaconazole 300 MG Powder for Oral Suspension [Noxafil]

Per the CMS 2026 Part D formulary file, posaconazole 300 MG Powder for Oral Suspension [Noxafil] is covered by 122 Medicare Part D plans (2.4% of enrollable products), averaging Tier 4.2, with prior authorization required on 100% of covering formularies.

2.4%
Plan coverage
122
Plans covering
T4.2
Avg tier
100%
Prior auth required

Verify with CMS →

Important: Drug coverage and costs vary by plan and location. Verify coverage directly with your Medicare plan before filling a prescription. This is informational data only and should not replace advice from your healthcare provider or pharmacist.

What the CMS Formulary Data Shows for posaconazole 300 MG Powder for Oral Suspension [Noxafil]

Per the CMS 2026 Part D formulary file, posaconazole 300 MG Powder for Oral Suspension [Noxafil] (RxNorm concept RXCUI 2558607, generic name posaconazole) appears on 13 distinct formulary files spanning 122 Medicare Part D plan offerings - 2.4% 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 4.2.

Real-world access to posaconazole 300 MG Powder for Oral Suspension [Noxafil] depends on utilization management as much as tier placement: 100% of covering formularies require prior authorization. 0% require step therapy. 30.8% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 8,353 Part D beneficiaries filled posaconazole 300 MG Powder for Oral Suspension [Noxafil] in 2023, with total plan-and-beneficiary spending of $79,723,895 and an average per-beneficiary annual cost of $9,544.34. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry posaconazole 300 MG Powder for Oral Suspension [Noxafil] today.

Coverage Details

Formularies covering
13
Plans covering
122
Coverage rate
2.4%
Tier range
Tier 1 – Tier 5
Average tier
Tier 4, Non-Preferred

Restrictions

Prior authorization required
100% of formularies
Step therapy required
0% of formularies
Quantity limits
30.8% of formularies

2023 Medicare Spending

Beneficiaries
8,353
Total spending
$79,723,895
Avg per beneficiary
$9,544.34

Tier Distribution Across Plans

4 plans
Tier 1, Preferred Generic
3 plans
Tier 4, Non-Preferred
93 plans
Tier 5, Specialty

Medicare Advantage Plans (MA-PD) Covering posaconazole 300 MG Powder for Oral Suspension [Noxafil]

100 Medicare Advantage plans with Part D drug coverage include this drug.

Plan Insurer Tier PA Premium States
Hamaspik Medicare Choice (HMO D-SNP) Hamaspik, Inc. T1 Yes $0 NY
Gold Dialysis & Kidney Complete (HMO-POS C-SNP) Gold Kidney OF Florida Inc T1 Yes $4.80 FL
Gold Dialysis & Kidney Complete (HMO-POS C-SNP) Gold Kidney OF Arizona T1 Yes $17.00 AZ
Hamaspik Medicare Select (HMO D-SNP) Hamaspik, Inc. T1 Yes $34.50 NY
PHP (HMO C-snp) Aids Healthcare Foundation T4 Yes $0 CA
VNS Health Total (HMO D-SNP) VNS Choice T4 Yes $0 NY
VNS Health EasyCare Plus (HMO D-SNP) VNS Choice T4 Yes $51.60 NY
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
Show the next 30 plans
Select Health Medicare Wellness (HMO) Selecthealth, Inc. T5 Yes $0 NV
Alignment Health the ONE + Walgreens (HMO) Alignment Health Plan OF Arizona, Inc. T5 Yes $0 AZ
Alignment Health the ONE + Walgreens (HMO) Alignment Health Plan OF Arizona, Inc. T5 Yes $0 AZ
Alignment Health Heart & Diabetes (HMO C-SNP) Alignment Health Plan OF Arizona, Inc. T5 Yes $0 AZ
Alignment Health smartHMO (HMO) Alignment Health Plan OF Arizona, Inc. T5 Yes $0 AZ
Alignment Health My Choice (HMO) Alignment Health Plan T5 Yes $0 CA
Alignment Health Platinum + Instacart (HMO) Alignment Health Plan T5 Yes $0 CA
Alignment Health Heart & Diabetes (HMO C-SNP) Alignment Health Plan T5 Yes $0 CA
Alignment Health AllCare Preferred (HMO) Alignment Health Plan T5 Yes $0 CA
Alignment Health smartHMO (HMO) Alignment Health Plan T5 Yes $0 CA
Alignment Health Platinum + Instacart (HMO-POS) Alignment Health Plan T5 Yes $0 CA
Alignment Health My Choice (HMO) Alignment Health Plan T5 Yes $0 CA
Alignment Health Harmony (HMO) Alignment Health Plan T5 Yes $0 CA
Alignment Health Balance (HMO C-SNP) Alignment Health Plan T5 Yes $0 CA
Alignment Health the ONE (HMO) Alignment Health Plan T5 Yes $0 CA
Alignment Health the ONE + Walgreens (HMO) Alignment Health Plan T5 Yes $0 CA
Alignment Health smartHMO (HMO) Alignment Health Plan T5 Yes $0 CA
Alignment Health smartHMO (HMO) Alignment Health Plan T5 Yes $0 CA
Alignment Health CommUnity (HMO) Alignment Health Plan T5 Yes $0 CA
Alignment Health smartSavings (HMO) Alignment Health Plan T5 Yes $0 CA
Alignment Health Heart & Diabetes Care (HMO C-SNP) Alignment Health Plan T5 Yes $0 CA
Alignment Health My Choice Select (HMO) Alignment Health Plan T5 Yes $0 CA
Alignment Health My Choice CalCare (HMO) Alignment Health Plan T5 Yes $0 CA
Alignment Health Honor+ Plan (HMO) Alignment Health Plan T5 Yes $0 CA
Alignment Health ValorCare (HMO) Alignment Health Plan T5 Yes $0 CA
Alignment Health Heart & Diabetes Care (HMO C-SNP) Alignment Health Plan T5 Yes $0 CA
Alignment Health L.A. Premium Giveback (HMO) Alignment Health Plan T5 Yes $0 CA
Alignment Health S.D. Premium Giveback (HMO) Alignment Health Plan T5 Yes $0 CA
Alignment Health Platinum (HMO) Alignment Health Plan OF North Carolina, Inc. T5 Yes $0 NC
Alignment Health NC Duals (HMO-POS D-SNP) Alignment Health Plan OF North Carolina, Inc. T5 Yes $0 NC

Showing top 50 of 100 plans.

Frequently Asked Questions

Is posaconazole 300 MG Powder for Oral Suspension [Noxafil] covered by Medicare Part D?

Yes, posaconazole 300 MG Powder for Oral Suspension [Noxafil] is covered by 122 Medicare Part D plans (2.4% of all Part D formularies).

What tier is posaconazole 300 MG Powder for Oral Suspension [Noxafil] on Medicare Part D plans?

posaconazole 300 MG Powder for Oral Suspension [Noxafil] averages Tier 4.2 across Part D plans, ranging from Tier 1 to Tier 5.

Does posaconazole 300 MG Powder for Oral Suspension [Noxafil] require prior authorization?

100% of Part D formularies require prior authorization for posaconazole 300 MG Powder for Oral Suspension [Noxafil]. Step therapy: 0%. Quantity limits: 30.8%.

How much does Medicare spend on posaconazole 300 MG Powder for Oral Suspension [Noxafil]?

In 2023, total Medicare Part D spending on posaconazole 300 MG Powder for Oral Suspension [Noxafil] was $79,723,895, covering 8,353 beneficiaries. The average spend per beneficiary was $9,544.34.

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.

Data sourced from the Centers for Medicare & Medicaid Services (CMS). See our methodology for details. Retrieved and formatted by PlainMedicare