ramipril 5 MG Oral Capsule
ramipril
RxCUI: 198189
What the CMS Formulary Data Shows for ramipril 5 MG Oral Capsule
Per the CMS 2026 Part D formulary file, ramipril 5 MG Oral Capsule (RxNorm concept RXCUI 198189, generic name ramipril) appears on 330 distinct formulary files spanning 5,067 Medicare Part D plan offerings - 100% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 6, with a cross-plan average of Tier 2.3.
Real-world access to ramipril 5 MG Oral Capsule depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 0.9% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 388,707 Part D beneficiaries filled ramipril 5 MG Oral Capsule in 2023, with total plan-and-beneficiary spending of $24,384,523 and an average per-beneficiary annual cost of $62.73. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry ramipril 5 MG Oral Capsule today.
Coverage Details
- Formularies covering
- 330
- Plans covering
- 5,067
- Coverage rate
- 100%
- Tier range
- Tier 1 – Tier 6
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0.9% of formularies
2023 Medicare Spending
- Beneficiaries
- 388,707
- Total spending
- $24,384,523
- Avg per beneficiary
- $62.73
Tier Distribution Across Plans
Standalone Drug Plans (PDP) Covering ramipril 5 MG Oral Capsule
2 standalone prescription drug plans include this drug.
| Plan | Insurer | Tier | PA | ST | Premium | States |
|---|---|---|---|---|---|---|
| AARP Medicare Rx Preferred from UHC (PDP) | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | T1 | No | No | $0 | - |
| AARP Medicare Rx Preferred from UHC (PDP) | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | T1 | No | No | $0 | - |
Medicare Advantage Plans (MA-PD) Covering ramipril 5 MG Oral Capsule
98 Medicare Advantage plans with Part D drug coverage include this drug.
Frequently Asked Questions
Is ramipril 5 MG Oral Capsule covered by Medicare Part D?
Yes, ramipril 5 MG Oral Capsule is covered by 5,067 Medicare Part D plans (100% of all Part D formularies).
What tier is ramipril 5 MG Oral Capsule on Medicare Part D plans?
ramipril 5 MG Oral Capsule averages Tier 2.3 across Part D plans, ranging from Tier 1 to Tier 6.
Does ramipril 5 MG Oral Capsule require prior authorization?
0% of Part D formularies require prior authorization for ramipril 5 MG Oral Capsule. Step therapy: 0%. Quantity limits: 0.9%.
How much does Medicare spend on ramipril 5 MG Oral Capsule?
In 2023, total Medicare Part D spending on ramipril 5 MG Oral Capsule was $24,384,523, covering 388,707 beneficiaries. The average spend per beneficiary was $62.73.
Read our methodology - how this data is sourced, computed, and verified.