ramipril 2.5 MG Oral Capsule
ramipril
RxCUI: 198188
What the CMS Formulary Data Shows for ramipril 2.5 MG Oral Capsule
Per the CMS 2026 Part D formulary file, ramipril 2.5 MG Oral Capsule (RxNorm concept RXCUI 198188, 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 2.5 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 2.5 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 2.5 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 2.5 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 2.5 MG Oral Capsule
98 Medicare Advantage plans with Part D drug coverage include this drug.
Frequently Asked Questions
Is ramipril 2.5 MG Oral Capsule covered by Medicare Part D?
Yes, ramipril 2.5 MG Oral Capsule is covered by 5,067 Medicare Part D plans (100% of all Part D formularies).
What tier is ramipril 2.5 MG Oral Capsule on Medicare Part D plans?
ramipril 2.5 MG Oral Capsule averages Tier 2.3 across Part D plans, ranging from Tier 1 to Tier 6.
Does ramipril 2.5 MG Oral Capsule require prior authorization?
0% of Part D formularies require prior authorization for ramipril 2.5 MG Oral Capsule. Step therapy: 0%. Quantity limits: 0.9%.
How much does Medicare spend on ramipril 2.5 MG Oral Capsule?
In 2023, total Medicare Part D spending on ramipril 2.5 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.