riluzole 5 MG/ML Oral Suspension [Tiglutik]

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riluzole

RxCUI: 2059266

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.
2.1%
Plan Coverage
106
Plans Covering
T3.2
Avg Tier
42.1%
Prior Auth Required

What the CMS Formulary Data Shows for riluzole 5 MG/ML Oral Suspension [Tiglutik]

Per the CMS 2026 Part D formulary file, riluzole 5 MG/ML Oral Suspension [Tiglutik] (RxNorm concept RXCUI 2059266, generic name riluzole) appears on 19 distinct formulary files spanning 106 Medicare Part D plan offerings - 2.1% 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 3.2.

Real-world access to riluzole 5 MG/ML Oral Suspension [Tiglutik] depends on utilization management as much as tier placement: 42.1% of covering formularies require prior authorization. 0% require step therapy. 5.3% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 9,582 Part D beneficiaries filled riluzole 5 MG/ML Oral Suspension [Tiglutik] in 2023, with total plan-and-beneficiary spending of $10,345,703 and an average per-beneficiary annual cost of $1,079.70. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry riluzole 5 MG/ML Oral Suspension [Tiglutik] today.

Coverage Details

Formularies covering
19
Plans covering
106
Coverage rate
2.1%
Tier range
Tier 1 – Tier 5
Average tier
Tier 3, Preferred Brand

Restrictions

Prior authorization required
42.1% of formularies
Step therapy required
0% of formularies
Quantity limits
5.3% of formularies

2023 Medicare Spending

Beneficiaries
9,582
Total spending
$10,345,703
Avg per beneficiary
$1,079.70

Tier Distribution Across Plans

11 plans
Tier 1, Preferred Generic
1 plans
Tier 2, Generic
88 plans
Tier 5, Specialty

Medicare Advantage Plans (MA-PD) Covering riluzole 5 MG/ML Oral Suspension [Tiglutik]

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

Plan Insurer Tier PA Premium States
Abilis Health Community (HMO I-SNP) SIGNATURE ADVANTAGE, LLC T1 Yes $0 KY, TN
Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) ARKANSAS SUPERIOR SELECT, INC. T1 Yes $0 AR
Mass General Brigham SCO (HMO D-SNP) MASS GENERAL BRIGHAM HEALTH PLAN, INC T1 No $0 MA
Mass General Brigham One Care (HMO D-SNP) MASS GENERAL BRIGHAM HEALTH PLAN, INC T1 No $0 MA
Texas Independence Health Plan, Inc. (HMO I-SNP) TEXAS INDEPENDENCE HEALTH PLAN, INC. T1 Yes $4.80 TX
Texas Independence Community Plan (HMO I-SNP) TEXAS INDEPENDENCE HEALTH PLAN, INC. T1 Yes $4.80 TX
Tribute Select (HMO-POS I-SNP) ARKANSAS SUPERIOR SELECT, INC. T1 Yes $8.90 AR
Valor Health Plan (HMO I-SNP) TSG GUARD, INC. T1 Yes $31.40 OH
WV Senior Advantage (HMO I-SNP) WEST VIRGINIA SENIOR ADVANTAGE, INC. T1 Yes $32.70 WV
Abilis Health (HMO I-SNP) SIGNATURE ADVANTAGE, LLC T1 Yes $35.90 KY, TN
CommuniCare Advantage ISNP (HMO I-SNP) OH CHS SNP INC. T1 Yes $38.40 IN, MD, OH
CalOptima Health OneCare Complete (HMO D-SNP) ORANGE COUNTY HEALTH AUTHORITY T2 Yes $0 CA
HealthSun HealthAdvantage Plan (HMO) HEALTHSUN HEALTH PLANS, INC. T5 No $0 FL
HealthSun MediMax (HMO) HEALTHSUN HEALTH PLANS, INC. T5 No $0 FL
HealthSun HealthAdvantage Plan (HMO) HEALTHSUN HEALTH PLANS, INC. T5 No $0 FL
HealthSun HealthAdvantage Plan (HMO) HEALTHSUN HEALTH PLANS, INC. T5 No $0 FL
HealthSun MediSun Plus (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T5 No $0 FL
HealthSun HealthAdvantage Plus (HMO) HEALTHSUN HEALTH PLANS, INC. T5 No $0 FL
HealthSun HealthAdvantage Plus (HMO) HEALTHSUN HEALTH PLANS, INC. T5 No $0 FL
HealthSun MediSun Extra (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T5 No $0 FL
HealthSun HealthAdvantage Plus (HMO) HEALTHSUN HEALTH PLANS, INC. T5 No $0 FL
HealthSun VitalCare (HMO C-SNP) HEALTHSUN HEALTH PLANS, INC. T5 No $0 FL
HealthSun VitalCare (HMO C-SNP) HEALTHSUN HEALTH PLANS, INC. T5 No $0 FL
HealthSun MediSun Full Dual Plus (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T5 No $0 FL
HealthSun MediSun Full Dual Extra (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T5 No $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T5 No $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T5 No $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T5 No $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T5 No $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T5 No $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T5 No $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T5 No $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T5 No $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T5 No $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T5 No $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T5 No $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T5 No $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T5 No $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T5 No $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T5 No $0 FL
Simply Extra (HMO) SIMPLY HEALTHCARE PLANS, INC. T5 No $0 FL
Simply Extra Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T5 No $0 FL
Simply More Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T5 No $0 FL
Simply Complete Platinum (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T5 No $0 FL
Simply Level Platinum (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T5 No $0 FL
Simply Extra Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T5 No $0 FL
Simply Level Platinum (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T5 No $0 FL
Simply Extra Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T5 No $0 FL
Simply Level Platinum (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T5 No $0 FL
Simply Extra Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T5 No $0 FL

Frequently Asked Questions

Is riluzole 5 MG/ML Oral Suspension [Tiglutik] covered by Medicare Part D?

Yes, riluzole 5 MG/ML Oral Suspension [Tiglutik] is covered by 106 Medicare Part D plans (2.1% of all Part D formularies).

What tier is riluzole 5 MG/ML Oral Suspension [Tiglutik] on Medicare Part D plans?

riluzole 5 MG/ML Oral Suspension [Tiglutik] averages Tier 3.2 across Part D plans, ranging from Tier 1 to Tier 5.

Does riluzole 5 MG/ML Oral Suspension [Tiglutik] require prior authorization?

42.1% of Part D formularies require prior authorization for riluzole 5 MG/ML Oral Suspension [Tiglutik]. Step therapy: 0%. Quantity limits: 5.3%.

How much does Medicare spend on riluzole 5 MG/ML Oral Suspension [Tiglutik]?

In 2023, total Medicare Part D spending on riluzole 5 MG/ML Oral Suspension [Tiglutik] was $10,345,703, covering 9,582 beneficiaries. The average spend per beneficiary was $1,079.70.

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