Medicare Part D coverage · risperidone · RxCUI 199387

risperidone 1 MG/ML Oral Solution

Per the CMS 2026 Part D formulary file, risperidone 1 MG/ML Oral Solution is covered by 5,052 Medicare Part D plans (100% of enrollable products), averaging Tier 2.3, with prior authorization required on 13.4% of covering formularies.

100%
Plan coverage
5,052
Plans covering
T2.3
Avg tier
13.4%
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 risperidone 1 MG/ML Oral Solution

Per the CMS 2026 Part D formulary file, risperidone 1 MG/ML Oral Solution (RxNorm concept RXCUI 199387, generic name risperidone) appears on 328 distinct formulary files spanning 5,052 Medicare Part D plan offerings - 100% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 2.3.

Real-world access to risperidone 1 MG/ML Oral Solution depends on utilization management as much as tier placement: 13.4% of covering formularies require prior authorization. 0% require step therapy. 61.3% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 478,904 Part D beneficiaries filled risperidone 1 MG/ML Oral Solution in 2023, with total plan-and-beneficiary spending of $60,762,873 and an average per-beneficiary annual cost of $126.88. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry risperidone 1 MG/ML Oral Solution today.

Coverage Details

Formularies covering
328
Plans covering
5,052
Coverage rate
100%
Tier range
Tier 1 – Tier 4
Average tier
Tier 2, Generic

Restrictions

Prior authorization required
13.4% of formularies
Step therapy required
0% of formularies
Quantity limits
61.3% of formularies

2023 Medicare Spending

Beneficiaries
478,904
Total spending
$60,762,873
Avg per beneficiary
$126.88

Tier Distribution Across Plans

100 plans
Tier 1, Preferred Generic

Medicare Advantage Plans (MA-PD) Covering risperidone 1 MG/ML Oral Solution

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

Plan Insurer Tier PA Premium States
Sentara Community Complete Select (HMO D-SNP) Sentara Health Plans T1 No $0 VA
Sentara Community Complete (HMO D-SNP) Sentara Health Plans T1 No $0 VA
Freedom VIP Care (HMO C-SNP) Freedom Health, Inc. T1 No $0 FL
Freedom VIP Savings (HMO C-SNP) Freedom Health, Inc. T1 No $0 FL
Freedom VIP Savings (HMO C-SNP) Freedom Health, Inc. T1 No $0 FL
Freedom VIP Rewards (HMO C-SNP) Freedom Health, Inc. T1 No $0 FL
Freedom VIP Rewards (HMO C-SNP) Freedom Health, Inc. T1 No $0 FL
Optimum Diamond Rewards (HMO C-SNP) Optimum Healthcare, Inc. T1 No $0 FL
Optimum Diamond Savings (HMO C-SNP) Optimum Healthcare, Inc. T1 No $0 FL
Optimum Diamond Rewards (HMO C-SNP) Optimum Healthcare, Inc. T1 No $0 FL
Optimum Diamond (HMO C-SNP) Optimum Healthcare, Inc. T1 No $0 FL
Freedom Medi-Medi Partial (HMO D-SNP) Freedom Health, Inc. T1 No $0 FL
Freedom Medi-Medi Full (HMO D-SNP) Freedom Health, Inc. T1 No $0 FL
Optimum Emerald Partial (HMO D-SNP) Optimum Healthcare, Inc. T1 No $0 FL
Optimum Emerald Full (HMO D-SNP) Optimum Healthcare, Inc. T1 No $0 FL
Freedom Medicare Plan Rx (HMO) Freedom Health, Inc. T1 No $0 FL
Freedom Medicare Plan Rx (HMO) Freedom Health, Inc. T1 No $0 FL
Freedom VIP Savings COPD (HMO C-SNP) Freedom Health, Inc. T1 No $0 FL
Freedom VIP Savings COPD (HMO C-SNP) Freedom Health, Inc. T1 No $0 FL
Freedom Platinum Plan Rx (HMO) Freedom Health, Inc. T1 No $0 FL
Show the next 30 plans
Freedom Platinum Plan Rx (HMO) Freedom Health, Inc. T1 No $0 FL
Freedom Platinum Plan Rx (HMO) Freedom Health, Inc. T1 No $0 FL
Freedom Platinum Plan Rx (HMO) Freedom Health, Inc. T1 No $0 FL
Freedom Platinum Plan Rx (HMO) Freedom Health, Inc. T1 No $0 FL
Freedom Platinum Rewards Plan Rx (HMO) Freedom Health, Inc. T1 No $0 FL
Freedom Platinum Rewards Plan Rx (HMO) Freedom Health, Inc. T1 No $0 FL
Freedom Platinum Rewards Plan Rx (HMO) Freedom Health, Inc. T1 No $0 FL
Freedom Platinum Rewards Plan Rx (HMO) Freedom Health, Inc. T1 No $0 FL
Freedom Platinum Rewards Plan Rx (HMO) Freedom Health, Inc. T1 No $0 FL
Freedom Platinum Rewards Plan Rx (HMO) Freedom Health, Inc. T1 No $0 FL
Freedom Máximo (HMO-POS) Freedom Health, Inc. T1 No $0 FL
Freedom Máximo (HMO-POS) Freedom Health, Inc. T1 No $0 FL
Optimum Gold Rewards Plan (HMO) Optimum Healthcare, Inc. T1 No $0 FL
Optimum Platinum Plan (HMO) Optimum Healthcare, Inc. T1 No $0 FL
Optimum Gold Plan (HMO) Optimum Healthcare, Inc. T1 No $0 FL
Optimum Gold Rewards Plan (HMO) Optimum Healthcare, Inc. T1 No $0 FL
Optimum Gold Rewards Plan (HMO) Optimum Healthcare, Inc. T1 No $0 FL
Optimum Diamond Rewards COPD (HMO C-SNP) Optimum Healthcare, Inc. T1 No $0 FL
Optimum Diamond Savings COPD (HMO C-SNP) Optimum Healthcare, Inc. T1 No $0 FL
Optimum Gold Plus Plan (HMO) Optimum Healthcare, Inc. T1 No $0 FL
Optimum Diamond Rewards COPD (HMO C-SNP) Optimum Healthcare, Inc. T1 No $0 FL
Florida Complete Care-Duals VIP (HMO-POS D-SNP) Hpmp OF Florida, Inc. T1 No $0 FL
ElderServe MAP (HMO D-SNP) Elderserve Health, Inc. T1 No $0 NY
Cooperative Advantage (HMO D-SNP) Group Health Cooperative OF EAU Claire T1 No $0 WI
Longevity Health Plan (PPO I-SNP) Longevity Health Plan OF NEW Jersey Insurance Comp T1 No $0 NJ
Mercy Care Advantage (HMO D-SNP) Mercy Care T1 No $0 AZ
Mercy Care Advantage (HMO D-SNP) Mercy Care T1 No $0 AZ
Mercy Care Advantage (HMO D-SNP) Mercy Care T1 No $0 AZ
Elderplan Plus Long-Term Care (HMO-POS D-SNP) Elderplan, Inc. T1 No $0 NY
Health Choice Pathway (HMO D-SNP) Health Choice Arizona, Inc. T1 No $0 AZ

Showing top 50 of 100 plans.

Frequently Asked Questions

Is risperidone 1 MG/ML Oral Solution covered by Medicare Part D?

Yes, risperidone 1 MG/ML Oral Solution is covered by 5,052 Medicare Part D plans (100% of all Part D formularies).

What tier is risperidone 1 MG/ML Oral Solution on Medicare Part D plans?

risperidone 1 MG/ML Oral Solution averages Tier 2.3 across Part D plans, ranging from Tier 1 to Tier 4.

Does risperidone 1 MG/ML Oral Solution require prior authorization?

13.4% of Part D formularies require prior authorization for risperidone 1 MG/ML Oral Solution. Step therapy: 0%. Quantity limits: 61.3%.

How much does Medicare spend on risperidone 1 MG/ML Oral Solution?

In 2023, total Medicare Part D spending on risperidone 1 MG/ML Oral Solution was $60,762,873, covering 478,904 beneficiaries. The average spend per beneficiary was $126.88.

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