sertraline 200 MG Oral Capsule

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sertraline

RxCUI: 251201

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.
3.4%
Plan Coverage
170
Plans Covering
T3.1
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for sertraline 200 MG Oral Capsule

Per the CMS 2026 Part D formulary file, sertraline 200 MG Oral Capsule (RxNorm concept RXCUI 251201, generic name sertraline) appears on 9 distinct formulary files spanning 170 Medicare Part D plan offerings - 3.4% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 3.1.

Real-world access to sertraline 200 MG Oral Capsule depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 11.1% require step therapy. 22.2% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 3,041,276 Part D beneficiaries filled sertraline 200 MG Oral Capsule in 2023, with total plan-and-beneficiary spending of $173,568,167 and an average per-beneficiary annual cost of $57.07. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry sertraline 200 MG Oral Capsule today.

Coverage Details

Formularies covering
9
Plans covering
170
Coverage rate
3.4%
Tier range
Tier 1 – Tier 4
Average tier
Tier 3, Preferred Brand

Restrictions

Prior authorization required
0% of formularies
Step therapy required
11.1% of formularies
Quantity limits
22.2% of formularies

2023 Medicare Spending

Beneficiaries
3,041,276
Total spending
$173,568,167
Avg per beneficiary
$57.07

Tier Distribution Across Plans

1 plans
Tier 1, Preferred Generic
16 plans
Tier 2, Generic
16 plans
Tier 3, Preferred Brand
67 plans
Tier 4, Non-Preferred

Medicare Advantage Plans (MA-PD) Covering sertraline 200 MG Oral Capsule

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

Plan Insurer Tier PA Premium States
Community Care's Partnership Program (HMO D-SNP) COMMUNITY CARE HEALTH PLAN, INC. T1 No $0 WI
MCS Classicare RxMax (HMO) MCS ADVANTAGE, INC. T2 No $0 PR
MCS Classicare Platino Ideal (HMO D-SNP) MCS ADVANTAGE, INC. T2 No $0 PR
MCS Classicare Efectivo (HMO) MCS ADVANTAGE, INC. T2 No $0 PR
MCS Classicare Essential (HMO-POS) MCS ADVANTAGE, INC. T2 No $0 PR
MCS Classicare Platino Progreso (HMO D-SNP) MCS ADVANTAGE, INC. T2 No $0 PR
MCS Classicare Primero (HMO C-SNP) MCS ADVANTAGE, INC. T2 No $0 PR
MCS Classicare Firme (HMO) MCS ADVANTAGE, INC. T2 No $0 PR
MCS Classicare En Tu Hogar (HMO) MCS ADVANTAGE, INC. T2 No $0 PR
MCS Classicare Hero (HMO) MCS ADVANTAGE, INC. T2 No $0 PR
MCS Classicare Platino Total (HMO D-SNP) MCS ADVANTAGE, INC. T2 No $0 PR
MCS Classicare InteliCare (HMO) MCS ADVANTAGE, INC. T2 No $0 PR
MCS Classicare Platino Maximo (HMO D-SNP) MCS ADVANTAGE, INC. T2 No $0 PR
MCS Classicare Excede (HMO) MCS ADVANTAGE, INC. T2 No $0 PR
MCS Classicare Estrella (HMO) MCS ADVANTAGE, INC. T2 No $0 PR
MCS Classicare Platino Superior (HMO D-SNP) MCS ADVANTAGE, INC. T2 No $0 PR
MCS Classicare Platino 185 (HMO D-SNP) MCS ADVANTAGE, INC. T2 No $0 PR
MMM Supremo (HMO C-SNP) MMM HEALTHCARE, LLC T3 No $0 PR
MMM Diamante Platino (HMO D-SNP) MMM HEALTHCARE, LLC T3 No $0 PR
MMM Unico (HMO-POS) MMM HEALTHCARE, LLC T3 No $0 PR
MMM Elite (HMO-POS) MMM HEALTHCARE, LLC T3 No $0 PR
MMM Deluxe (HMO-POS) MMM HEALTHCARE, LLC T3 No $0 PR
MMM Dorado Platino (HMO D-SNP) MMM HEALTHCARE, LLC T3 No $0 PR
PMC Premier Platino (HMO D-SNP) MMM HEALTHCARE, LLC T3 No $0 PR
PMC Max (HMO-POS) MMM HEALTHCARE, LLC T3 No $0 PR
MMM Plenitud (HMO-POS) MMM HEALTHCARE, LLC T3 No $0 PR
MMM Valioso (HMO-POS) MMM HEALTHCARE, LLC T3 No $0 PR
MMM Combo Platino (HMO D-SNP) MMM HEALTHCARE, LLC T3 No $0 PR
MMM Flexi Platino (HMO D-SNP) MMM HEALTHCARE, LLC T3 No $0 PR
MMM Grandioso (HMO-POS) MMM HEALTHCARE, LLC T3 No $0 PR
MMM Mega Flex (HMO-POS) MMM HEALTHCARE, LLC T3 No $0 PR
MMM Relax Platino (HMO D-SNP) MMM HEALTHCARE, LLC T3 No $0 PR
MMM Balance (HMO-POS) MMM HEALTHCARE, LLC T3 No $0 PR
Presbyterian Senior Care Plan 2 with Rx (HMO) PRESBYTERIAN HEALTH PLAN T4 No $0 NM
Presbyterian Dual Plus (HMO D-SNP) PRESBYTERIAN HEALTH PLAN T4 No $0 NM
Presbyterian Senior Care Extra Health Plan with Rx (HMO) PRESBYTERIAN HEALTH PLAN T4 No $0 NM
Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Senior Advantage Enhanced Solano (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Senior Advantage Inland Empire (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Sr Adv Enhanced Marin San Mateo (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Senior Advantage Ventura (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Senior Advantage Enhanced Kern (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Senior Advantage Basic Kern (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Senior Advantage San Diego (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Senior Advantage Enhanced Stanis (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Senior Advantage Basic Stanis (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Senior Advantage Basic SnJoaq (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Senior Advantage Basic Fresno (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA
Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO) KAISER FOUNDATION HP, INC. T4 No $0 CA

Frequently Asked Questions

Is sertraline 200 MG Oral Capsule covered by Medicare Part D?

Yes, sertraline 200 MG Oral Capsule is covered by 170 Medicare Part D plans (3.4% of all Part D formularies).

What tier is sertraline 200 MG Oral Capsule on Medicare Part D plans?

sertraline 200 MG Oral Capsule averages Tier 3.1 across Part D plans, ranging from Tier 1 to Tier 4.

Does sertraline 200 MG Oral Capsule require prior authorization?

0% of Part D formularies require prior authorization for sertraline 200 MG Oral Capsule. Step therapy: 11.1%. Quantity limits: 22.2%.

How much does Medicare spend on sertraline 200 MG Oral Capsule?

In 2023, total Medicare Part D spending on sertraline 200 MG Oral Capsule was $173,568,167, covering 3,041,276 beneficiaries. The average spend per beneficiary was $57.07.

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