sertraline 100 MG Oral Tablet [Zoloft]
sertraline
RxCUI: 208149
What the CMS Formulary Data Shows for sertraline 100 MG Oral Tablet [Zoloft]
Per the CMS 2026 Part D formulary file, sertraline 100 MG Oral Tablet [Zoloft] (RxNorm concept RXCUI 208149, generic name sertraline) appears on 1 distinct formulary file spanning 2 Medicare Part D plan offerings - 0% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 1, with a cross-plan average of Tier 1.
Real-world access to sertraline 100 MG Oral Tablet [Zoloft] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 100% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 3,041,276 Part D beneficiaries filled sertraline 100 MG Oral Tablet [Zoloft] 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 100 MG Oral Tablet [Zoloft] today.
Coverage Details
- Formularies covering
- 1
- Plans covering
- 2
- Coverage rate
- 0%
- Tier range
- Tier 1, Preferred Generic
- Average tier
- Tier 1, Preferred Generic
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 100% of formularies
2023 Medicare Spending
- Beneficiaries
- 3,041,276
- Total spending
- $173,568,167
- Avg per beneficiary
- $57.07
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering sertraline 100 MG Oral Tablet [Zoloft]
2 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Hamaspik Medicare Choice (HMO D-SNP) | HAMASPIK, INC. | T1 | No | $0 | NY |
| Hamaspik Medicare Select (HMO D-SNP) | HAMASPIK, INC. | T1 | No | $34.50 | NY |
Frequently Asked Questions
Is sertraline 100 MG Oral Tablet [Zoloft] covered by Medicare Part D?
Yes, sertraline 100 MG Oral Tablet [Zoloft] is covered by 2 Medicare Part D plans (0% of all Part D formularies).
What tier is sertraline 100 MG Oral Tablet [Zoloft] on Medicare Part D plans?
sertraline 100 MG Oral Tablet [Zoloft] averages Tier 1 across Part D plans, ranging from Tier 1 to Tier 1.
Does sertraline 100 MG Oral Tablet [Zoloft] require prior authorization?
0% of Part D formularies require prior authorization for sertraline 100 MG Oral Tablet [Zoloft]. Step therapy: 0%. Quantity limits: 100%.
How much does Medicare spend on sertraline 100 MG Oral Tablet [Zoloft]?
In 2023, total Medicare Part D spending on sertraline 100 MG Oral Tablet [Zoloft] was $173,568,167, covering 3,041,276 beneficiaries. The average spend per beneficiary was $57.07.
Read our methodology - how this data is sourced, computed, and verified.