sildenafil 10 MG/ML Oral Suspension
sildenafil
RxCUI: 1307427
What the CMS Formulary Data Shows for sildenafil 10 MG/ML Oral Suspension
Per the CMS 2026 Part D formulary file, sildenafil 10 MG/ML Oral Suspension (RxNorm concept RXCUI 1307427, generic name sildenafil) appears on 30 distinct formulary files spanning 213 Medicare Part D plan offerings - 4.2% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 6, with a cross-plan average of Tier 3.7.
Real-world access to sildenafil 10 MG/ML Oral Suspension depends on utilization management as much as tier placement: 100% of covering formularies require prior authorization. 0% require step therapy. 66.7% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 253,277 Part D beneficiaries filled sildenafil 10 MG/ML Oral Suspension in 2023, with total plan-and-beneficiary spending of $44,729,269 and an average per-beneficiary annual cost of $176.60. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry sildenafil 10 MG/ML Oral Suspension today.
Coverage Details
- Formularies covering
- 30
- Plans covering
- 213
- Coverage rate
- 4.2%
- Tier range
- Tier 1 – Tier 6
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 100% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 66.7% of formularies
2023 Medicare Spending
- Beneficiaries
- 253,277
- Total spending
- $44,729,269
- Avg per beneficiary
- $176.60
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering sildenafil 10 MG/ML Oral Suspension
100 Medicare Advantage plans with Part D drug coverage include this drug.
Frequently Asked Questions
Is sildenafil 10 MG/ML Oral Suspension covered by Medicare Part D?
Yes, sildenafil 10 MG/ML Oral Suspension is covered by 213 Medicare Part D plans (4.2% of all Part D formularies).
What tier is sildenafil 10 MG/ML Oral Suspension on Medicare Part D plans?
sildenafil 10 MG/ML Oral Suspension averages Tier 3.7 across Part D plans, ranging from Tier 1 to Tier 6.
Does sildenafil 10 MG/ML Oral Suspension require prior authorization?
100% of Part D formularies require prior authorization for sildenafil 10 MG/ML Oral Suspension. Step therapy: 0%. Quantity limits: 66.7%.
How much does Medicare spend on sildenafil 10 MG/ML Oral Suspension?
In 2023, total Medicare Part D spending on sildenafil 10 MG/ML Oral Suspension was $44,729,269, covering 253,277 beneficiaries. The average spend per beneficiary was $176.60.
Read our methodology - how this data is sourced, computed, and verified.