sitagliptin 100 MG Oral Tablet
sitagliptin
RxCUI: 665033
What the CMS Formulary Data Shows for sitagliptin 100 MG Oral Tablet
Per the CMS 2026 Part D formulary file, sitagliptin 100 MG Oral Tablet (RxNorm concept RXCUI 665033, generic name sitagliptin) appears on 10 distinct formulary files spanning 148 Medicare Part D plan offerings - 2.9% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 3, with a cross-plan average of Tier 2.1.
Real-world access to sitagliptin 100 MG Oral Tablet depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 80% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 168,527 Part D beneficiaries filled sitagliptin 100 MG Oral Tablet in 2023, with total plan-and-beneficiary spending of $798,865,849 and an average per-beneficiary annual cost of $4,740.28. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry sitagliptin 100 MG Oral Tablet today.
Coverage Details
- Formularies covering
- 10
- Plans covering
- 148
- Coverage rate
- 2.9%
- Tier range
- Tier 1 – Tier 3
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 80% of formularies
2023 Medicare Spending
- Beneficiaries
- 168,527
- Total spending
- $798,865,849
- Avg per beneficiary
- $4,740.28
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering sitagliptin 100 MG Oral Tablet
100 Medicare Advantage plans with Part D drug coverage include this drug.
Frequently Asked Questions
Is sitagliptin 100 MG Oral Tablet covered by Medicare Part D?
Yes, sitagliptin 100 MG Oral Tablet is covered by 148 Medicare Part D plans (2.9% of all Part D formularies).
What tier is sitagliptin 100 MG Oral Tablet on Medicare Part D plans?
sitagliptin 100 MG Oral Tablet averages Tier 2.1 across Part D plans, ranging from Tier 1 to Tier 3.
Does sitagliptin 100 MG Oral Tablet require prior authorization?
0% of Part D formularies require prior authorization for sitagliptin 100 MG Oral Tablet. Step therapy: 0%. Quantity limits: 80%.
How much does Medicare spend on sitagliptin 100 MG Oral Tablet?
In 2023, total Medicare Part D spending on sitagliptin 100 MG Oral Tablet was $798,865,849, covering 168,527 beneficiaries. The average spend per beneficiary was $4,740.28.
Read our methodology - how this data is sourced, computed, and verified.