Medicare Part D coverage · testosterone cypionate · RxCUI 835831
testosterone cypionate 100 MG/ML Injectable Solution [Depo-testosterone]
Per the CMS 2026 Part D formulary file, testosterone cypionate 100 MG/ML Injectable Solution [Depo-testosterone] is covered by 1,349 Medicare Part D plans (26.7% of enrollable products), averaging Tier 2.4, with prior authorization required on 84% of covering formularies.
- 26.7%
- Plan coverage
- 1,349
- Plans covering
- T2.4
- Avg tier
- 84%
- Prior auth required
What the CMS Formulary Data Shows for testosterone cypionate 100 MG/ML Injectable Solution [Depo-testosterone]
Per the CMS 2026 Part D formulary file, testosterone cypionate 100 MG/ML Injectable Solution [Depo-testosterone] (RxNorm concept RXCUI 835831, generic name testosterone cypionate) appears on 106 distinct formulary files spanning 1,349 Medicare Part D plan offerings - 26.7% 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 2.4.
Real-world access to testosterone cypionate 100 MG/ML Injectable Solution [Depo-testosterone] depends on utilization management as much as tier placement: 84% of covering formularies require prior authorization. 0% require step therapy. 0% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 242,810 Part D beneficiaries filled testosterone cypionate 100 MG/ML Injectable Solution [Depo-testosterone] in 2023, with total plan-and-beneficiary spending of $37,966,482 and an average per-beneficiary annual cost of $156.36. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry testosterone cypionate 100 MG/ML Injectable Solution [Depo-testosterone] today.
Coverage Details
- Formularies covering
- 106
- Plans covering
- 1,349
- Coverage rate
- 26.7%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 84% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 242,810
- Total spending
- $37,966,482
- Avg per beneficiary
- $156.36
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering testosterone cypionate 100 MG/ML Injectable Solution [Depo-testosterone]
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| 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 |
| Freedom Platinum Plan Rx (HMO) | 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 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 | Yes | $0 | FL |
| Mercy Care Advantage (HMO D-SNP) | Mercy Care | T1 | Yes | $0 | AZ |
| Mercy Care Advantage (HMO D-SNP) | Mercy Care | T1 | Yes | $0 | AZ |
| Mercy Care Advantage (HMO D-SNP) | Mercy Care | T1 | Yes | $0 | AZ |
| Elderplan Plus Long-Term Care (HMO-POS D-SNP) | Elderplan, Inc. | T1 | Yes | $0 | NY |
| Health Choice Pathway (HMO D-SNP) | Health Choice Arizona, Inc. | T1 | Yes | $0 | AZ |
| Healthfirst CompleteCare (HMO D-SNP) | Healthfirst Health Plan, Inc. | T1 | Yes | $0 | NY |
| IMCare Classic (HMO D-SNP) | Itasca Medical Care | T1 | Yes | $0 | MN |
| Johns Hopkins Advantage MD D-SNP (HMO D-SNP) | Hopkins Health Advantage, Inc. | T1 | Yes | $0 | MD |
| MetroPlus UltraCare (HMO D-SNP) | Metroplus Health Plan, Inc. | T1 | Yes | $0 | NY |
| Senior Whole Health SCO (HMO D-SNP) | Senior Whole Health, LLC | T1 | Yes | $0 | MA |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is testosterone cypionate 100 MG/ML Injectable Solution [Depo-testosterone] covered by Medicare Part D?
Yes, testosterone cypionate 100 MG/ML Injectable Solution [Depo-testosterone] is covered by 1,349 Medicare Part D plans (26.7% of all Part D formularies).
What tier is testosterone cypionate 100 MG/ML Injectable Solution [Depo-testosterone] on Medicare Part D plans?
testosterone cypionate 100 MG/ML Injectable Solution [Depo-testosterone] averages Tier 2.4 across Part D plans, ranging from Tier 1 to Tier 4.
Does testosterone cypionate 100 MG/ML Injectable Solution [Depo-testosterone] require prior authorization?
84% of Part D formularies require prior authorization for testosterone cypionate 100 MG/ML Injectable Solution [Depo-testosterone]. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on testosterone cypionate 100 MG/ML Injectable Solution [Depo-testosterone]?
In 2023, total Medicare Part D spending on testosterone cypionate 100 MG/ML Injectable Solution [Depo-testosterone] was $37,966,482, covering 242,810 beneficiaries. The average spend per beneficiary was $156.36.
Read our methodology - how this data is sourced, computed, and verified.
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.
Closest average formulary tier
- acetaminophen 325 MG / oxycodone hydrochloride 10 MG Oral Tablet T2.4
- prednisolone acetate 10 MG/ML Ophthalmic Suspension T2.4
- repaglinide 2 MG Oral Tablet T2.4
- rivastigmine 1.5 MG Oral Capsule T2.4
- acetylcysteine 200 MG/ML Inhalation Solution T2.4
- 12 HR diltiazem hydrochloride 60 MG Extended Release Oral Capsule T2.4
Similar prior-authorization rate
- clobazam 20 MG Oral Film [Sympazan] 84.1% PA
- interferon beta-1b 0.3 MG Injection [Betaseron] 84.1% PA
- clobazam 10 MG Oral Film [Sympazan] 84.1% PA
- clobazam 5 MG Oral Film [Sympazan] 84.1% PA
- 12 HR dalfampridine 10 MG Extended Release Oral Tablet 83.8% PA
- 1.5 ML leuprolide acetate 15 MG/ML Prefilled Syringe [Lupron] 84.5% PA