Medicare Part D coverage · testosterone cypionate · RxCUI 835840
testosterone cypionate 200 MG/ML Injectable Solution
Per the CMS 2026 Part D formulary file, testosterone cypionate 200 MG/ML Injectable Solution is covered by 4,997 Medicare Part D plans (98.9% of enrollable products), averaging Tier 2.1, with prior authorization required on 67.6% of covering formularies.
- 98.9%
- Plan coverage
- 4,997
- Plans covering
- T2.1
- Avg tier
- 67.6%
- Prior auth required
What the CMS Formulary Data Shows for testosterone cypionate 200 MG/ML Injectable Solution
Per the CMS 2026 Part D formulary file, testosterone cypionate 200 MG/ML Injectable Solution (RxNorm concept RXCUI 835840, generic name testosterone cypionate) appears on 312 distinct formulary files spanning 4,997 Medicare Part D plan offerings - 98.9% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 2.1.
Real-world access to testosterone cypionate 200 MG/ML Injectable Solution depends on utilization management as much as tier placement: 67.6% 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 200 MG/ML Injectable Solution 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 200 MG/ML Injectable Solution today.
Coverage Details
- Formularies covering
- 312
- Plans covering
- 4,997
- Coverage rate
- 98.9%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 67.6% 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 200 MG/ML Injectable Solution
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Sentara Community Complete Select (HMO D-SNP) | Sentara Health Plans | T1 | Yes | $0 | VA |
| Sentara Community Complete (HMO D-SNP) | Sentara Health Plans | T1 | Yes | $0 | VA |
| 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 |
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 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 |
| ElderServe MAP (HMO D-SNP) | Elderserve Health, Inc. | T1 | Yes | $0 | NY |
| Cooperative Advantage (HMO D-SNP) | Group Health Cooperative OF EAU Claire | T1 | Yes | $0 | WI |
| Longevity Health Plan (PPO I-SNP) | Longevity Health Plan OF NEW Jersey Insurance Comp | T1 | Yes | $0 | NJ |
| 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 |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is testosterone cypionate 200 MG/ML Injectable Solution covered by Medicare Part D?
Yes, testosterone cypionate 200 MG/ML Injectable Solution is covered by 4,997 Medicare Part D plans (98.9% of all Part D formularies).
What tier is testosterone cypionate 200 MG/ML Injectable Solution on Medicare Part D plans?
testosterone cypionate 200 MG/ML Injectable Solution averages Tier 2.1 across Part D plans, ranging from Tier 1 to Tier 4.
Does testosterone cypionate 200 MG/ML Injectable Solution require prior authorization?
67.6% of Part D formularies require prior authorization for testosterone cypionate 200 MG/ML Injectable Solution. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on testosterone cypionate 200 MG/ML Injectable Solution?
In 2023, total Medicare Part D spending on testosterone cypionate 200 MG/ML Injectable Solution 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
- amantadine hydrochloride 100 MG Oral Capsule T2.1
- carbidopa 25 MG / levodopa 100 MG Extended Release Oral Tablet T2.1
- 24 HR propranolol hydrochloride 160 MG Extended Release Oral Capsule T2.1
- flurbiprofen sodium 0.3 MG/ML Ophthalmic Solution T2.1
- {21 (desogestrel 0.15 MG / ethinyl estradiol 0.03 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Apri 28 Day] T2.1
- {21 (desogestrel 0.15 MG / ethinyl estradiol 0.03 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Reclipsen 28 Day] T2.1
Similar prior-authorization rate
- vericiguat 10 MG Oral Tablet [Verquvo] 67.7% PA
- 0.4 ML methylnaltrexone bromide 20 MG/ML Prefilled Syringe [Relistor] 67.4% PA
- lidocaine 0.05 MG/MG Topical Ointment 67.8% PA
- vericiguat 2.5 MG Oral Tablet [Verquvo] 68.1% PA
- nitisinone 20 MG Oral Capsule 68.2% PA
- alitretinoin 0.001 MG/MG Topical Gel [Panretin] 66.8% PA