tolmetin 600 MG Oral Tablet

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tolmetin

RxCUI: 198297

Important: Drug coverage and costs vary by plan and location. Verify coverage directly with your Medicare plan before filling a prescription. This is informational data only and should not replace advice from your healthcare provider or pharmacist.
0%
Plan Coverage
1
Plans Covering
T4
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for tolmetin 600 MG Oral Tablet

Per the CMS 2026 Part D formulary file, tolmetin 600 MG Oral Tablet (RxNorm concept RXCUI 198297, generic name tolmetin) appears on 1 distinct formulary file spanning 1 Medicare Part D plan offering - 0% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 4 to Tier 4, with a cross-plan average of Tier 4.

Real-world access to tolmetin 600 MG Oral Tablet depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 0% apply quantity limits.

Medicare Part D spending dashboard figures are not published for this drug. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry tolmetin 600 MG Oral Tablet today.

Coverage Details

Formularies covering
1
Plans covering
1
Coverage rate
0%
Tier range
Tier 4, Non-Preferred
Average tier
Tier 4, Non-Preferred

Restrictions

Prior authorization required
0% of formularies
Step therapy required
0% of formularies
Quantity limits
0% of formularies

Tier Distribution Across Plans

1 plans
Tier 4, Non-Preferred

Medicare Advantage Plans (MA-PD) Covering tolmetin 600 MG Oral Tablet

1 Medicare Advantage plans with Part D drug coverage include this drug.

Plan Insurer Tier PA Premium States
Samaritan Dual Advantage (HMO D-SNP) SAMARITAN HEALTH PLANS, INC. T4 No $10.50 OR

Frequently Asked Questions

Is tolmetin 600 MG Oral Tablet covered by Medicare Part D?

Yes, tolmetin 600 MG Oral Tablet is covered by 1 Medicare Part D plans (0% of all Part D formularies).

What tier is tolmetin 600 MG Oral Tablet on Medicare Part D plans?

tolmetin 600 MG Oral Tablet averages Tier 4 across Part D plans, ranging from Tier 4 to Tier 4.

Does tolmetin 600 MG Oral Tablet require prior authorization?

0% of Part D formularies require prior authorization for tolmetin 600 MG Oral Tablet. Step therapy: 0%. Quantity limits: 0%.

Read our methodology - how this data is sourced, computed, and verified.

Data sourced from the Centers for Medicare & Medicaid Services (CMS). See our methodology for details. Retrieved and formatted by PlainMedicare Editorial