tramadol hydrochloride 75 MG Oral Tablet

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tramadol hydrochloride

RxCUI: 2692878

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.
0.7%
Plan Coverage
34
Plans Covering
T1.9
Avg Tier
7.7%
Prior Auth Required

What the CMS Formulary Data Shows for tramadol hydrochloride 75 MG Oral Tablet

Per the CMS 2026 Part D formulary file, tramadol hydrochloride 75 MG Oral Tablet (RxNorm concept RXCUI 2692878, generic name tramadol hydrochloride) appears on 13 distinct formulary files spanning 34 Medicare Part D plan offerings - 0.7% 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 1.9.

Real-world access to tramadol hydrochloride 75 MG Oral Tablet depends on utilization management as much as tier placement: 7.7% of covering formularies require prior authorization. 0% require step therapy. 92.3% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 3,884,717 Part D beneficiaries filled tramadol hydrochloride 75 MG Oral Tablet in 2023, with total plan-and-beneficiary spending of $91,679,129 and an average per-beneficiary annual cost of $23.60. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry tramadol hydrochloride 75 MG Oral Tablet today.

Coverage Details

Formularies covering
13
Plans covering
34
Coverage rate
0.7%
Tier range
Tier 1 – Tier 4
Average tier
Tier 2, Generic

Restrictions

Prior authorization required
7.7% of formularies
Step therapy required
0% of formularies
Quantity limits
92.3% of formularies

2023 Medicare Spending

Beneficiaries
3,884,717
Total spending
$91,679,129
Avg per beneficiary
$23.60

Tier Distribution Across Plans

11 plans
Tier 1, Preferred Generic
3 plans
Tier 2, Generic
4 plans
Tier 3, Preferred Brand
16 plans
Tier 4, Non-Preferred

Standalone Drug Plans (PDP) Covering tramadol hydrochloride 75 MG Oral Tablet

2 standalone prescription drug plans include this drug.

Plan Insurer Tier PA ST Premium States
Blue Rx PDP Complete (PDP) HM HEALTH INSURANCE COMPANY T4 Yes No $164.80 -
Blue Rx PDP Plus (PDP) HM HEALTH INSURANCE COMPANY T4 Yes No $193.20 -

Medicare Advantage Plans (MA-PD) Covering tramadol hydrochloride 75 MG Oral Tablet

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

Plan Insurer Tier PA Premium States
Abilis Health Community (HMO I-SNP) SIGNATURE ADVANTAGE, LLC T1 No $0 KY, TN
Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) ARKANSAS SUPERIOR SELECT, INC. T1 No $0 AR
Mass General Brigham SCO (HMO D-SNP) MASS GENERAL BRIGHAM HEALTH PLAN, INC T1 No $0 MA
Mass General Brigham One Care (HMO D-SNP) MASS GENERAL BRIGHAM HEALTH PLAN, INC T1 No $0 MA
Texas Independence Health Plan, Inc. (HMO I-SNP) TEXAS INDEPENDENCE HEALTH PLAN, INC. T1 No $4.80 TX
Texas Independence Community Plan (HMO I-SNP) TEXAS INDEPENDENCE HEALTH PLAN, INC. T1 No $4.80 TX
Tribute Select (HMO-POS I-SNP) ARKANSAS SUPERIOR SELECT, INC. T1 No $8.90 AR
Valor Health Plan (HMO I-SNP) TSG GUARD, INC. T1 No $31.40 OH
WV Senior Advantage (HMO I-SNP) WEST VIRGINIA SENIOR ADVANTAGE, INC. T1 No $32.70 WV
Abilis Health (HMO I-SNP) SIGNATURE ADVANTAGE, LLC T1 No $35.90 KY, TN
CommuniCare Advantage ISNP (HMO I-SNP) OH CHS SNP INC. T1 No $38.40 IN, MD, OH
PrimeTime Health Plan Aultimate (HMO-POS) AULTCARE HEALTH INSURING CORPORATION T2 No $0 OH
PrimeTime Health Plan Plus (HMO-POS) AULTCARE HEALTH INSURING CORPORATION T2 No $36.00 OH
PrimeTime Health Plan Classic (HMO-POS) AULTCARE HEALTH INSURING CORPORATION T2 No $40.30 OH
Mass General Brigham Advantage (PPO) Mass General Brigham Health Plan, Inc. T3 No $0 MA
Mass General Brigham Advantage Secure (HMO-POS) Mass General Brigham Health Plan, Inc. T3 No $62.00 MA
Mass General Brigham Advantage Premier (PPO) Mass General Brigham Health Plan, Inc. T3 No $79.70 MA
Mass General Brigham Advantage Signature (PPO) Mass General Brigham Health Plan, Inc. T3 No $147.20 MA
Keystone 65 Select Rx (HMO) KEYSTONE HEALTH PLAN EAST, INC. T4 No $47.00 PA
Security Blue HMO-POS Standard (HMO-POS) HIGHMARK CHOICE COMPANY T4 Yes $51.80 PA
Keystone 65 Preferred Rx (HMO) KEYSTONE HEALTH PLAN EAST, INC. T4 No $59.70 PA
Keystone 65 Select Rx (HMO) KEYSTONE HEALTH PLAN EAST, INC. T4 No $63.50 PA
Keystone 65 Preferred Rx (HMO) KEYSTONE HEALTH PLAN EAST, INC. T4 No $79.70 PA
Freedom Blue PPO Select (PPO) HIGHMARK SENIOR HEALTH COMPANY T4 Yes $95.70 PA
Security Blue HMO-POS Deluxe (HMO-POS) HIGHMARK CHOICE COMPANY T4 Yes $95.90 PA
Freedom Blue PPO Standard (PPO) HIGHMARK SENIOR HEALTH COMPANY T4 Yes $98.20 PA
Personal Choice 65 Rx (PPO) QCC INSURANCE COMPANY T4 No $102.20 PA
Personal Choice 65 Rx (PPO) QCC INSURANCE COMPANY T4 No $112.70 PA
Freedom Blue PPO Select (PPO) HIGHMARK SENIOR HEALTH COMPANY T4 Yes $115.70 PA
Freedom Blue PPO Deluxe (PPO) HIGHMARK SENIOR HEALTH COMPANY T4 Yes $122.40 PA
Freedom Blue PPO Classic (PPO) HIGHMARK SENIOR HEALTH COMPANY T4 Yes $140.90 PA
Freedom Blue PPO Classic (PPO) HIGHMARK SENIOR HEALTH COMPANY T4 Yes $145.40 PA

Frequently Asked Questions

Is tramadol hydrochloride 75 MG Oral Tablet covered by Medicare Part D?

Yes, tramadol hydrochloride 75 MG Oral Tablet is covered by 34 Medicare Part D plans (0.7% of all Part D formularies).

What tier is tramadol hydrochloride 75 MG Oral Tablet on Medicare Part D plans?

tramadol hydrochloride 75 MG Oral Tablet averages Tier 1.9 across Part D plans, ranging from Tier 1 to Tier 4.

Does tramadol hydrochloride 75 MG Oral Tablet require prior authorization?

7.7% of Part D formularies require prior authorization for tramadol hydrochloride 75 MG Oral Tablet. Step therapy: 0%. Quantity limits: 92.3%.

How much does Medicare spend on tramadol hydrochloride 75 MG Oral Tablet?

In 2023, total Medicare Part D spending on tramadol hydrochloride 75 MG Oral Tablet was $91,679,129, covering 3,884,717 beneficiaries. The average spend per beneficiary was $23.60.

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