Medicare Part D coverage · trihexyphenidyl hydrochloride · RxCUI 905269
trihexyphenidyl hydrochloride 2 MG Oral Tablet
Per the CMS 2026 Part D formulary file, trihexyphenidyl hydrochloride 2 MG Oral Tablet is covered by 4,861 Medicare Part D plans (96.2% of enrollable products), averaging Tier 1.8, with prior authorization required on 13.8% of covering formularies.
- 96.2%
- Plan coverage
- 4,861
- Plans covering
- T1.8
- Avg tier
- 13.8%
- Prior auth required
What the CMS Formulary Data Shows for trihexyphenidyl hydrochloride 2 MG Oral Tablet
Per the CMS 2026 Part D formulary file, trihexyphenidyl hydrochloride 2 MG Oral Tablet (RxNorm concept RXCUI 905269, generic name trihexyphenidyl hydrochloride) appears on 305 distinct formulary files spanning 4,861 Medicare Part D plan offerings - 96.2% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 1.8.
Real-world access to trihexyphenidyl hydrochloride 2 MG Oral Tablet depends on utilization management as much as tier placement: 13.8% of covering formularies require prior authorization. 0% require step therapy. 0.7% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 31,777 Part D beneficiaries filled trihexyphenidyl hydrochloride 2 MG Oral Tablet in 2023, with total plan-and-beneficiary spending of $3,377,997 and an average per-beneficiary annual cost of $106.30. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry trihexyphenidyl hydrochloride 2 MG Oral Tablet today.
Coverage Details
- Formularies covering
- 305
- Plans covering
- 4,861
- Coverage rate
- 96.2%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 13.8% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0.7% of formularies
2023 Medicare Spending
- Beneficiaries
- 31,777
- Total spending
- $3,377,997
- Avg per beneficiary
- $106.30
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering trihexyphenidyl hydrochloride 2 MG Oral Tablet
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 | No | $0 | VA |
| Sentara Community Complete (HMO D-SNP) | Sentara Health Plans | T1 | No | $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 |
| HealthSun HealthAdvantage Plan (HMO) | Healthsun Health Plans, Inc. | T1 | No | $0 | FL |
| HealthSun MediMax (HMO) | Healthsun Health Plans, Inc. | T1 | No | $0 | FL |
| HealthSun HealthAdvantage Plan (HMO) | Healthsun Health Plans, Inc. | T1 | No | $0 | FL |
| HealthSun HealthAdvantage Plan (HMO) | Healthsun Health Plans, Inc. | T1 | No | $0 | FL |
| HealthSun MediSun Plus (HMO D-SNP) | Healthsun Health Plans, Inc. | T1 | No | $0 | FL |
| HealthSun HealthAdvantage Plus (HMO) | Healthsun Health Plans, Inc. | T1 | No | $0 | FL |
| HealthSun HealthAdvantage Plus (HMO) | Healthsun Health Plans, Inc. | T1 | No | $0 | FL |
| HealthSun MediSun Extra (HMO D-SNP) | Healthsun Health Plans, Inc. | T1 | No | $0 | FL |
| HealthSun HealthAdvantage Plus (HMO) | Healthsun Health Plans, Inc. | T1 | No | $0 | FL |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is trihexyphenidyl hydrochloride 2 MG Oral Tablet covered by Medicare Part D?
Yes, trihexyphenidyl hydrochloride 2 MG Oral Tablet is covered by 4,861 Medicare Part D plans (96.2% of all Part D formularies).
What tier is trihexyphenidyl hydrochloride 2 MG Oral Tablet on Medicare Part D plans?
trihexyphenidyl hydrochloride 2 MG Oral Tablet averages Tier 1.8 across Part D plans, ranging from Tier 1 to Tier 4.
Does trihexyphenidyl hydrochloride 2 MG Oral Tablet require prior authorization?
13.8% of Part D formularies require prior authorization for trihexyphenidyl hydrochloride 2 MG Oral Tablet. Step therapy: 0%. Quantity limits: 0.7%.
How much does Medicare spend on trihexyphenidyl hydrochloride 2 MG Oral Tablet?
In 2023, total Medicare Part D spending on trihexyphenidyl hydrochloride 2 MG Oral Tablet was $3,377,997, covering 31,777 beneficiaries. The average spend per beneficiary was $106.30.
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
- fluconazole 50 MG Oral Tablet T1.8
- Smoking Cessation 12 HR bupropion hydrochloride 150 MG Extended Release Oral Tablet T1.8
- metolazone 5 MG Oral Tablet T1.8
- doxycycline monohydrate 50 MG Oral Capsule T1.8
- Microencapsulated potassium chloride 15 MEQ Extended Release Oral Tablet [Klor-Con] T1.8
- cephalexin 250 MG Oral Tablet T1.8
Similar prior-authorization rate
- danazol 200 MG Oral Capsule 13.8% PA
- danazol 50 MG Oral Capsule 13.8% PA
- risperidone 3 MG Disintegrating Oral Tablet 13.7% PA
- risperidone 2 MG Disintegrating Oral Tablet 13.7% PA
- risperidone 1 MG Disintegrating Oral Tablet 13.7% PA
- risperidone 0.5 MG Disintegrating Oral Tablet 13.7% PA