Medicare Part D coverage · vigabatrin · RxCUI 2047868
vigabatrin 500 MG Powder for Oral Solution [Vigadrone]
Per the CMS 2026 Part D formulary file, vigabatrin 500 MG Powder for Oral Solution [Vigadrone] is covered by 3,923 Medicare Part D plans (77.7% of enrollable products), averaging Tier 4.3, with prior authorization required on 75.8% of covering formularies.
- 77.7%
- Plan coverage
- 3,923
- Plans covering
- T4.3
- Avg tier
- 75.8%
- Prior auth required
What the CMS Formulary Data Shows for vigabatrin 500 MG Powder for Oral Solution [Vigadrone]
Per the CMS 2026 Part D formulary file, vigabatrin 500 MG Powder for Oral Solution [Vigadrone] (RxNorm concept RXCUI 2047868, generic name vigabatrin) appears on 265 distinct formulary files spanning 3,923 Medicare Part D plan offerings - 77.7% of enrollable Part D products, mid-range placement; shopping across contracts changes access. Tier placement ranges from Tier 1 to Tier 5, with a cross-plan average of Tier 4.3.
Real-world access to vigabatrin 500 MG Powder for Oral Solution [Vigadrone] depends on utilization management as much as tier placement: 75.8% of covering formularies require prior authorization. 0.4% require step therapy. 76.2% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 124 Part D beneficiaries filled vigabatrin 500 MG Powder for Oral Solution [Vigadrone] in 2023, with total plan-and-beneficiary spending of $10,987,448 and an average per-beneficiary annual cost of $88,608.45. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry vigabatrin 500 MG Powder for Oral Solution [Vigadrone] today.
Coverage Details
- Formularies covering
- 265
- Plans covering
- 3,923
- Coverage rate
- 77.7%
- Tier range
- Tier 1 – Tier 5
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 75.8% of formularies
- Step therapy required
- 0.4% of formularies
- Quantity limits
- 76.2% of formularies
2023 Medicare Spending
- Beneficiaries
- 124
- Total spending
- $10,987,448
- Avg per beneficiary
- $88,608.45
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering vigabatrin 500 MG Powder for Oral Solution [Vigadrone]
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 |
| 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 |
| 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 |
| Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP) | Upper Peninsula Health Plan, LLC | T1 | Yes | $0 | MI |
| CareSource Dual Advantage (HMO D-SNP) | Caresource Georgia Co. | T1 | Yes | $0 | GA |
| Senior Whole Health SCO (HMO D-SNP) | Senior Whole Health, LLC | T1 | Yes | $0 | MA |
| Senior Whole Health SCO NHC (HMO D-SNP) | Senior Whole Health, LLC | T1 | Yes | $0 | MA |
| Molina One Care (HMO D-SNP) | Senior Whole Health, LLC | T1 | Yes | $0 | MA |
Show the next 30 plans
| HAP CareSource MI Coordinated Health (HMO D-SNP) | HAP Caresource | T1 | Yes | $0 | MI |
| CareAdvantage (HMO D-SNP) | SAN Mateo Health Commission | T1 | Yes | $0 | CA |
| Gold Coast Health Plan Total Care Advantage (HMO D-SNP) | Ventura County Medi-Cal Managed Care Commission | T1 | No | $0 | CA |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | Health Care Service Corporation | T1 | No | $0 | NM |
| Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) | Health Care Service Corporation | T1 | No | $0 | NM |
| Horizon NJ TotalCare (HMO D-SNP) | Horizon Healthcare OF NEW Jersey, Inc. | T1 | No | $0 | NJ |
| SecureBlue (HMO D-SNP) | HMO Minnesota | T1 | No | $0 | MN |
| NaviCare (HMO D-SNP) | Fallon Community Health Plan | T1 | Yes | $0 | MA |
| Hamaspik Medicare Choice (HMO D-SNP) | Hamaspik, Inc. | T1 | No | $0 | NY |
| CCA One Care (HMO D-SNP) | Commonwealth Care Alliance, Inc. | T1 | Yes | $0 | MA |
| CCA Senior Care Options (HMO D-SNP) | Commonwealth Care Alliance, Inc. | T1 | Yes | $0 | MA |
| Elevate Medicare Choice (HMO D-SNP) | Denver Health Medical Plan, Inc. | T1 | Yes | $0 | CO |
| AllCare Advantage Redwood Rx (HMO D-SNP) | Allcare Health Plan, Inc. | T1 | Yes | $0 | OR |
| PrimeWest Senior Health Complete (HMO D-SNP) | Primewest Rural MN Health Care Access Initiative | T1 | Yes | $0 | MN |
| Prime Health Complete (HMO D-SNP) | Primewest Rural MN Health Care Access Initiative | T1 | Yes | $0 | MN |
| Alterwood Advantage Dual Secure (HMO D-SNP) | Alterwood Advantage, Inc. | T1 | Yes | $0 | MD |
| Nascentia Dual Advantage (HMO D-SNP) | Visiting Nurse Association OF Central NEW York | T1 | Yes | $0 | NY |
| Provider Partners Pennsylvania Community Plan (HMO I-SNP) | Provider Partners Health Plan OF Pennsylvania, Inc | T1 | Yes | $0 | PA |
| Provider Partners North Carolina Community Plan (HMO I-SNP) | Provider Partners Health Plan OF North Carolina | T1 | Yes | $0 | NC |
| Provider Partners Indiana Community Plan (HMO I-SNP) | Provider Partners Health Plan OF Indiana | T1 | Yes | $0 | IN |
| Provider Partners Missouri Community Plan (HMO I-SNP) | Provider Partners Health Plan OF Missouri, Inc. | T1 | Yes | $0 | MO |
| 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 | Yes | $0 | MA |
| Mass General Brigham One Care (HMO D-SNP) | Mass General Brigham Health Plan, Inc | T1 | Yes | $0 | MA |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | Yes | $0 | PA |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) | Gateway Health Plan, Inc. | T1 | Yes | $0 | PA |
| Highmark Health Options Duals (HMO D-SNP) | Highmark Health Options West Virginia Inc. | T1 | Yes | $0 | WV |
| Highmark Health Options Duals (HMO D-SNP) | Highmark Bcbsd, Inc. | T1 | Yes | $0 | DE |
| Florida Complete Care (HMO I-SNP) | Hpmp OF Florida, Inc. | T1 | Yes | $4.80 | FL |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is vigabatrin 500 MG Powder for Oral Solution [Vigadrone] covered by Medicare Part D?
Yes, vigabatrin 500 MG Powder for Oral Solution [Vigadrone] is covered by 3,923 Medicare Part D plans (77.7% of all Part D formularies).
What tier is vigabatrin 500 MG Powder for Oral Solution [Vigadrone] on Medicare Part D plans?
vigabatrin 500 MG Powder for Oral Solution [Vigadrone] averages Tier 4.3 across Part D plans, ranging from Tier 1 to Tier 5.
Does vigabatrin 500 MG Powder for Oral Solution [Vigadrone] require prior authorization?
75.8% of Part D formularies require prior authorization for vigabatrin 500 MG Powder for Oral Solution [Vigadrone]. Step therapy: 0.4%. Quantity limits: 76.2%.
How much does Medicare spend on vigabatrin 500 MG Powder for Oral Solution [Vigadrone]?
In 2023, total Medicare Part D spending on vigabatrin 500 MG Powder for Oral Solution [Vigadrone] was $10,987,448, covering 124 beneficiaries. The average spend per beneficiary was $88,608.45.
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
- nilotinib 71 MG Oral Tablet [Danziten] T4.3
- betaine 1000 MG Powder for Oral Solution T4.3
- letermovir 120 MG Oral Pellet [Prevymis] T4.3
- pomalidomide 1 MG Oral Capsule [Pomalyst] T4.3
- 1.7 ML denosumab-bmwo 70 MG/ML Injection [Osenvelt] T4.3
- 0.5 ML interferon beta-1a 0.044 MG/ML Prefilled Syringe [Rebif] T4.3
Similar prior-authorization rate
- voriconazole 40 MG/ML Oral Suspension 75.7% PA
- bedaquiline 20 MG Oral Tablet [Sirturo] 76.1% PA
- dimethyl fumarate 120 MG Delayed Release Oral Capsule 76.2% PA
- dimethyl fumarate 240 MG Delayed Release Oral Capsule 76.2% PA
- bedaquiline 100 MG Oral Tablet [Sirturo] 76.2% PA
- crisaborole 0.02 MG/MG Topical Ointment [Eucrisa] 75.3% PA