Medicare Part D coverage · vigabatrin · RxCUI 2685223
vigabatrin 100 MG/ML Oral Solution [Vigafyde]
Per the CMS 2026 Part D formulary file, vigabatrin 100 MG/ML Oral Solution [Vigafyde] is covered by 4,066 Medicare Part D plans (80.5% of enrollable products), averaging Tier 4.3, with prior authorization required on 75.1% of covering formularies.
- 80.5%
- Plan coverage
- 4,066
- Plans covering
- T4.3
- Avg tier
- 75.1%
- Prior auth required
What the CMS Formulary Data Shows for vigabatrin 100 MG/ML Oral Solution [Vigafyde]
Per the CMS 2026 Part D formulary file, vigabatrin 100 MG/ML Oral Solution [Vigafyde] (RxNorm concept RXCUI 2685223, generic name vigabatrin) appears on 225 distinct formulary files spanning 4,066 Medicare Part D plan offerings - 80.5% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 6, with a cross-plan average of Tier 4.3.
Real-world access to vigabatrin 100 MG/ML Oral Solution [Vigafyde] depends on utilization management as much as tier placement: 75.1% of covering formularies require prior authorization. 0.4% require step therapy. 72% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 124 Part D beneficiaries filled vigabatrin 100 MG/ML Oral Solution [Vigafyde] 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 100 MG/ML Oral Solution [Vigafyde] today.
Coverage Details
- Formularies covering
- 225
- Plans covering
- 4,066
- Coverage rate
- 80.5%
- Tier range
- Tier 1 – Tier 6
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 75.1% of formularies
- Step therapy required
- 0.4% of formularies
- Quantity limits
- 72% 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 100 MG/ML Oral Solution [Vigafyde]
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Florida Complete Care-Duals VIP (HMO-POS D-SNP) | Hpmp OF Florida, Inc. | T1 | Yes | $0 | FL |
| 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 |
| 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 |
| PruittHealth Premier D-SNP (HMO D-SNP) | Pruitthealth Premier, Inc. | T1 | Yes | $0 | GA |
| Simpra Advantage Dual Care (PPO D-SNP) | Simpra Advantage, Inc. | T1 | Yes | $0 | AL |
| 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 |
Show the next 30 plans
| NaviCare (HMO D-SNP) | Fallon Community Health Plan | T1 | Yes | $0 | MA |
| Hamaspik Medicare Choice (HMO D-SNP) | Hamaspik, Inc. | T1 | No | $0 | NY |
| SeniorCare Complete (HMO D-SNP) | South Country Health Alliance | T1 | Yes | $0 | MN |
| AbilityCare (HMO D-SNP) | South Country Health Alliance | T1 | Yes | $0 | MN |
| Alameda Alliance Wellness (HMO D-SNP) | Alameda Alliance FOR Health | T1 | Yes | $0 | CA |
| 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 |
| 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 |
| Platino Blindao (HMO D-SNP) | Triple S Advantage, Inc. | T1 | Yes | $0 | PR |
| Platino Enlace (HMO D-SNP) | Triple S Advantage, Inc. | T1 | Yes | $0 | PR |
| Platino Advance (HMO D-snp) | Triple S Advantage, Inc. | T1 | Yes | $0 | PR |
| Platino Plus (HMO D-snp) | Triple S Advantage, Inc. | T1 | Yes | $0 | PR |
| 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 |
| Tufts Health One Care (HMO D-SNP) | Tufts Health Public Plans, Inc. | T1 | Yes | $0 | MA |
| Tufts Health One Care CW (HMO D-SNP) | Tufts Health Public Plans, Inc. | T1 | Yes | $0 | MA |
| Tufts Health Plan Senior Care Options (HMO D-SNP) | Tufts Associated Health Maintenance Organization | T1 | Yes | $0 | MA |
| Tufts Health Plan Senior Care Options CW (HMO D-SNP) | Tufts Associated Health Maintenance Organization | T1 | Yes | $0 | MA |
| Florida Complete Care (HMO I-SNP) | Hpmp OF Florida, Inc. | T1 | Yes | $4.80 | FL |
| Florida Complete Care- In The Community (HMO-POS I-SNP) | Hpmp OF Florida, Inc. | T1 | Yes | $4.80 | FL |
| Senior Care (HMO I-SNP) | Align Senior Care Florida, Inc. | T1 | Yes | $4.80 | FL |
| ProCare Advantage (HMO-POS I-SNP) | Procare Advantage, LLC | T1 | Yes | $4.80 | TX |
| ProCare Advantage - Kidney Care (HMO-POS C-SNP) | Procare Advantage, LLC | T1 | Yes | $4.80 | TX |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is vigabatrin 100 MG/ML Oral Solution [Vigafyde] covered by Medicare Part D?
Yes, vigabatrin 100 MG/ML Oral Solution [Vigafyde] is covered by 4,066 Medicare Part D plans (80.5% of all Part D formularies).
What tier is vigabatrin 100 MG/ML Oral Solution [Vigafyde] on Medicare Part D plans?
vigabatrin 100 MG/ML Oral Solution [Vigafyde] averages Tier 4.3 across Part D plans, ranging from Tier 1 to Tier 6.
Does vigabatrin 100 MG/ML Oral Solution [Vigafyde] require prior authorization?
75.1% of Part D formularies require prior authorization for vigabatrin 100 MG/ML Oral Solution [Vigafyde]. Step therapy: 0.4%. Quantity limits: 72%.
How much does Medicare spend on vigabatrin 100 MG/ML Oral Solution [Vigafyde]?
In 2023, total Medicare Part D spending on vigabatrin 100 MG/ML Oral Solution [Vigafyde] 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
- octreotide 1 MG/ML Injectable Solution 75.1% PA
- carbinoxamine maleate 0.8 MG/ML Oral Solution 75% PA
- 1 ML octreotide 0.5 MG/ML Injection 75% PA
- 0.8 ML adalimumab-adaz 100 MG/ML Auto-Injector 75% PA
- cyclosporine 1 MG/ML Ophthalmic Suspension [Verkazia] 75% PA
- sepiapterin 1000 MG Oral Powder [Sephience] 75% PA