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Coverage for the 617 drugs Medicare Part D fills most often, across all 5,492 2027 Medicare Advantage drug plans and stand-alone Part D plans (286 formularies). Each page shows the plan count, tier placement, prior authorization, step therapy and quantity limits, copays, and the split by plan type, carrier and state.
| Drug | Type | Plans covering | Share | Prior auth | Usual tier |
|---|---|---|---|---|---|
| Abilify | Brand | 5,492 of 5,492 | 100% | 1.1% | Tier 5 |
| Abiraterone | Generic | 5,492 of 5,492 | 100% | 78.3% | Tier 4 |
| Abrysvo | Brand | 5,492 of 5,492 | 100% | 47.9% | Tier 1 |
| Acarbose | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Acebutolol | Generic | 5,457 of 5,492 | 99.4% | 0% | Tier 2 |
| Acetaminophen / Hydrocodone | Generic | 5,401 of 5,492 | 98.3% | 0% | Tier 3 |
| Acetaminophen / Oxycodone | Generic | 5,492 of 5,492 | 100% | 1.7% | Tier 3 |
| Acetaminophen / Tramadol | Generic | 3,644 of 5,492 | 66.4% | 0.4% | Tier 2 |
| Acetazolamide | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Acyclovir | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Adacel | Brand | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Admelog | Brand | 640 of 5,492 | 11.7% | 1.1% | Tier 3 |
| Advair | Brand | 3,542 of 5,492 | 64.5% | 0% | Tier 3 |
| Aimovig | Brand | 4,376 of 5,492 | 79.7% | 99.2% | Tier 3 |
| Ajovy | Brand | 140 of 5,492 | 2.5% | 17.9% | Tier 4 |
| Albuterol | Generic | 5,492 of 5,492 | 100% | 1.6% | Tier 2 |
| Albuterol / Ipratropium | Generic | 5,492 of 5,492 | 100% | 96.3% | Tier 2 |
| Alendronate | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Alfuzosin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Allopurinol | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Alogliptin | Generic | 74 of 5,492 | 1.3% | 0% | Tier 1 |
| Alphagan | Brand | 457 of 5,492 | 8.3% | 0% | Tier 2 |
| Alprazolam | Generic | 5,133 of 5,492 | 93.5% | 38.4% | Tier 2 |
| Alvesco | Brand | 1,921 of 5,492 | 35% | 0% | Tier 4 |
| Amantadine | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Amiloride | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Amiodarone | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Amitriptyline | Generic | 5,492 of 5,492 | 100% | 54.6% | Tier 3 |
| Amlodipine | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Amlodipine / Atorvastatin | Generic | 4,477 of 5,492 | 81.5% | 0% | Tier 1 |
| Amlodipine / Benazepril | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Amlodipine / Hydrochlorothiazide / Olmesartan | Generic | 4,995 of 5,492 | 91% | 0% | Tier 1 |
| Amlodipine / Olmesartan | Generic | 5,128 of 5,492 | 93.4% | 0% | Tier 1 |
| Amlodipine / Valsartan | Generic | 5,368 of 5,492 | 97.7% | 0% | Tier 1 |
| Amoxicillin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Amphetamine Aspartate / Amphetamine Sulfate / Dextroamphetamine Saccharate / Dextroamphetamine Sulfate | Generic | 5,492 of 5,492 | 100% | 22.3% | Tier 3 |
| Anastrozole | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Anoro | Brand | 4,063 of 5,492 | 74% | 0% | Tier 3 |
| Arexvy | Brand | 5,492 of 5,492 | 100% | 47.9% | Tier 1 |
| Aripiprazole | Generic | 5,492 of 5,492 | 100% | 3.2% | Tier 3 |
| Aristada | Brand | 5,028 of 5,492 | 91.6% | 1.6% | Tier 5 |
| Armodafinil | Generic | 4,484 of 5,492 | 81.6% | 99% | Tier 4 |
| Arnuity | Brand | 5,006 of 5,492 | 91.2% | 0% | Tier 3 |
| Aspirin / Dipyridamole | Generic | 4,529 of 5,492 | 82.5% | 0% | Tier 4 |
| Atenolol | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Atenolol / Chlorthalidone | Generic | 5,482 of 5,492 | 99.8% | 0% | Tier 1 |
| Atomoxetine | Generic | 5,492 of 5,492 | 100% | 0.2% | Tier 4 |
| Atorvastatin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Atropine | Generic | 5,403 of 5,492 | 98.4% | 0% | Tier 3 |
| Atropine / Diphenoxylate | Generic | 5,450 of 5,492 | 99.2% | 22.8% | Tier 4 |
| Atrovent | Brand | 3,400 of 5,492 | 61.9% | 26% | Tier 4 |
| Austedo | Brand | 5,492 of 5,492 | 100% | 97.9% | Tier 5 |
| Azathioprine | Generic | 5,492 of 5,492 | 100% | 100% | Tier 2 |
| Azelastine | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Azelastine / Fluticasone | Generic | 175 of 5,492 | 3.2% | 0% | Tier 4 |
| Azithromycin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Baclofen | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Balsalazide | Generic | 5,492 of 5,492 | 100% | 0% | Tier 4 |
| Basaglar | Brand | 38 of 5,492 | 0.7% | 18.4% | Tier 4 |
| Belbuca | Brand | 175 of 5,492 | 3.2% | 0% | Tier 4 |
| Belsomra | Brand | 3,021 of 5,492 | 55% | 5.1% | Tier 3 |
| Benazepril | Generic | 5,491 of 5,492 | >99.9% | 0% | Tier 1 |
| Benazepril / Hydrochlorothiazide | Generic | 5,379 of 5,492 | 97.9% | 0% | Tier 1 |
| Benztropine | Generic | 5,492 of 5,492 | 100% | 67.9% | Tier 2 |
| Betamethasone | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Betamethasone / Clotrimazole | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Bethanechol | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Bevespi | Brand | 1,743 of 5,492 | 31.7% | 0% | Tier 3 |
| Bicalutamide | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Biktarvy | Brand | 5,492 of 5,492 | 100% | 0% | Tier 5 |
| Bimatoprost | Generic | 5,160 of 5,492 | 94% | 0% | Tier 3 |
| Bisoprolol | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Bisoprolol / Hydrochlorothiazide | Generic | 5,448 of 5,492 | 99.2% | 0% | Tier 1 |
| Boostrix | Brand | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Breo | Brand | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Breyna | Brand | 2,901 of 5,492 | 52.8% | 0% | Tier 3 |
| Breztri | Brand | 5,056 of 5,492 | 92.1% | 0% | Tier 3 |
| Brilinta | Brand | 35 of 5,492 | 0.6% | 0% | Tier 3 |
| Brimonidine | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Brimonidine / Timolol | Generic | 5,159 of 5,492 | 93.9% | 0% | Tier 3 |
| Brinzolamide | Generic | 3,954 of 5,492 | 72% | 0% | Tier 4 |
| Briviact | Brand | 819 of 5,492 | 14.9% | 96.2% | Tier 5 |
| Bromfenac | Generic | 2,234 of 5,492 | 40.7% | 0% | Tier 3 |
| Brukinsa | Brand | 5,492 of 5,492 | 100% | 98.1% | Tier 5 |
| Budesonide | Generic | 5,492 of 5,492 | 100% | 9.6% | Tier 4 |
| Budesonide / Formoterol | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Bumetanide | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Buprenorphine | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Buprenorphine / Naloxone | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Bupropion | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Buspirone | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Cabergoline | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Calcipotriene | Generic | 5,492 of 5,492 | 100% | 31.2% | Tier 3 |
| Calcitriol | Generic | 5,492 of 5,492 | 100% | 35.9% | Tier 2 |
| Calcium Acetate | Generic | 5,492 of 5,492 | 100% | 60.4% | Tier 3 |
| Calquence | Brand | 5,492 of 5,492 | 100% | 97.8% | Tier 5 |
| Candesartan | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Candesartan / Hydrochlorothiazide | Generic | 5,103 of 5,492 | 92.9% | 0% | Tier 1 |
| Caplyta | Brand | 5,492 of 5,492 | 100% | 28.6% | Tier 5 |
| Captopril | Generic | 5,466 of 5,492 | 99.5% | 0% | Tier 1 |
| Carbamazepine | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Carbidopa / Levodopa | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Carisoprodol | Generic | 667 of 5,492 | 12.1% | 20.7% | Tier 2 |
| Cartia | Brand | 5,474 of 5,492 | 99.7% | 0% | Tier 2 |
| Carvedilol | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Cefadroxil | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Cefdinir | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Cefepime | Generic | 5,492 of 5,492 | 100% | 0% | Tier 4 |
| Cefpodoxime | Generic | 5,492 of 5,492 | 100% | 0% | Tier 4 |
| Ceftriaxone | Generic | 5,492 of 5,492 | 100% | 0% | Tier 4 |
| Cefuroxime | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Celecoxib | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Cephalexin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Cequa | Brand | 158 of 5,492 | 2.9% | 0% | Tier 3 |
| Cevimeline | Generic | 2,744 of 5,492 | 50% | 0% | Tier 4 |
| Chlordiazepoxide | Generic | 1,323 of 5,492 | 24.1% | 51.6% | Tier 4 |
| Chlorhexidine | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Chlorpromazine | Generic | 5,492 of 5,492 | 100% | 21.7% | Tier 4 |
| Chlorthalidone | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Cholestyramine Resin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 4 |
| Ciclopirox | Generic | 5,483 of 5,492 | 99.8% | 0% | Tier 2 |
| Cilostazol | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Cimetidine | Generic | 3,458 of 5,492 | 63% | 0% | Tier 2 |
| Cinacalcet | Generic | 5,492 of 5,492 | 100% | 54.2% | Tier 4 |
| Ciprofloxacin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Ciprofloxacin / Dexamethasone | Generic | 4,430 of 5,492 | 80.7% | 0% | Tier 4 |
| Citalopram | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Clarithromycin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Clenpiq | Brand | 2,059 of 5,492 | 37.5% | 0% | Tier 3 |
| Clindamycin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Clobazam | Generic | 5,492 of 5,492 | 100% | 88.2% | Tier 4 |
| Clobetasol | Generic | 5,345 of 5,492 | 97.3% | 0% | Tier 3 |
| Clomipramine | Generic | 5,492 of 5,492 | 100% | 58.8% | Tier 4 |
| Clonazepam | Generic | 5,492 of 5,492 | 100% | 19.7% | Tier 2 |
| Clonidine | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Clopidogrel | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Clorazepate | Generic | 5,492 of 5,492 | 100% | 58.1% | Tier 4 |
| Clotrimazole | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Clozapine | Generic | 5,492 of 5,492 | 100% | 18.8% | Tier 3 |
| Colchicine | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Colesevelam | Generic | 4,131 of 5,492 | 75.2% | 0% | Tier 3 |
| Colestipol | Generic | 5,491 of 5,492 | >99.9% | 0% | Tier 3 |
| Combigan | Brand | 1,534 of 5,492 | 27.9% | 0% | Tier 3 |
| Combivent | Brand | 5,492 of 5,492 | 100% | 0% | Tier 4 |
| Constulose | Brand | 5,371 of 5,492 | 97.8% | 0% | Tier 2 |
| Cosentyx | Brand | 3,923 of 5,492 | 71.4% | 97.4% | Tier 5 |
| Creon | Brand | 5,304 of 5,492 | 96.6% | 0% | Tier 3 |
| Cromolyn | Generic | 5,492 of 5,492 | 100% | 0.4% | Tier 2 |
| Cyclobenzaprine | Generic | 5,492 of 5,492 | 100% | 71.8% | Tier 2 |
| Cyclosporine | Generic | 5,492 of 5,492 | 100% | 16.7% | Tier 3 |
| Cyproheptadine | Generic | 3,007 of 5,492 | 54.8% | 73.6% | Tier 3 |
| Dabigatran Etexilate | Generic | 5,425 of 5,492 | 98.8% | 0% | Tier 4 |
| Dalfampridine | Generic | 4,608 of 5,492 | 83.9% | 74.6% | Tier 3 |
| Dapagliflozin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Dapsone | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Daptomycin | Generic | 5,492 of 5,492 | 100% | 2.5% | Tier 4 |
| Descovy | Brand | 5,492 of 5,492 | 100% | 0% | Tier 5 |
| Desloratadine | Generic | 4,382 of 5,492 | 79.8% | 0% | Tier 3 |
| Desmopressin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Desonide | Generic | 4,244 of 5,492 | 77.3% | 0% | Tier 4 |
| Desvenlafaxine | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Dexamethasone | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Dexamethasone / Neomycin / Polymyxin B | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Dexamethasone / Tobramycin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Dexlansoprazole | Generic | 657 of 5,492 | 12% | 0% | Tier 4 |
| Diazepam | Generic | 5,492 of 5,492 | 100% | 57.8% | Tier 2 |
| Diclofenac | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Dicyclomine | Generic | 5,492 of 5,492 | 100% | 62.3% | Tier 4 |
| Difluprednate | Generic | 2,995 of 5,492 | 54.5% | 0% | Tier 4 |
| Digoxin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Dilantin | Brand | 5,492 of 5,492 | 100% | 5.2% | Tier 4 |
| Dilt | Brand | 5,474 of 5,492 | 99.7% | 0% | Tier 2 |
| Diltiazem | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Dofetilide | Generic | 5,492 of 5,492 | 100% | 0% | Tier 4 |
| Donepezil | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Dorzolamide | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Dorzolamide / Timolol | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Dotti | Brand | 4,324 of 5,492 | 78.7% | 0% | Tier 3 |
| Dovato | Brand | 5,492 of 5,492 | 100% | 0% | Tier 5 |
| Doxazosin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Doxepin | Generic | 5,492 of 5,492 | 100% | 24.6% | Tier 4 |
| Doxycycline | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Dulera | Brand | 2,434 of 5,492 | 44.3% | 6.8% | Tier 4 |
| Duloxetine | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Dupixent | Brand | 5,492 of 5,492 | 100% | 100% | Tier 5 |
| Dutasteride | Generic | 5,449 of 5,492 | 99.2% | 0% | Tier 2 |
| Dutasteride / Tamsulosin | Generic | 3,638 of 5,492 | 66.2% | 0% | Tier 4 |
| Econazole | Generic | 3,981 of 5,492 | 72.5% | 0% | Tier 3 |
| Edarbi | Brand | 879 of 5,492 | 16% | 0% | Tier 4 |
| Edarbyclor | Brand | 2,544 of 5,492 | 46.3% | 0% | Tier 4 |
| Eliquis | Brand | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Emgality | Brand | 5,048 of 5,492 | 91.9% | 99.1% | Tier 3 |
| Emtricitabine / Tenofovir Disoproxil | Generic | 5,492 of 5,492 | 100% | 0% | Tier 4 |
| Enalapril | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Enalapril / Hydrochlorothiazide | Generic | 5,380 of 5,492 | 98% | 0% | Tier 1 |
| Enbrel | Brand | 5,492 of 5,492 | 100% | 98.1% | Tier 5 |
| Enoxaparin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 4 |
| Entacapone | Generic | 5,492 of 5,492 | 100% | 0% | Tier 4 |
| Entecavir | Generic | 5,492 of 5,492 | 100% | 0% | Tier 4 |
| Entresto | Brand | 2,507 of 5,492 | 45.6% | 3.6% | Tier 3 |
| Enulose | Brand | 5,483 of 5,492 | 99.8% | 0% | Tier 2 |
| Epinephrine | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Eplerenone | Generic | 4,490 of 5,492 | 81.8% | 0% | Tier 3 |
| Ertapenem | Generic | 5,492 of 5,492 | 100% | 0% | Tier 4 |
| Erythromycin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Escitalopram | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Esomeprazole | Generic | 5,125 of 5,492 | 93.3% | 0% | Tier 3 |
| Estradiol | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Estradiol / Norethindrone | Generic | 4,192 of 5,492 | 76.3% | 0.5% | Tier 3 |
| Estring | Brand | 2,360 of 5,492 | 43% | 0% | Tier 4 |
| Eszopiclone | Generic | 3,051 of 5,492 | 55.6% | 3.6% | Tier 4 |
| Ethambutol | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Etodolac | Generic | 5,210 of 5,492 | 94.9% | 0% | Tier 3 |
| Exemestane | Generic | 5,492 of 5,492 | 100% | 0% | Tier 4 |
| Ezetimibe | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Ezetimibe / Simvastatin | Generic | 5,219 of 5,492 | 95% | 0% | Tier 1 |
| Famciclovir | Generic | 5,409 of 5,492 | 98.5% | 0% | Tier 3 |
| Famotidine | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Farxiga | Brand | 5,492 of 5,492 | 100% | 17.5% | Tier 3 |
| Febuxostat | Generic | 4,694 of 5,492 | 85.5% | 0.6% | Tier 3 |
| Felodipine | Generic | 5,418 of 5,492 | 98.7% | 0% | Tier 2 |
| Fenofibrate | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Fentanyl | Generic | 5,492 of 5,492 | 100% | 48.5% | Tier 4 |
| Fesoterodine | Generic | 2,938 of 5,492 | 53.5% | 0.3% | Tier 4 |
| Fiasp | Brand | 4,348 of 5,492 | 79.2% | 0% | Tier 3 |
| Finasteride | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Flecainide | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Fluconazole | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Fludrocortisone | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Fluocinolone | Generic | 5,491 of 5,492 | >99.9% | 0% | Tier 3 |
| Fluocinonide | Generic | 5,492 of 5,492 | 100% | 0% | Tier 4 |
| Fluorometholone | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Fluorouracil | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Fluoxetine | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Fluphenazine | Generic | 5,492 of 5,492 | 100% | 4.6% | Tier 4 |
| Fluticasone | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Fluticasone / Salmeterol | Generic | 5,289 of 5,492 | 96.3% | 0% | Tier 3 |
| Fluticasone / Vilanterol | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Fluvoxamine | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Fosfomycin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 4 |
| Fosinopril | Generic | 5,379 of 5,492 | 97.9% | 0% | Tier 1 |
| Furosemide | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Gabapentin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Galantamine | Generic | 5,424 of 5,492 | 98.8% | 0% | Tier 4 |
| GaviLyte-C | Brand | 5,491 of 5,492 | >99.9% | 0% | Tier 2 |
| Gavilyte-G | Brand | 5,219 of 5,492 | 95% | 0% | Tier 2 |
| Gemfibrozil | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Gemtesa | Brand | 4,373 of 5,492 | 79.6% | 0% | Tier 4 |
| Gentamicin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Genvoya | Brand | 5,492 of 5,492 | 100% | 0% | Tier 5 |
| Glimepiride | Generic | 5,487 of 5,492 | >99.9% | 0.2% | Tier 1 |
| Glipizide | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Glipizide / Metformin | Generic | 5,482 of 5,492 | 99.8% | 0% | Tier 1 |
| Glyburide | Generic | 1,233 of 5,492 | 22.5% | 9.3% | Tier 1 |
| Glyburide / Metformin | Generic | 1,094 of 5,492 | 19.9% | 8.7% | Tier 1 |
| Glycopyrronium | Generic | 5,492 of 5,492 | 100% | 2.2% | Tier 2 |
| Glyxambi | Brand | 3,844 of 5,492 | 70% | 0.2% | Tier 3 |
| Guanfacine | Generic | 5,268 of 5,492 | 95.9% | 35.9% | Tier 2 |
| Halobetasol | Generic | 4,586 of 5,492 | 83.5% | 0% | Tier 4 |
| Haloperidol | Generic | 5,492 of 5,492 | 100% | 3.2% | Tier 2 |
| Humalog | Brand | 2,134 of 5,492 | 38.9% | 0.3% | Tier 3 |
| Humalog Mix | Brand | 2,031 of 5,492 | 37% | 0.3% | Tier 3 |
| Humira | Brand | 1,248 of 5,492 | 22.7% | 100% | Tier 5 |
| Humulin | Brand | 2,207 of 5,492 | 40.2% | 0% | Tier 3 |
| Humulin N | Brand | 2,207 of 5,492 | 40.2% | 0% | Tier 3 |
| Humulin R | Brand | 5,245 of 5,492 | 95.5% | 0.5% | Tier 5 |
| Hydralazine | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Hydrochlorothiazide | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Hydrochlorothiazide / Irbesartan | Generic | 5,380 of 5,492 | 98% | 0% | Tier 1 |
| Hydrochlorothiazide / Lisinopril | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Hydrochlorothiazide / Losartan | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Hydrochlorothiazide / Olmesartan | Generic | 5,370 of 5,492 | 97.8% | 0% | Tier 1 |
| Hydrochlorothiazide / Spironolactone | Generic | 5,463 of 5,492 | 99.5% | 0% | Tier 2 |
| Hydrochlorothiazide / Telmisartan | Generic | 4,933 of 5,492 | 89.8% | 0% | Tier 1 |
| Hydrochlorothiazide / Triamterene | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Hydrochlorothiazide / Valsartan | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Hydrocortisone | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Hydromorphone | Generic | 5,471 of 5,492 | 99.6% | 1.7% | Tier 3 |
| Hydroxychloroquine | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Hydroxyurea | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Hydroxyzine | Generic | 5,492 of 5,492 | 100% | 72.3% | Tier 3 |
| Ibandronate | Generic | 5,354 of 5,492 | 97.5% | 17.7% | Tier 2 |
| Ibrance | Brand | 5,492 of 5,492 | 100% | 98.2% | Tier 5 |
| Ibu | Brand | 5,474 of 5,492 | 99.7% | 0% | Tier 1 |
| Ibuprofen | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Icosapent Ethyl | Generic | 5,492 of 5,492 | 100% | 0.3% | Tier 3 |
| Imatinib | Generic | 5,492 of 5,492 | 100% | 78.4% | Tier 3 |
| Imbruvica | Brand | 5,492 of 5,492 | 100% | 97.8% | Tier 5 |
| Imipramine | Generic | 5,492 of 5,492 | 100% | 53.8% | Tier 4 |
| Imiquimod | Generic | 5,492 of 5,492 | 100% | 3.2% | Tier 3 |
| Incruse | Brand | 3,644 of 5,492 | 66.4% | 0% | Tier 3 |
| Indapamide | Generic | 5,482 of 5,492 | 99.8% | 0% | Tier 1 |
| Indomethacin | Generic | 2,973 of 5,492 | 54.1% | 11.3% | Tier 2 |
| Ingrezza | Brand | 1,922 of 5,492 | 35% | 95% | Tier 5 |
| Insulin Aspart, Human | Generic | 5,262 of 5,492 | 95.8% | 0% | Tier 3 |
| Insulin Lispro | Generic | 3,863 of 5,492 | 70.3% | 0% | Tier 3 |
| Invega | Brand | 5,492 of 5,492 | 100% | 2.4% | Tier 4 |
| Invokana | Brand | 348 of 5,492 | 6.3% | 0% | Tier 4 |
| Ipratropium | Generic | 5,492 of 5,492 | 100% | 7.8% | Tier 2 |
| Irbesartan | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Isosorbide | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Isosorbide Dinitrate | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Jakafi | Brand | 5,492 of 5,492 | 100% | 98.2% | Tier 5 |
| Jantoven | Brand | 5,362 of 5,492 | 97.6% | 0% | Tier 1 |
| Janumet | Brand | 5,492 of 5,492 | 100% | 16.2% | Tier 3 |
| Januvia | Brand | 953 of 5,492 | 17.4% | 0.7% | Tier 3 |
| Jardiance | Brand | 5,492 of 5,492 | 100% | 17.5% | Tier 3 |
| Jentadueto | Brand | 3,308 of 5,492 | 60.2% | 0.2% | Tier 3 |
| Jublia | Brand | 954 of 5,492 | 17.4% | 0.6% | Tier 4 |
| Juluca | Brand | 5,492 of 5,492 | 100% | 0% | Tier 5 |
| Kerendia | Brand | 5,492 of 5,492 | 100% | 56.8% | Tier 3 |
| Ketoconazole | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Ketorolac | Generic | 5,492 of 5,492 | 100% | 0.1% | Tier 2 |
| Klor-Con | Brand | 5,462 of 5,492 | 99.5% | 0% | Tier 2 |
| Labetalol | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Lacosamide | Generic | 5,492 of 5,492 | 100% | 0% | Tier 4 |
| Lactulose | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Lamotrigine | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Lansoprazole | Generic | 5,129 of 5,492 | 93.4% | 0% | Tier 2 |
| Lantus | Brand | 5,295 of 5,492 | 96.4% | 0% | Tier 3 |
| Latanoprost | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Leflunomide | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Lenalidomide | Generic | 5,492 of 5,492 | 100% | 97.6% | Tier 5 |
| Letrozole | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Leucovorin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Levalbuterol | Generic | 4,712 of 5,492 | 85.8% | 24.9% | Tier 3 |
| Levetiracetam | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Levobunolol | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Levocetirizine | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Levofloxacin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Levothyroxine | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Levoxyl | Brand | 5,051 of 5,492 | 92% | 0% | Tier 1 |
| Lidocaine | Generic | 5,492 of 5,492 | 100% | 0.5% | Tier 2 |
| Lidocaine / Prilocaine | Generic | 5,475 of 5,492 | 99.7% | 34.9% | Tier 3 |
| Linezolid | Generic | 5,492 of 5,492 | 100% | 1.6% | Tier 4 |
| Linzess | Brand | 5,492 of 5,492 | 100% | 0.3% | Tier 3 |
| Liothyronine | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Lisdexamfetamine | Generic | 2,778 of 5,492 | 50.6% | 19.6% | Tier 4 |
| Lisinopril | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Lithium Carbonate | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Livalo | Brand | 900 of 5,492 | 16.4% | 0% | Tier 3 |
| Lokelma | Brand | 5,347 of 5,492 | 97.4% | 0.3% | Tier 3 |
| Loperamide | Generic | 5,380 of 5,492 | 98% | 0% | Tier 2 |
| Lorazepam | Generic | 5,492 of 5,492 | 100% | 41.2% | Tier 2 |
| Losartan | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Loteprednol Etabonate | Generic | 5,074 of 5,492 | 92.4% | 1.2% | Tier 3 |
| Lovastatin | Generic | 5,491 of 5,492 | >99.9% | 0% | Tier 1 |
| Lubiprostone | Generic | 5,458 of 5,492 | 99.4% | 0% | Tier 3 |
| Lumigan | Brand | 3,870 of 5,492 | 70.5% | 20.2% | Tier 3 |
| Lurasidone | Generic | 5,492 of 5,492 | 100% | 5.4% | Tier 4 |
| Lyumjev | Brand | 1,722 of 5,492 | 31.4% | 0.4% | Tier 3 |
| Matzim | Brand | 2,374 of 5,492 | 43.2% | 0% | Tier 2 |
| Meclizine | Generic | 4,730 of 5,492 | 86.1% | 34.7% | Tier 2 |
| Medroxyprogesterone | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Megestrol | Generic | 5,492 of 5,492 | 100% | 19% | Tier 3 |
| Meloxicam | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Memantine | Generic | 5,492 of 5,492 | 100% | 82.1% | Tier 2 |
| Mesalamine | Generic | 5,492 of 5,492 | 100% | 0% | Tier 4 |
| Metformin | Generic | 5,492 of 5,492 | 100% | 0.1% | Tier 1 |
| Metformin / Pioglitazone | Generic | 5,050 of 5,492 | 92% | 0% | Tier 1 |
| Methadone | Generic | 5,445 of 5,492 | 99.1% | 38.6% | Tier 3 |
| Methenamine | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Methimazole | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Methocarbamol | Generic | 4,166 of 5,492 | 75.9% | 21.5% | Tier 2 |
| Methotrexate | Generic | 5,492 of 5,492 | 100% | 3% | Tier 1 |
| Methylphenidate | Generic | 5,492 of 5,492 | 100% | 25.6% | Tier 3 |
| Methylprednisolone | Generic | 5,492 of 5,492 | 100% | 0.4% | Tier 2 |
| Metoclopramide | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Metolazone | Generic | 5,456 of 5,492 | 99.3% | 0% | Tier 2 |
| Metoprolol | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Metronidazole | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Mexiletine | Generic | 2,702 of 5,492 | 49.2% | 0% | Tier 3 |
| Midodrine | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Miebo | Brand | 4,814 of 5,492 | 87.7% | 2% | Tier 3 |
| Minocycline | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Minoxidil | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Mirabegron | Generic | 4,944 of 5,492 | 90% | 0% | Tier 3 |
| Mirtazapine | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Misoprostol | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Modafinil | Generic | 5,489 of 5,492 | >99.9% | 83% | Tier 3 |
| Mometasone | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Montelukast | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Morphine | Generic | 5,492 of 5,492 | 100% | 3.2% | Tier 3 |
| Mounjaro | Brand | 5,327 of 5,492 | 97% | 100% | Tier 3 |
| Movantik | Brand | 5,307 of 5,492 | 96.6% | 3.5% | Tier 3 |
| Moxifloxacin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Multaq | Brand | 4,995 of 5,492 | 91% | 0.1% | Tier 3 |
| Mupirocin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Mycophenolate Mofetil | Generic | 5,492 of 5,492 | 100% | 99.9% | Tier 3 |
| Myrbetriq | Brand | 2,958 of 5,492 | 53.9% | 0% | Tier 3 |
| Nabumetone | Generic | 5,382 of 5,492 | 98% | 0% | Tier 2 |
| Nadolol | Generic | 5,150 of 5,492 | 93.8% | 0% | Tier 3 |
| Naloxone | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Naltrexone | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Namzaric | Brand | 2,178 of 5,492 | 39.7% | 1.1% | Tier 4 |
| Naproxen | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Naratriptan | Generic | 5,271 of 5,492 | 96% | 0% | Tier 2 |
| Nateglinide | Generic | 5,463 of 5,492 | 99.5% | 0% | Tier 1 |
| Nebivolol | Generic | 5,333 of 5,492 | 97.1% | 0% | Tier 3 |
| Neupro | Brand | 1,561 of 5,492 | 28.4% | 1.1% | Tier 4 |
| Nexletol | Brand | 5,419 of 5,492 | 98.7% | 65.4% | Tier 3 |
| Nexlizet | Brand | 4,998 of 5,492 | 91% | 62.9% | Tier 3 |
| Niacin | Generic | 5,382 of 5,492 | 98% | 0% | Tier 3 |
| Nifedipine | Generic | 5,458 of 5,492 | 99.4% | 0% | Tier 2 |
| Nitrofurantoin | Generic | 5,446 of 5,492 | 99.2% | 0% | Tier 3 |
| Nitroglycerin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Norethindrone | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Nortriptyline | Generic | 5,492 of 5,492 | 100% | 18.1% | Tier 4 |
| Novolin | Brand | 4,100 of 5,492 | 74.7% | 0% | Tier 3 |
| Novolin N | Brand | 4,094 of 5,492 | 74.5% | 0% | Tier 3 |
| Novolin R | Brand | 5,486 of 5,492 | 99.9% | 0% | Tier 3 |
| NovoLog | Brand | 4,542 of 5,492 | 82.7% | 0% | Tier 3 |
| NovoLog Mix | Brand | 3,948 of 5,492 | 71.9% | 0% | Tier 3 |
| Nuedexta | Brand | 4,219 of 5,492 | 76.8% | 100% | Tier 5 |
| Nuplazid | Brand | 5,492 of 5,492 | 100% | 98.3% | Tier 5 |
| Nurtec | Brand | 4,423 of 5,492 | 80.5% | 97% | Tier 3 |
| Nyamyc | Brand | 5,335 of 5,492 | 97.1% | 0% | Tier 3 |
| Nystatin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Nystatin / Triamcinolone | Generic | 2,681 of 5,492 | 48.8% | 0% | Tier 4 |
| Nystop | Brand | 5,453 of 5,492 | 99.3% | 0% | Tier 2 |
| Odefsey | Brand | 5,492 of 5,492 | 100% | 0% | Tier 5 |
| Ofev | Brand | 5,492 of 5,492 | 100% | 98.2% | Tier 5 |
| Ofloxacin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Olanzapine | Generic | 5,492 of 5,492 | 100% | 18.6% | Tier 2 |
| Olmesartan | Generic | 5,370 of 5,492 | 97.8% | 0% | Tier 1 |
| Omeprazole | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Omeprazole / Sodium Bicarbonate | Generic | 63 of 5,492 | 1.1% | 4.8% | Tier 4 |
| Ondansetron | Generic | 5,492 of 5,492 | 100% | 90.5% | Tier 2 |
| Orencia | Brand | 633 of 5,492 | 11.5% | 84.7% | Tier 5 |
| Orgovyx | Brand | 5,492 of 5,492 | 100% | 98% | Tier 5 |
| Oseltamivir | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Otezla | Brand | 5,492 of 5,492 | 100% | 98.1% | Tier 5 |
| Oxcarbazepine | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Oxybutynin | Generic | 5,492 of 5,492 | 100% | 15.6% | Tier 2 |
| Oxycodone | Generic | 5,475 of 5,492 | 99.7% | 1.7% | Tier 3 |
| Oxycontin | Brand | 39 of 5,492 | 0.7% | 5.1% | Tier 3 |
| Ozempic | Brand | 5,492 of 5,492 | 100% | 100% | Tier 3 |
| Paliperidone | Generic | 5,492 of 5,492 | 100% | 0.5% | Tier 4 |
| Pantoprazole | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Paroxetine | Generic | 5,492 of 5,492 | 100% | 49.9% | Tier 2 |
| Penicillin V | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Pentoxifylline | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Permethrin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Perphenazine | Generic | 5,492 of 5,492 | 100% | 18.8% | Tier 4 |
| Phenobarbital | Generic | 5,492 of 5,492 | 100% | 49.6% | Tier 3 |
| Phenytoin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Pilocarpine | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Pioglitazone | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Pitavastatin | Generic | 4,169 of 5,492 | 75.9% | 0% | Tier 3 |
| Polymyxin B / Trimethoprim | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Potassium Chloride | Generic | 5,492 of 5,492 | 100% | 0.5% | Tier 2 |
| Potassium Citrate | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Praluent | Brand | 514 of 5,492 | 9.4% | 100% | Tier 2 |
| Pramipexole | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Prasugrel | Generic | 5,404 of 5,492 | 98.4% | 0% | Tier 3 |
| Pravastatin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Prazosin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Prednisolone | Generic | 5,492 of 5,492 | 100% | 7.4% | Tier 2 |
| Prednisone | Generic | 5,492 of 5,492 | 100% | 44.3% | Tier 1 |
| Pregabalin | Generic | 5,492 of 5,492 | 100% | 29.5% | Tier 3 |
| Premarin | Brand | 4,908 of 5,492 | 89.4% | 0% | Tier 3 |
| Prezcobix | Brand | 5,492 of 5,492 | 100% | 0% | Tier 5 |
| Primidone | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Probenecid | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Prochlorperazine | Generic | 5,492 of 5,492 | 100% | 31.5% | Tier 2 |
| Procrit | Brand | 3,732 of 5,492 | 68% | 96.4% | Tier 3 |
| Procto-Med | Brand | 5,352 of 5,492 | 97.5% | 0% | Tier 2 |
| Progesterone | Generic | 5,280 of 5,492 | 96.1% | 0.6% | Tier 2 |
| Prolensa | Brand | 297 of 5,492 | 5.4% | 0% | Tier 2 |
| Prolia | Brand | 1,179 of 5,492 | 21.5% | 7.3% | Tier 4 |
| Promethazine | Generic | 5,492 of 5,492 | 100% | 68.5% | Tier 3 |
| Propafenone | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Propranolol | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Pulmicort | Brand | 317 of 5,492 | 5.8% | 0% | Tier 3 |
| Pyridostigmine | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Quetiapine | Generic | 5,492 of 5,492 | 100% | 3.2% | Tier 2 |
| Qulipta | Brand | 3,394 of 5,492 | 61.8% | 96.9% | Tier 3 |
| Qvar | Brand | 1,692 of 5,492 | 30.8% | 0% | Tier 3 |
| Rabeprazole | Generic | 4,341 of 5,492 | 79% | 0% | Tier 3 |
| Raloxifene | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Ramelteon | Generic | 4,050 of 5,492 | 73.7% | 0% | Tier 4 |
| Ramipril | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Ranolazine | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Rasagiline | Generic | 5,492 of 5,492 | 100% | 0% | Tier 4 |
| Repaglinide | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Repatha | Brand | 5,140 of 5,492 | 93.6% | 78% | Tier 3 |
| Restasis | Brand | 3,101 of 5,492 | 56.5% | 0% | Tier 3 |
| Rexulti | Brand | 5,492 of 5,492 | 100% | 29.2% | Tier 5 |
| Rhopressa | Brand | 4,956 of 5,492 | 90.2% | 0.2% | Tier 3 |
| Rifampin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Rinvoq | Brand | 5,492 of 5,492 | 100% | 98.1% | Tier 5 |
| Risedronate | Generic | 4,906 of 5,492 | 89.3% | 0% | Tier 3 |
| Risperidone | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Rivastigmine | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Rizatriptan | Generic | 5,478 of 5,492 | 99.7% | 0% | Tier 2 |
| Rocklatan | Brand | 4,878 of 5,492 | 88.8% | 0.2% | Tier 3 |
| Roflumilast | Generic | 5,492 of 5,492 | 100% | 26.6% | Tier 4 |
| Ropinirole | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Rosuvastatin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Rytary | Brand | 246 of 5,492 | 4.5% | 0.4% | Tier 4 |
| Santyl | Brand | 5,399 of 5,492 | 98.3% | 47.7% | Tier 4 |
| Savella | Brand | 180 of 5,492 | 3.3% | 6.1% | Tier 3 |
| Scopolamine | Generic | 5,492 of 5,492 | 100% | 33% | Tier 4 |
| Semglee | Brand | 8 of 5,492 | 0.1% | 0% | Tier 3 |
| Sertraline | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Sevelamer | Generic | 5,492 of 5,492 | 100% | 60.4% | Tier 4 |
| Shingrix | Brand | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Sildenafil | Generic | 5,492 of 5,492 | 100% | 100% | Tier 3 |
| Silodosin | Generic | 3,735 of 5,492 | 68% | 0% | Tier 3 |
| Silver Sulfadiazine | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Simbrinza | Brand | 4,493 of 5,492 | 81.8% | 0.2% | Tier 4 |
| Simvastatin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Skyrizi | Brand | 5,386 of 5,492 | 98.1% | 98.1% | Tier 5 |
| Sodium Chloride | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Solifenacin | Generic | 5,324 of 5,492 | 96.9% | 16.1% | Tier 3 |
| Soliqua | Brand | 4,702 of 5,492 | 85.6% | 0% | Tier 3 |
| Sotalol | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Spiriva | Brand | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Spironolactone | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| SPS | Brand | 5,357 of 5,492 | 97.5% | 0% | Tier 3 |
| SSD | Brand | 5,463 of 5,492 | 99.5% | 0% | Tier 2 |
| Stelara | Brand | 133 of 5,492 | 2.4% | 100% | Tier 5 |
| Stiolto | Brand | 3,373 of 5,492 | 61.4% | 0% | Tier 3 |
| Suboxone | Brand | 848 of 5,492 | 15.4% | 0% | Tier 4 |
| Sucralfate | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Sulfamethoxazole / Trimethoprim | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Sulfasalazine | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Sulindac | Generic | 5,416 of 5,492 | 98.6% | 0% | Tier 2 |
| Sumatriptan | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Sutab | Brand | 3,186 of 5,492 | 58% | 0% | Tier 3 |
| Symbicort | Brand | 1,898 of 5,492 | 34.6% | 0% | Tier 3 |
| Synjardy | Brand | 2,809 of 5,492 | 51.1% | 1.4% | Tier 3 |
| Synthroid | Brand | 5,114 of 5,492 | 93.1% | 0% | Tier 3 |
| Tacrolimus | Generic | 5,492 of 5,492 | 100% | 70.1% | Tier 4 |
| Tadalafil | Generic | 5,492 of 5,492 | 100% | 100% | Tier 4 |
| Tamoxifen | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Tamsulosin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Telmisartan | Generic | 5,370 of 5,492 | 97.8% | 0% | Tier 1 |
| Temazepam | Generic | 5,027 of 5,492 | 91.5% | 58.3% | Tier 4 |
| Tenofovir Disoproxil | Generic | 5,492 of 5,492 | 100% | 0% | Tier 4 |
| Terazosin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Terbinafine | Generic | 5,492 of 5,492 | 100% | 16.7% | Tier 2 |
| Terconazole | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Testosterone | Generic | 5,492 of 5,492 | 100% | 66.5% | Tier 2 |
| Theophylline | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Tiadylt | Brand | 5,286 of 5,492 | 96.2% | 0% | Tier 2 |
| Timolol | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Tiotropium | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Tirosint | Brand | 42 of 5,492 | 0.8% | 2.4% | Tier 4 |
| Tivicay | Brand | 5,492 of 5,492 | 100% | 0% | Tier 5 |
| Tizanidine | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Tobramycin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Tolterodine | Generic | 5,423 of 5,492 | 98.7% | 15.2% | Tier 4 |
| Topiramate | Generic | 5,492 of 5,492 | 100% | 5.8% | Tier 2 |
| Torsemide | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Toujeo | Brand | 4,928 of 5,492 | 89.7% | 0% | Tier 3 |
| Tradjenta | Brand | 5,492 of 5,492 | 100% | 0.1% | Tier 3 |
| Tramadol | Generic | 5,472 of 5,492 | 99.6% | 1.7% | Tier 2 |
| Trandolapril | Generic | 5,375 of 5,492 | 97.9% | 0% | Tier 1 |
| Travoprost | Generic | 5,163 of 5,492 | 94% | 0.1% | Tier 3 |
| Trazodone | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Trelegy | Brand | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Tresiba | Brand | 1,606 of 5,492 | 29.2% | 0.4% | Tier 3 |
| Tretinoin | Generic | 5,492 of 5,492 | 100% | 94.5% | Tier 4 |
| Triamcinolone | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Triazolam | Generic | 873 of 5,492 | 15.9% | 72.9% | Tier 4 |
| Trihexyphenidyl | Generic | 5,300 of 5,492 | 96.5% | 18.7% | Tier 2 |
| Trijardy | Brand | 3,554 of 5,492 | 64.7% | 0.2% | Tier 3 |
| Trimethoprim | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Trintellix | Brand | 5,492 of 5,492 | 100% | 34% | Tier 4 |
| Triumeq | Brand | 5,492 of 5,492 | 100% | 0% | Tier 4 |
| Trospium | Generic | 4,144 of 5,492 | 75.5% | 0.2% | Tier 2 |
| Trulance | Brand | 1,459 of 5,492 | 26.6% | 1.1% | Tier 3 |
| Trulicity | Brand | 5,255 of 5,492 | 95.7% | 100% | Tier 3 |
| Twinrix | Brand | 5,492 of 5,492 | 100% | 0.5% | Tier 1 |
| Tyrvaya | Brand | 1,080 of 5,492 | 19.7% | 0.1% | Tier 4 |
| Ubrelvy | Brand | 3,627 of 5,492 | 66% | 96.4% | Tier 3 |
| Unithroid | Brand | 4,855 of 5,492 | 88.4% | 0% | Tier 1 |
| Ursodeoxycholate | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Valacyclovir | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Valganciclovir | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Valproate | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Valsartan | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Vancomycin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 4 |
| Varenicline | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Vascepa | Brand | 3,115 of 5,492 | 56.7% | 0% | Tier 3 |
| Velphoro | Brand | 319 of 5,492 | 5.8% | 12.5% | Tier 5 |
| Veltassa | Brand | 626 of 5,492 | 11.4% | 1.9% | Tier 3 |
| Vemlidy | Brand | 2,710 of 5,492 | 49.3% | 6.5% | Tier 5 |
| Venclexta | Brand | 5,492 of 5,492 | 100% | 98.2% | Tier 3 |
| Venlafaxine | Generic | 5,492 of 5,492 | 100% | 0% | Tier 2 |
| Ventolin | Brand | 1,722 of 5,492 | 31.4% | 0% | Tier 3 |
| Verapamil | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Victoza | Brand | 6 of 5,492 | 0.1% | 100% | Tier 3 |
| Vilazodone | Generic | 5,492 of 5,492 | 100% | 34.8% | Tier 4 |
| Vraylar | Brand | 5,492 of 5,492 | 100% | 22.7% | Tier 3 |
| Vyndamax | Brand | 3,194 of 5,492 | 58.2% | 97% | Tier 5 |
| Vyzulta | Brand | 4,443 of 5,492 | 80.9% | 0.2% | Tier 4 |
| Warfarin | Generic | 5,492 of 5,492 | 100% | 0% | Tier 1 |
| Wegovy | Brand | 5,492 of 5,492 | 100% | 100% | Tier 3 |
| Wixela | Brand | 4,857 of 5,492 | 88.4% | 0% | Tier 3 |
| Xarelto | Brand | 2,805 of 5,492 | 51.1% | 1.1% | Tier 3 |
| Xcopri | Brand | 5,492 of 5,492 | 100% | 37.8% | Tier 4 |
| Xeljanz | Brand | 31 of 5,492 | 0.6% | 100% | Tier 5 |
| XIFAXAN | Brand | 5,492 of 5,492 | 100% | 74.8% | Tier 3 |
| Xigduo | Brand | 2,357 of 5,492 | 42.9% | 0% | Tier 3 |
| Xiidra | Brand | 4,013 of 5,492 | 73.1% | 1.9% | Tier 3 |
| Xtampza | Brand | 954 of 5,492 | 17.4% | 0.5% | Tier 4 |
| Xtandi | Brand | 5,492 of 5,492 | 100% | 98.2% | Tier 5 |
| Xultophy | Brand | 1,560 of 5,492 | 28.4% | 0% | Tier 3 |
| Yuvafem | Brand | 4,546 of 5,492 | 82.8% | 0% | Tier 4 |
| Zafirlukast | Generic | 5,380 of 5,492 | 98% | 0% | Tier 4 |
| Zaleplon | Generic | 3,879 of 5,492 | 70.6% | 19.8% | Tier 3 |
| Zenpep | Brand | 5,217 of 5,492 | 95% | 0% | Tier 4 |
| Ziprasidone | Generic | 5,492 of 5,492 | 100% | 0% | Tier 3 |
| Zolpidem | Generic | 5,492 of 5,492 | 100% | 32.5% | Tier 2 |
| Zonisamide | Generic | 5,492 of 5,492 | 100% | 5.8% | Tier 2 |
Price a client’s drug list on every plan in their county.
Free tools for licensed insurance agents. Data from CMS public files; verify with plan documents before advising a client.
Counts are over every Medicare Advantage drug plan and stand-alone Part D plan in the CMS monthly formulary files, excluding employer plans. A plan counts as covering a drug when any strength or form of it is on the plan’s formulary; the tier, prior authorization, step therapy and quantity limit shown are the most favorable version on that formulary. Copays are for a 30-day supply at a preferred retail pharmacy after the deductible. This is a reference for licensed agents, not a plan recommendation; verify with the plan’s formulary before advising a client.