sodium oxybate .5 g/mL Medicare Part D Coverage
cover sodium oxybate
Formulary Tier Distribution
How Medicare Part D plans classify sodium oxybate. Lower tiers = lower copays.
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sodium oxybate Medicare Coverage by State
Coverage rates and average costs vary significantly by state. Click a state to see the specific plans available there.
Frequently Asked Questions about sodium oxybate
82% of Medicare Part D plans cover sodium oxybate. It is most commonly placed on Tier 5. Coverage varies by plan and geographic area.
The median 30-day copay for sodium oxybate on Medicare Part D is $0.00 at a preferred pharmacy. Costs range from $0.00 to $0.00 depending on the plan.
sodium oxybate is placed on Tier 5 by most Medicare Part D plans. Lower tier numbers generally mean lower copays.
0% of plans require prior authorization for sodium oxybate. Prior authorization means your doctor must confirm the drug is medically necessary before the plan will cover it.
Coverage statistics based on CMS formulary data for plan year 2026. Data updated regularly. Methodology →