120 ACTUAT mometasone furoate 0.2 MG/ACTUAT Metered Dose Inhaler [Asmanex]
RxCUI: 1536148
What the CMS Formulary Data Shows for 120 ACTUAT mometasone furoate 0.2 MG/ACTUAT Metered Dose Inhaler [Asmanex]
Per the CMS 2026 Part D formulary file, 120 ACTUAT mometasone furoate 0.2 MG/ACTUAT Metered Dose Inhaler [Asmanex] (RxNorm concept RXCUI 1536148) appears on 132 distinct formulary files spanning 1,007 Medicare Part D plan offerings - 19.9% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 2.8.
Real-world access to 120 ACTUAT mometasone furoate 0.2 MG/ACTUAT Metered Dose Inhaler [Asmanex] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 96.2% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 11,082 Part D beneficiaries filled 120 ACTUAT mometasone furoate 0.2 MG/ACTUAT Metered Dose Inhaler [Asmanex] in 2023, with total plan-and-beneficiary spending of $14,614,629 and an average per-beneficiary annual cost of $1,318.77. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry 120 ACTUAT mometasone furoate 0.2 MG/ACTUAT Metered Dose Inhaler [Asmanex] today.
Coverage Details
- Formularies covering
- 132
- Plans covering
- 1,007
- Coverage rate
- 19.9%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 96.2% of formularies
2023 Medicare Spending
- Beneficiaries
- 11,082
- Total spending
- $14,614,629
- Avg per beneficiary
- $1,318.77
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering 120 ACTUAT mometasone furoate 0.2 MG/ACTUAT Metered Dose Inhaler [Asmanex]
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| ElderServe MAP (HMO D-SNP) | ELDERSERVE HEALTH, INC. | T1 | No | $0 | NY |
| Cooperative Advantage (HMO D-SNP) | GROUP HEALTH COOPERATIVE OF EAU CLAIRE | T1 | No | $0 | WI |
| Longevity Health Plan (PPO I-SNP) | LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP | T1 | No | $0 | NJ |
| Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP) | UPPER PENINSULA HEALTH PLAN, LLC | T1 | No | $0 | MI |
| CareSource Dual Advantage (HMO D-SNP) | CARESOURCE GEORGIA CO. | T1 | No | $0 | GA |
| HAP CareSource MI Coordinated Health (HMO D-SNP) | HAP CARESOURCE | T1 | No | $0 | MI |
| PruittHealth Premier D-SNP (HMO D-SNP) | PRUITTHEALTH PREMIER, INC. | T1 | No | $0 | GA |
| Simpra Advantage Dual Care (PPO D-SNP) | SIMPRA ADVANTAGE, INC. | T1 | No | $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 |
| Hamaspik Medicare Choice (HMO D-SNP) | HAMASPIK, INC. | T1 | No | $0 | NY |
| Longevity Health Plan (HMO I-SNP) | LONGEVITY HEALTH PLAN OF FLORIDA, INC. | T1 | No | $4.80 | FL |
| Senior Care (HMO I-SNP) | ALIGN SENIOR CARE FLORIDA, INC. | T1 | No | $4.80 | FL |
| ProCare Advantage (HMO-POS I-SNP) | PROCARE ADVANTAGE, LLC | T1 | No | $4.80 | TX |
| ProCare Advantage - Kidney Care (HMO-POS C-SNP) | PROCARE ADVANTAGE, LLC | T1 | No | $4.80 | TX |
| American Health Advantage of Florida (HMO I-SNP) | AMERICAN HEALTH PLAN OF FL, INC. | T1 | No | $4.80 | FL |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | HCSC INSURANCE SERVICES COMPANY | T1 | No | $4.80 | TX |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | GHS INSURANCE COMPANY | T1 | No | $5.00 | OK |
| Longevity Health Plan (HMO I-SNP) | LONGEVITY HEALTH PLAN OF MICHIGAN, INC. | T1 | No | $8.80 | MI |
| Senior Care (HMO I-SNP) | ALIGN SENIOR CARE MI, LLC | T1 | No | $8.80 | MI |
| AgeRight Advantage Health Plan (HMO I-SNP) | MARQUIS ADVANTAGE, INC. | T1 | No | $10.50 | OR, WA |
| Senior Care (HMO I-SNP) | ALIGN SENIOR CARE CALIFORNIA INC. | T1 | No | $12.00 | CA |
| Liberty Medicare Dual Plan (HMO D-SNP) | LIBERTY ADVANTAGE, LLC | T1 | No | $14.70 | NC |
| Longevity Health Plan (HMO I-SNP) | LONGEVITY HEALTH PLAN OF ILLINOIS, INC. | T1 | No | $15.20 | IL |
| WellSense Added Value (HMO) | BOSTON MEDICAL CENTER HEALTH PLAN, INC. | T1 | No | $21.70 | NH |
| KeyCare Advantage (HMO I-SNP) | ISNP VENTURES, LLC | T1 | No | $23.20 | MD |
| American Health Advantage of Mississippi (HMO I-SNP) | AMERICAN HEALTH PLAN OF MS, INC. | T1 | No | $23.80 | MS |
| Senior Care (HMO I-SNP) | LIFEWORKS ADVANTAGE, LLC | T1 | No | $24.60 | VA |
| PruittHealth Premier (HMO I-SNP) | PRUITTHEALTH PREMIER, INC. | T1 | No | $25.40 | GA |
| Georgia Health Advantage (HMO I-SNP) | GEORGIA ASSURANCE, INC. | T1 | No | $25.40 | GA |
| Georgia Health Advantage Choice (HMO I-SNP) | GEORGIA ASSURANCE, INC. | T1 | No | $25.40 | GA |
| American Health Advantage of Tennessee (HMO I-SNP) | AMERICAN HEALTH PLAN, INC. | T1 | No | $27.70 | TN |
| Simpra Advantage Nursing Home Plan (PPO I-SNP) | SIMPRA ADVANTAGE, INC. | T1 | No | $27.70 | AL |
| American Health Advantage of Oklahoma (HMO I-SNP) | OKLAHOMA SUPERIOR SELECT, INC. | T1 | No | $28.20 | OK |
| NHC Advantage (HMO I-SNP) | NHC ADVANTAGE, LLC | T1 | No | $31.00 | MO, NC, SC, TN |
| Perennial Advantage Strive (HMO I-SNP) | PERENNIAL ADVANTAGE OF OHIO, INC. | T1 | No | $31.40 | OH |
| Perennial Advantage Strive (HMO I-SNP) | PERENNIAL ADVANTAGE OF COLORADO, INC. | T1 | No | $32.70 | PA |
| American Health Advantage of Pennsylvania (HMO I-SNP) | AMERICAN HEALTH PLAN OF PENNSYLVANIA INC | T1 | No | $32.70 | PA |
| Lagniappe Advantage (PPO I-SNP) | LAGNIAPPE ADVANTAGE INSURANCE COMPANY | T1 | No | $32.90 | LA |
| American Health Advantage of Louisiana (HMO I-SNP) | DIGNITY CARE CORPORATION | T1 | No | $32.90 | LA |
| Hamaspik Medicare Select (HMO D-SNP) | HAMASPIK, INC. | T1 | No | $34.50 | NY |
| Longevity Health Plan (HMO I-SNP) | LONGEVITY HEALTH PLAN OF COLORADO, INC. | T1 | No | $35.20 | CO |
| Perennial Advantage Strive (HMO I-SNP) | PERENNIAL ADVANTAGE OF COLORADO, INC. | T1 | No | $35.20 | CO |
| PruittHealth Premier (HMO I-SNP) | PRUITTHEALTH PREMIER NORTH CAROLINA, LLC | T1 | No | $35.70 | SC |
| Longevity Health Plan (HMO I-SNP) | LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC. | T1 | No | $36.20 | NC |
| PruittHealth Premier (HMO I-SNP) | PRUITTHEALTH PREMIER NORTH CAROLINA, LLC | T1 | No | $36.20 | NC |
| Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP) | LIBERTY ADVANTAGE, LLC | T1 | No | $36.20 | NC |
Frequently Asked Questions
Is 120 ACTUAT mometasone furoate 0.2 MG/ACTUAT Metered Dose Inhaler [Asmanex] covered by Medicare Part D?
Yes, 120 ACTUAT mometasone furoate 0.2 MG/ACTUAT Metered Dose Inhaler [Asmanex] is covered by 1,007 Medicare Part D plans (19.9% of all Part D formularies).
What tier is 120 ACTUAT mometasone furoate 0.2 MG/ACTUAT Metered Dose Inhaler [Asmanex] on Medicare Part D plans?
120 ACTUAT mometasone furoate 0.2 MG/ACTUAT Metered Dose Inhaler [Asmanex] averages Tier 2.8 across Part D plans, ranging from Tier 1 to Tier 4.
Does 120 ACTUAT mometasone furoate 0.2 MG/ACTUAT Metered Dose Inhaler [Asmanex] require prior authorization?
0% of Part D formularies require prior authorization for 120 ACTUAT mometasone furoate 0.2 MG/ACTUAT Metered Dose Inhaler [Asmanex]. Step therapy: 0%. Quantity limits: 96.2%.
How much does Medicare spend on 120 ACTUAT mometasone furoate 0.2 MG/ACTUAT Metered Dose Inhaler [Asmanex]?
In 2023, total Medicare Part D spending on 120 ACTUAT mometasone furoate 0.2 MG/ACTUAT Metered Dose Inhaler [Asmanex] was $14,614,629, covering 11,082 beneficiaries. The average spend per beneficiary was $1,318.77.
Read our methodology - how this data is sourced, computed, and verified.