14 ACTUAT budesonide 2 MG/ACTUAT Rectal Foam

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RxCUI: 1596779

Important: Drug coverage and costs vary by plan and location. Verify coverage directly with your Medicare plan before filling a prescription. This is informational data only and should not replace advice from your healthcare provider or pharmacist.
6.1%
Plan Coverage
309
Plans Covering
T2.3
Avg Tier
8.2%
Prior Auth Required

What the CMS Formulary Data Shows for 14 ACTUAT budesonide 2 MG/ACTUAT Rectal Foam

Per the CMS 2026 Part D formulary file, 14 ACTUAT budesonide 2 MG/ACTUAT Rectal Foam (RxNorm concept RXCUI 1596779) appears on 73 distinct formulary files spanning 309 Medicare Part D plan offerings - 6.1% 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 2.3.

Real-world access to 14 ACTUAT budesonide 2 MG/ACTUAT Rectal Foam depends on utilization management as much as tier placement: 8.2% of covering formularies require prior authorization. 0% require step therapy. 0% apply quantity limits.

Medicare Part D spending dashboard figures are not published for this drug. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry 14 ACTUAT budesonide 2 MG/ACTUAT Rectal Foam today.

Coverage Details

Formularies covering
73
Plans covering
309
Coverage rate
6.1%
Tier range
Tier 1 – Tier 4
Average tier
Tier 2, Generic

Restrictions

Prior authorization required
8.2% of formularies
Step therapy required
0% of formularies
Quantity limits
0% of formularies

Tier Distribution Across Plans

59 plans
Tier 1, Preferred Generic
41 plans
Tier 2, Generic

Medicare Advantage Plans (MA-PD) Covering 14 ACTUAT budesonide 2 MG/ACTUAT Rectal Foam

100 Medicare Advantage plans with Part D drug coverage include this drug.

Plan Insurer Tier PA Premium States
CareAdvantage (HMO D-SNP) SAN MATEO HEALTH COMMISSION T1 No $0 CA
PHP (HMO C-SNP) AIDS HEALTHCARE FOUNDATION T1 No $0 CA
Elevate Medicare Choice (HMO D-SNP) DENVER HEALTH MEDICAL PLAN, INC. T1 No $0 CO
AllCare Advantage Redwood Rx (HMO D-SNP) ALLCARE HEALTH PLAN, INC. T1 No $0 OR
PrimeWest Senior Health Complete (HMO D-SNP) PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE T1 No $0 MN
Prime Health Complete (HMO D-SNP) PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE T1 No $0 MN
DualConnect (HMO D-SNP) SANTA CLARA COUNTY HEALTH AUTHORITY T1 No $0 CA
VNS Health Total (HMO D-SNP) VNS CHOICE T1 No $0 NY
Alterwood Advantage Dual Secure (HMO D-SNP) ALTERWOOD ADVANTAGE, INC. T1 No $0 MD
Nascentia Dual Advantage (HMO D-SNP) VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK T1 No $0 NY
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
CalOptima Health OneCare Complete (HMO D-SNP) ORANGE COUNTY HEALTH AUTHORITY T1 Yes $0 CA
Prominence Plus (HMO) PROMINENCE HEALTHFIRST T1 No $0 NV
Prominence Plus (HMO) PROMINENCE HEALTHFIRST T1 No $0 NV
Prominence Dual (HMO D-SNP) PROMINENCE HEALTHFIRST T1 No $0 NV
Prominence Dual (HMO D-SNP) PROMINENCE HEALTHFIRST T1 No $0 NV
Prominence Giveback (HMO) PROMINENCE HEALTHFIRST T1 No $0 NV
Prominence Plus (HMO) PROMINENCE HEALTHFIRST OF FLORIDA INC T1 No $0 FL
Prominence Giveback (HMO) PROMINENCE HEALTHFIRST OF FLORIDA INC T1 No $0 FL
Prominence Plus (HMO) PROMINENCE HEALTHFIRST OF TEXAS T1 No $0 TX
Prominence Plus (HMO) PROMINENCE HEALTHFIRST OF TEXAS T1 No $0 TX
Prominence Dual (HMO D-SNP) PROMINENCE HEALTHFIRST OF TEXAS T1 No $0 TX
Prominence Extra Help (HMO) PROMINENCE HEALTHFIRST OF TEXAS T1 No $0 TX
Prominence Beyond (HMO) PROMINENCE HEALTHFIRST OF TEXAS T1 No $0 TX
Prominence Giveback (HMO) PROMINENCE HEALTHFIRST OF TEXAS T1 No $0 TX
Prominence Giveback (HMO) PROMINENCE HEALTHFIRST OF TEXAS T1 No $0 TX
Prominence Dual (HMO D-SNP) PROMINENCE HEALTHFIRST OF TEXAS T1 No $0 TX
Prominence Beyond (HMO-POS) PROMINENCE HEALTHFIRST OF TEXAS T1 No $0 TX
Prominence Dual (HMO D-SNP) PROMINENCE HEALTHFIRST OF FLORIDA INC T1 No $0 FL
Prominence Diabetes and Heart Giveback (HMO C-SNP) PROMINENCE HEALTHFIRST T1 No $0 NV
Prominence Diabetes and Heart Giveback (HMO C-SNP) PROMINENCE HEALTHFIRST OF FLORIDA INC T1 No $0 FL
Prominence Diabetes and Heart Giveback (HMO C-SNP) PROMINENCE HEALTHFIRST OF TEXAS T1 No $0 TX
Prominence Diabetes and Heart Care Plus (HMO C-SNP) PROMINENCE HEALTHFIRST OF TEXAS T1 No $0 TX
Prominence Diabetes and Heart Giveback (HMO C-SNP) PROMINENCE HEALTHFIRST OF TEXAS T1 No $0 TX
Mass General Brigham SCO (HMO D-SNP) MASS GENERAL BRIGHAM HEALTH PLAN, INC T1 No $0 MA
Mass General Brigham One Care (HMO D-SNP) MASS GENERAL BRIGHAM HEALTH PLAN, INC T1 No $0 MA
Leon MediExtra (HMO) LEON HEALTH, INC. T1 No $0 FL
Leon MediDual (HMO D-SNP) LEON HEALTH, INC. T1 No $0 FL
Leon MediMore (HMO) LEON HEALTH, INC. T1 No $0 FL
Leon MediMax (HMO D-SNP) LEON HEALTH, INC. T1 No $0 FL
Prominence Extra Help (HMO) PROMINENCE HEALTHFIRST T1 No $4.20 NV
Gold Dialysis & Kidney Complete (HMO-POS C-SNP) GOLD KIDNEY OF FLORIDA INC T1 No $4.80 FL
Texas Independence Health Plan, Inc. (HMO I-SNP) TEXAS INDEPENDENCE HEALTH PLAN, INC. T1 No $4.80 TX
Texas Independence Community Plan (HMO I-SNP) TEXAS INDEPENDENCE HEALTH PLAN, INC. T1 No $4.80 TX
Prominence Extra Help (HMO) PROMINENCE HEALTHFIRST OF FLORIDA INC T1 No $4.80 FL
Prominence Extra Help (HMO) PROMINENCE HEALTHFIRST OF TEXAS T1 No $4.80 TX
Tribute Select (HMO-POS I-SNP) ARKANSAS SUPERIOR SELECT, INC. T1 No $8.90 AR
Prominence Extra Help (HMO) PROMINENCE HEALTHFIRST T1 No $9.50 NV
ATRIO Special Needs Plan (HMO D-SNP) ATRIO HEALTH PLANS T1 No $10.50 OR

Frequently Asked Questions

Is 14 ACTUAT budesonide 2 MG/ACTUAT Rectal Foam covered by Medicare Part D?

Yes, 14 ACTUAT budesonide 2 MG/ACTUAT Rectal Foam is covered by 309 Medicare Part D plans (6.1% of all Part D formularies).

What tier is 14 ACTUAT budesonide 2 MG/ACTUAT Rectal Foam on Medicare Part D plans?

14 ACTUAT budesonide 2 MG/ACTUAT Rectal Foam averages Tier 2.3 across Part D plans, ranging from Tier 1 to Tier 4.

Does 14 ACTUAT budesonide 2 MG/ACTUAT Rectal Foam require prior authorization?

8.2% of Part D formularies require prior authorization for 14 ACTUAT budesonide 2 MG/ACTUAT Rectal Foam. Step therapy: 0%. Quantity limits: 0%.

Data sourced from the Centers for Medicare & Medicaid Services (CMS). See our methodology for details. Retrieved and formatted by PlainMedicare Editorial