60 ACTUAT budesonide 0.09 MG/ACTUAT Dry Powder Inhaler [Pulmicort]
RxCUI: 966529
What the CMS Formulary Data Shows for 60 ACTUAT budesonide 0.09 MG/ACTUAT Dry Powder Inhaler [Pulmicort]
Per the CMS 2026 Part D formulary file, 60 ACTUAT budesonide 0.09 MG/ACTUAT Dry Powder Inhaler [Pulmicort] (RxNorm concept RXCUI 966529) appears on 41 distinct formulary files spanning 279 Medicare Part D plan offerings - 5.5% 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 2.5.
Real-world access to 60 ACTUAT budesonide 0.09 MG/ACTUAT Dry Powder Inhaler [Pulmicort] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 82.9% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 394 Part D beneficiaries filled 60 ACTUAT budesonide 0.09 MG/ACTUAT Dry Powder Inhaler [Pulmicort] in 2023, with total plan-and-beneficiary spending of $222,379 and an average per-beneficiary annual cost of $564.41. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry 60 ACTUAT budesonide 0.09 MG/ACTUAT Dry Powder Inhaler [Pulmicort] today.
Coverage Details
- Formularies covering
- 41
- Plans covering
- 279
- Coverage rate
- 5.5%
- 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
- 82.9% of formularies
2023 Medicare Spending
- Beneficiaries
- 394
- Total spending
- $222,379
- Avg per beneficiary
- $564.41
Tier Distribution Across Plans
Standalone Drug Plans (PDP) Covering 60 ACTUAT budesonide 0.09 MG/ACTUAT Dry Powder Inhaler [Pulmicort]
3 standalone prescription drug plans include this drug.
| Plan | Insurer | Tier | PA | ST | Premium | States |
|---|---|---|---|---|---|---|
| AARP Medicare Rx Saver from UHC (PDP) | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | T3 | No | No | $0 | - |
| AARP Medicare Rx Saver from UHC (PDP) | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | T3 | No | No | $0 | - |
| AARP Medicare Rx Saver from UHC (PDP) | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | T3 | No | No | $0 | - |
Medicare Advantage Plans (MA-PD) Covering 60 ACTUAT budesonide 0.09 MG/ACTUAT Dry Powder Inhaler [Pulmicort]
97 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Sentara Community Complete Select (HMO D-SNP) | SENTARA HEALTH PLANS | T1 | No | $0 | VA |
| Sentara Community Complete (HMO D-SNP) | SENTARA HEALTH PLANS | T1 | No | $0 | VA |
| 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 |
| Community Care's Partnership Program (HMO D-SNP) | COMMUNITY CARE HEALTH PLAN, INC. | T1 | No | $0 | WI |
| Platino Blindao (HMO D-SNP) | TRIPLE S ADVANTAGE, INC. | T1 | No | $0 | PR |
| Platino Enlace (HMO D-SNP) | TRIPLE S ADVANTAGE, INC. | T1 | No | $0 | PR |
| PLATINO ADVANCE (HMO D-SNP) | TRIPLE S ADVANTAGE, INC. | T1 | No | $0 | PR |
| PLATINO PLUS (HMO D-SNP) | TRIPLE S ADVANTAGE, INC. | T1 | No | $0 | PR |
| 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 |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) | GATEWAY HEALTH PLAN, INC. | T1 | No | $0 | PA |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) | GATEWAY HEALTH PLAN, INC. | T1 | No | $0 | PA |
| Highmark Health Options Duals (HMO D-SNP) | HIGHMARK HEALTH OPTIONS WEST VIRGINIA INC. | T1 | No | $0 | WV |
| Highmark Health Options Duals (HMO D-SNP) | HIGHMARK BCBSD, INC. | T1 | No | $0 | DE |
| Longevity Health Plan (HMO I-SNP) | LONGEVITY HEALTH PLAN OF FLORIDA, INC. | T1 | No | $4.80 | FL |
| Longevity Health Plan (HMO I-SNP) | LONGEVITY HEALTH PLAN OF MICHIGAN, INC. | T1 | No | $8.80 | MI |
| Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) | GATEWAY HEALTH PLAN, INC. | T1 | No | $13.10 | PA |
| Longevity Health Plan (HMO I-SNP) | LONGEVITY HEALTH PLAN OF ILLINOIS, INC. | T1 | No | $15.20 | IL |
| Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) | GATEWAY HEALTH PLAN, INC. | T1 | No | $17.60 | PA |
| WellSense Added Value (HMO) | BOSTON MEDICAL CENTER HEALTH PLAN, INC. | T1 | No | $21.70 | NH |
| Highmark Health Options Duals Select (HMO D-SNP) | HIGHMARK BCBSD, INC. | T1 | No | $31.20 | DE |
| Longevity Health Plan (HMO I-SNP) | LONGEVITY HEALTH PLAN OF COLORADO, INC. | T1 | No | $35.20 | CO |
| Longevity Health Plan (HMO I-SNP) | LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC. | T1 | No | $36.20 | NC |
| Longevity Health Plan (PPO I-SNP) | LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP | T1 | No | $40.00 | NJ |
| ElderServe Star (HMO I-SNP) | ELDERSERVE HEALTH, INC. | T1 | No | $58.80 | NY |
| Longevity Health Plan (HMO I-SNP) | LONGEVITY HEALTH PLAN OF NEW YORK, INC. | T1 | No | $58.80 | NY |
| Independent Health's Assure Advantage (HMO C-SNP) | INDEPENDENT HEALTH ASSOCIATION, INC. | T2 | No | $46.50 | NY |
| Independent Health's Medicare Family Choice (HMO I-SNP) | INDEPENDENT HEALTH ASSOCIATION, INC. | T2 | No | $58.80 | NY |
| Independent Health's Encompass 65 RED 043 (HMO) | INDEPENDENT HEALTH ASSOCIATION, INC. | T2 | No | $190.00 | NY |
| The Health Plan SecureCare - Option II (HMO) | THE HEALTH PLAN OF WEST VIRGINIA, INC. | T3 | No | $0 | OH |
| The Health Plan SecureCare - Option II (HMO) | THE HEALTH PLAN OF WEST VIRGINIA, INC. | T3 | No | $0 | OH, WV |
| The Health Plan SecureCare Capitol Plan (HMO) | THE HEALTH PLAN OF WEST VIRGINIA, INC. | T3 | No | $0 | WV |
| The Health Plan SecureChoice Optimum (PPO) | THP INSURANCE COMPANY | T3 | No | $0 | OH, WV |
| HAP Medicare Explore (PPO) | ALLIANCE HEALTH AND LIFE INSURANCE COMPANY | T3 | No | $0 | MI |
| HAP Medicare Prime (PPO) | ALLIANCE HEALTH AND LIFE INSURANCE COMPANY | T3 | No | $0 | MI |
| HAP Medicare Connect (HMO) | HEALTH ALLIANCE PLAN OF MICHIGAN | T3 | No | $0 | MI |
| HAP Medicare Complete Duals (HMO D-SNP) | HEALTH ALLIANCE PLAN OF MICHIGAN | T3 | No | $0 | MI |
| HAP Medicare Superior (HMO) | HEALTH ALLIANCE PLAN OF MICHIGAN | T3 | No | $0 | MI |
| Henry Ford Select (HMO) | HEALTH ALLIANCE PLAN OF MICHIGAN | T3 | No | $0 | MI |
| WellSense Signature (HMO) | BOSTON MEDICAL CENTER HEALTH PLAN, INC. | T3 | No | $0 | NH |
| WellSense Signature Access (PPO) | BOSTON MEDICAL CENTER HEALTH PLAN, INC. | T3 | No | $0 | NH |
| Essence Advantage (HMO) | ESSENCE HEALTHCARE, INC. | T3 | No | $0 | IL, MO |
| Essence Advantage (HMO) | ESSENCE HEALTHCARE, INC. | T3 | No | $0 | AR, MO |
| Essence Advantage Select (HMO) | ESSENCE HEALTHCARE, INC. | T3 | No | $0 | IL, MO |
| Essence Advantage (HMO) | ESSENCE HEALTHCARE, INC. | T3 | No | $0 | IN, KY |
Frequently Asked Questions
Is 60 ACTUAT budesonide 0.09 MG/ACTUAT Dry Powder Inhaler [Pulmicort] covered by Medicare Part D?
Yes, 60 ACTUAT budesonide 0.09 MG/ACTUAT Dry Powder Inhaler [Pulmicort] is covered by 279 Medicare Part D plans (5.5% of all Part D formularies).
What tier is 60 ACTUAT budesonide 0.09 MG/ACTUAT Dry Powder Inhaler [Pulmicort] on Medicare Part D plans?
60 ACTUAT budesonide 0.09 MG/ACTUAT Dry Powder Inhaler [Pulmicort] averages Tier 2.5 across Part D plans, ranging from Tier 1 to Tier 4.
Does 60 ACTUAT budesonide 0.09 MG/ACTUAT Dry Powder Inhaler [Pulmicort] require prior authorization?
0% of Part D formularies require prior authorization for 60 ACTUAT budesonide 0.09 MG/ACTUAT Dry Powder Inhaler [Pulmicort]. Step therapy: 0%. Quantity limits: 82.9%.
How much does Medicare spend on 60 ACTUAT budesonide 0.09 MG/ACTUAT Dry Powder Inhaler [Pulmicort]?
In 2023, total Medicare Part D spending on 60 ACTUAT budesonide 0.09 MG/ACTUAT Dry Powder Inhaler [Pulmicort] was $222,379, covering 394 beneficiaries. The average spend per beneficiary was $564.41.
Read our methodology - how this data is sourced, computed, and verified.