acetic acid 20 MG/ML Otic Solution

Verify with CMS →

acetic acid

RxCUI: 197305

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.
97.7%
Plan Coverage
4,950
Plans Covering
T1.9
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for acetic acid 20 MG/ML Otic Solution

Per the CMS 2026 Part D formulary file, acetic acid 20 MG/ML Otic Solution (RxNorm concept RXCUI 197305, generic name acetic acid) appears on 325 distinct formulary files spanning 4,950 Medicare Part D plan offerings - 97.7% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 1.9.

Real-world access to acetic acid 20 MG/ML Otic Solution depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 0% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 43,136 Part D beneficiaries filled acetic acid 20 MG/ML Otic Solution in 2023, with total plan-and-beneficiary spending of $1,593,487 and an average per-beneficiary annual cost of $36.94. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry acetic acid 20 MG/ML Otic Solution today.

Coverage Details

Formularies covering
325
Plans covering
4,950
Coverage rate
97.7%
Tier range
Tier 1 – Tier 4
Average tier
Tier 2, Generic

Restrictions

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

2023 Medicare Spending

Beneficiaries
43,136
Total spending
$1,593,487
Avg per beneficiary
$36.94

Tier Distribution Across Plans

100 plans
Tier 1, Preferred Generic

Medicare Advantage Plans (MA-PD) Covering acetic acid 20 MG/ML Otic Solution

100 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
Anthem Select (HMO-POS) BLUE CROSS OF CALIFORNIA T1 No $0 CA
Anthem Medicare Advantage (HMO-POS) BLUE CROSS OF CALIFORNIA T1 No $0 CA
Anthem Medicare Advantage (HMO-POS) BLUE CROSS OF CALIFORNIA T1 No $0 CA
Anthem Medicare Advantage (HMO-POS) BLUE CROSS OF CALIFORNIA T1 No $0 CA
Anthem Select (HMO-POS) BLUE CROSS OF CALIFORNIA T1 No $0 CA
Anthem Select (HMO-POS) BLUE CROSS OF CALIFORNIA T1 No $0 CA
Anthem Select (HMO-POS) BLUE CROSS OF CALIFORNIA T1 No $0 CA
Anthem Medicare Advantage (HMO-POS) BLUE CROSS OF CALIFORNIA T1 No $0 CA
Anthem Select (HMO-POS) BLUE CROSS OF CALIFORNIA T1 No $0 CA
Anthem Medicare Advantage (HMO-POS) BLUE CROSS OF CALIFORNIA T1 No $0 CA
Wellpoint Medicare Advantage (HMO-POS) WELLPOINT HEALTH PLANS, INC. T1 No $0 AZ
Anthem Prime (HMO-POS) BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. T1 No $0 CA
Anthem Prime (HMO-POS) BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. T1 No $0 CA
Anthem Prime (HMO-POS) BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. T1 No $0 CA
Anthem Prime (HMO-POS) BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. T1 No $0 CA
Anthem Prime (HMO-POS) BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. T1 No $0 CA
Anthem Prime (HMO-POS) BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. T1 No $0 CA
Anthem Prime (HMO-POS) BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. T1 No $0 CA
Anthem Prime (HMO-POS) BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. T1 No $0 CA
Anthem Medicare Advantage (HMO-POS) HMO COLORADO, INC. T1 No $0 NV
Anthem Full Dual Advantage (HMO D-SNP) HMO COLORADO, INC. T1 No $0 NV
Anthem Full Dual Advantage 2 (HMO D-SNP) HMO COLORADO, INC. T1 No $0 NV
Anthem Full Dual Advantage Aligned (HMO D-SNP) BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. T1 No $0 CA
HealthSun HealthAdvantage Plan (HMO) HEALTHSUN HEALTH PLANS, INC. T1 No $0 FL
HealthSun MediMax (HMO) HEALTHSUN HEALTH PLANS, INC. T1 No $0 FL
HealthSun HealthAdvantage Plan (HMO) HEALTHSUN HEALTH PLANS, INC. T1 No $0 FL
HealthSun HealthAdvantage Plan (HMO) HEALTHSUN HEALTH PLANS, INC. T1 No $0 FL
HealthSun MediSun Plus (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T1 No $0 FL
HealthSun HealthAdvantage Plus (HMO) HEALTHSUN HEALTH PLANS, INC. T1 No $0 FL
HealthSun HealthAdvantage Plus (HMO) HEALTHSUN HEALTH PLANS, INC. T1 No $0 FL
HealthSun MediSun Extra (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T1 No $0 FL
HealthSun HealthAdvantage Plus (HMO) HEALTHSUN HEALTH PLANS, INC. T1 No $0 FL
HealthSun VitalCare (HMO C-SNP) HEALTHSUN HEALTH PLANS, INC. T1 No $0 FL
HealthSun VitalCare (HMO C-SNP) HEALTHSUN HEALTH PLANS, INC. T1 No $0 FL
HealthSun MediSun Full Dual Plus (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T1 No $0 FL
HealthSun MediSun Full Dual Extra (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T1 No $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL

Frequently Asked Questions

Is acetic acid 20 MG/ML Otic Solution covered by Medicare Part D?

Yes, acetic acid 20 MG/ML Otic Solution is covered by 4,950 Medicare Part D plans (97.7% of all Part D formularies).

What tier is acetic acid 20 MG/ML Otic Solution on Medicare Part D plans?

acetic acid 20 MG/ML Otic Solution averages Tier 1.9 across Part D plans, ranging from Tier 1 to Tier 4.

Does acetic acid 20 MG/ML Otic Solution require prior authorization?

0% of Part D formularies require prior authorization for acetic acid 20 MG/ML Otic Solution. Step therapy: 0%. Quantity limits: 0%.

How much does Medicare spend on acetic acid 20 MG/ML Otic Solution?

In 2023, total Medicare Part D spending on acetic acid 20 MG/ML Otic Solution was $1,593,487, covering 43,136 beneficiaries. The average spend per beneficiary was $36.94.

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