acyclovir 50 MG/ML Topical Cream

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acyclovir

RxCUI: 141859

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.
3.2%
Plan Coverage
160
Plans Covering
T2.2
Avg Tier
6.5%
Prior Auth Required

What the CMS Formulary Data Shows for acyclovir 50 MG/ML Topical Cream

Per the CMS 2026 Part D formulary file, acyclovir 50 MG/ML Topical Cream (RxNorm concept RXCUI 141859, generic name acyclovir) appears on 31 distinct formulary files spanning 160 Medicare Part D plan offerings - 3.2% 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 2.2.

Real-world access to acyclovir 50 MG/ML Topical Cream depends on utilization management as much as tier placement: 6.5% of covering formularies require prior authorization. 0% require step therapy. 64.5% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 670,065 Part D beneficiaries filled acyclovir 50 MG/ML Topical Cream in 2023, with total plan-and-beneficiary spending of $49,440,237 and an average per-beneficiary annual cost of $73.78. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry acyclovir 50 MG/ML Topical Cream today.

Coverage Details

Formularies covering
31
Plans covering
160
Coverage rate
3.2%
Tier range
Tier 1 – Tier 4
Average tier
Tier 2, Generic

Restrictions

Prior authorization required
6.5% of formularies
Step therapy required
0% of formularies
Quantity limits
64.5% of formularies

2023 Medicare Spending

Beneficiaries
670,065
Total spending
$49,440,237
Avg per beneficiary
$73.78

Tier Distribution Across Plans

13 plans
Tier 1, Preferred Generic
27 plans
Tier 2, Generic
14 plans
Tier 3, Preferred Brand
46 plans
Tier 4, Non-Preferred

Standalone Drug Plans (PDP) Covering acyclovir 50 MG/ML Topical Cream

2 standalone prescription drug plans include this drug.

Plan Insurer Tier PA ST Premium States
Blue Rx PDP Complete (PDP) HM HEALTH INSURANCE COMPANY T3 No No $164.80 -
Blue Rx PDP Plus (PDP) HM HEALTH INSURANCE COMPANY T3 No No $193.20 -

Medicare Advantage Plans (MA-PD) Covering acyclovir 50 MG/ML Topical Cream

98 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
SeniorCare Complete (HMO D-SNP) SOUTH COUNTRY HEALTH ALLIANCE T1 No $0 MN
AbilityCare (HMO D-SNP) SOUTH COUNTRY HEALTH ALLIANCE T1 No $0 MN
Alameda Alliance Wellness (HMO D-SNP) ALAMEDA ALLIANCE FOR HEALTH T1 No $0 CA
PHP (HMO C-SNP) AIDS HEALTHCARE FOUNDATION T1 No $0 CA
VNS Health Total (HMO D-SNP) VNS CHOICE T1 No $0 NY
Community Care's Partnership Program (HMO D-SNP) COMMUNITY CARE HEALTH PLAN, INC. T1 No $0 WI
CalOptima Health OneCare Complete (HMO D-SNP) ORANGE COUNTY HEALTH AUTHORITY T1 Yes $0 CA
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
Gold Dialysis & Kidney Complete (HMO-POS C-SNP) GOLD KIDNEY OF FLORIDA INC T1 No $4.80 FL
Gold Dialysis & Kidney Complete (HMO-POS C-SNP) GOLD KIDNEY OF ARIZONA T1 No $17.00 AZ
VNS Health EasyCare Plus (HMO D-SNP) VNS CHOICE T1 No $51.60 NY
Troy Medicare (HMO) TROY HEALTH, INC. T2 No $0 NC
Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) TROY HEALTH, INC. T2 No $0 NC
Contra Costa Health Care Plus (HMO D-SNP) CONTRA COSTA COUNTY MEDICAL SERVICE DBA CONTRA COSTA HEALTH T2 No $0 CA
Keystone First VIP Choice (HMO D-SNP) VISTA HEALTH PLAN, INC. T2 No $0 PA
AmeriHealth Caritas VIP Care (HMO D-SNP) VISTA HEALTH PLAN, INC. T2 No $0 PA
First Choice VIP Care (HMO D-SNP) SELECT HEALTH OF SOUTH CAROLINA, INC. T2 No $0 SC
AmeriHealth Caritas VIP Care (HMO D-SNP) AmeriHealth Caritas VIP Next, Inc. T2 No $0 DE
AmeriHealth Caritas VIP Care Choice (HMO D-SNP) AmeriHealth Caritas VIP Next, Inc. T2 No $0 DE
AmeriHealth Caritas VIP Care (HMO D-SNP) AMERIHEALTH CARITAS FLORIDA INC T2 No $0 FL
AmeriHealth Caritas VIP Care (HMO D-SNP) AMERIHEALTH CARITAS LOUISIANA, INC. T2 No $0 LA
AmeriHealth Caritas VIP Care (HMO D-SNP) AMERIHEALTH CARITAS NORTH CAROLINA, INC. T2 No $0 NC
AmeriHealth Caritas VIP Care (HMO D-SNP) AMERIHEALTH MICHIGAN, INC. T2 No $0 MI
Gold Heart & Diabetes (HMO-POS C-SNP) GOLD KIDNEY OF FLORIDA INC T2 No $0 FL
Gold Heart & Diabetes Complete (HMO-POS C-SNP) GOLD KIDNEY OF FLORIDA INC T2 No $0 FL
Gold Dialysis & Kidney (HMO-POS C-SNP) GOLD KIDNEY OF FLORIDA INC T2 No $0 FL
Gold Health (HMO-POS C-SNP) GOLD KIDNEY OF FLORIDA INC T2 No $0 FL
Gold Dialysis & Kidney (HMO-POS C-SNP) GOLD KIDNEY OF FLORIDA INC T2 No $0 FL
Gold Heart & Diabetes (HMO-POS C-SNP) GOLD KIDNEY OF ARIZONA T2 No $0 AZ
Gold Dialysis & Kidney (HMO-POS C-SNP) GOLD KIDNEY OF ARIZONA T2 No $0 AZ
Gold Heart & Diabetes (HMO-POS C-SNP) GOLD KIDNEY OF ARIZONA T2 No $0 AZ
Gold Dialysis & Kidney (HMO-POS C-SNP) GOLD KIDNEY OF ARIZONA T2 No $0 AZ
Óptimo Plus (PPO) TRIPLE S ADVANTAGE, INC. T2 No $0 PR
Contigo Plus (HMO C-SNP) TRIPLE S ADVANTAGE, INC. T2 No $0 PR
Brillante (HMO-POS) TRIPLE S ADVANTAGE, INC. T2 No $0 PR
Enlace Plus (HMO) TRIPLE S ADVANTAGE, INC. T2 No $0 PR
ContigoEnMente (HMO C-SNP) TRIPLE S ADVANTAGE, INC. T2 No $0 PR
Ahorro Plus (HMO) TRIPLE S ADVANTAGE, INC. T2 No $0 PR
Mass General Brigham Advantage (PPO) Mass General Brigham Health Plan, Inc. T3 No $0 MA
Security Blue HMO-POS Standard (HMO-POS) HIGHMARK CHOICE COMPANY T3 No $51.80 PA
Mass General Brigham Advantage Secure (HMO-POS) Mass General Brigham Health Plan, Inc. T3 No $62.00 MA
Mass General Brigham Advantage Premier (PPO) Mass General Brigham Health Plan, Inc. T3 No $79.70 MA
Freedom Blue PPO Select (PPO) HIGHMARK SENIOR HEALTH COMPANY T3 No $95.70 PA
Security Blue HMO-POS Deluxe (HMO-POS) HIGHMARK CHOICE COMPANY T3 No $95.90 PA
Freedom Blue PPO Standard (PPO) HIGHMARK SENIOR HEALTH COMPANY T3 No $98.20 PA
Freedom Blue PPO Select (PPO) HIGHMARK SENIOR HEALTH COMPANY T3 No $115.70 PA
Freedom Blue PPO Deluxe (PPO) HIGHMARK SENIOR HEALTH COMPANY T3 No $122.40 PA
Freedom Blue PPO Classic (PPO) HIGHMARK SENIOR HEALTH COMPANY T3 No $140.90 PA

Frequently Asked Questions

Is acyclovir 50 MG/ML Topical Cream covered by Medicare Part D?

Yes, acyclovir 50 MG/ML Topical Cream is covered by 160 Medicare Part D plans (3.2% of all Part D formularies).

What tier is acyclovir 50 MG/ML Topical Cream on Medicare Part D plans?

acyclovir 50 MG/ML Topical Cream averages Tier 2.2 across Part D plans, ranging from Tier 1 to Tier 4.

Does acyclovir 50 MG/ML Topical Cream require prior authorization?

6.5% of Part D formularies require prior authorization for acyclovir 50 MG/ML Topical Cream. Step therapy: 0%. Quantity limits: 64.5%.

How much does Medicare spend on acyclovir 50 MG/ML Topical Cream?

In 2023, total Medicare Part D spending on acyclovir 50 MG/ML Topical Cream was $49,440,237, covering 670,065 beneficiaries. The average spend per beneficiary was $73.78.

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