acyclovir 0.05 MG/MG Topical Ointment [Zovirax]
acyclovir
RxCUI: 209977
What the CMS Formulary Data Shows for acyclovir 0.05 MG/MG Topical Ointment [Zovirax]
Per the CMS 2026 Part D formulary file, acyclovir 0.05 MG/MG Topical Ointment [Zovirax] (RxNorm concept RXCUI 209977, generic name acyclovir) appears on 1 distinct formulary file spanning 2 Medicare Part D plan offerings - 0% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 1, with a cross-plan average of Tier 1.
Real-world access to acyclovir 0.05 MG/MG Topical Ointment [Zovirax] depends on utilization management as much as tier placement: 100% of covering formularies require prior authorization. 0% require step therapy. 100% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 670,065 Part D beneficiaries filled acyclovir 0.05 MG/MG Topical Ointment [Zovirax] 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 0.05 MG/MG Topical Ointment [Zovirax] today.
Coverage Details
- Formularies covering
- 1
- Plans covering
- 2
- Coverage rate
- 0%
- Tier range
- Tier 1, Preferred Generic
- Average tier
- Tier 1, Preferred Generic
Restrictions
- Prior authorization required
- 100% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 100% of formularies
2023 Medicare Spending
- Beneficiaries
- 670,065
- Total spending
- $49,440,237
- Avg per beneficiary
- $73.78
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering acyclovir 0.05 MG/MG Topical Ointment [Zovirax]
2 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Hamaspik Medicare Choice (HMO D-SNP) | HAMASPIK, INC. | T1 | Yes | $0 | NY |
| Hamaspik Medicare Select (HMO D-SNP) | HAMASPIK, INC. | T1 | Yes | $34.50 | NY |
Frequently Asked Questions
Is acyclovir 0.05 MG/MG Topical Ointment [Zovirax] covered by Medicare Part D?
Yes, acyclovir 0.05 MG/MG Topical Ointment [Zovirax] is covered by 2 Medicare Part D plans (0% of all Part D formularies).
What tier is acyclovir 0.05 MG/MG Topical Ointment [Zovirax] on Medicare Part D plans?
acyclovir 0.05 MG/MG Topical Ointment [Zovirax] averages Tier 1 across Part D plans, ranging from Tier 1 to Tier 1.
Does acyclovir 0.05 MG/MG Topical Ointment [Zovirax] require prior authorization?
100% of Part D formularies require prior authorization for acyclovir 0.05 MG/MG Topical Ointment [Zovirax]. Step therapy: 0%. Quantity limits: 100%.
How much does Medicare spend on acyclovir 0.05 MG/MG Topical Ointment [Zovirax]?
In 2023, total Medicare Part D spending on acyclovir 0.05 MG/MG Topical Ointment [Zovirax] was $49,440,237, covering 670,065 beneficiaries. The average spend per beneficiary was $73.78.
Read our methodology - how this data is sourced, computed, and verified.