Medicare Part D coverage · amcinonide · RxCUI 197328

amcinonide 0.001 MG/MG Topical Ointment

Per the CMS 2026 Part D formulary file, amcinonide 0.001 MG/MG Topical Ointment is covered by 56 Medicare Part D plans (1.1% of enrollable products), averaging Tier 3.4, with prior authorization required on 0% of covering formularies.

1.1%
Plan coverage
56
Plans covering
T3.4
Avg tier
0%
Prior auth required

Verify with CMS →

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.

What the CMS Formulary Data Shows for amcinonide 0.001 MG/MG Topical Ointment

Per the CMS 2026 Part D formulary file, amcinonide 0.001 MG/MG Topical Ointment (RxNorm concept RXCUI 197328, generic name amcinonide) appears on 9 distinct formulary files spanning 56 Medicare Part D plan offerings - 1.1% 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 3.4.

Real-world access to amcinonide 0.001 MG/MG Topical Ointment depends on utilization management as much as tier placement: 0% 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 amcinonide 0.001 MG/MG Topical Ointment today.

Coverage Details

Formularies covering
9
Plans covering
56
Coverage rate
1.1%
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
0% of formularies

2023 Medicare Spending

Beneficiaries
30

Tier Distribution Across Plans

1 plans
Tier 1, Preferred Generic
10 plans
Tier 2, Generic
45 plans
Tier 4, Non-Preferred

Standalone Drug Plans (PDP) Covering amcinonide 0.001 MG/MG Topical Ointment

2 standalone prescription drug plans include this drug.

Plan Insurer Tier PA ST Premium States
Blue Rx PDP Complete (PDP) HM Health Insurance Company T2 No No $164.80 -
Blue Rx PDP Plus (PDP) HM Health Insurance Company T2 No No $193.20 -

Medicare Advantage Plans (MA-PD) Covering amcinonide 0.001 MG/MG Topical Ointment

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

Plan Insurer Tier PA Premium States
CalOptima Health OneCare Complete (HMO D-SNP) Orange County Health Authority T1 No $0 CA
Security Blue HMO-POS Standard (HMO-POS) Highmark Choice Company T2 No $51.80 PA
Freedom Blue PPO Select (PPO) Highmark Senior Health Company T2 No $95.70 PA
Security Blue HMO-POS Deluxe (HMO-POS) Highmark Choice Company T2 No $95.90 PA
Freedom Blue PPO Standard (PPO) Highmark Senior Health Company T2 No $98.20 PA
Freedom Blue PPO Select (PPO) Highmark Senior Health Company T2 No $115.70 PA
Freedom Blue PPO Deluxe (PPO) Highmark Senior Health Company T2 No $122.40 PA
Freedom Blue PPO Classic (PPO) Highmark Senior Health Company T2 No $140.90 PA
Freedom Blue PPO Classic (PPO) Highmark Senior Health Company T2 No $145.40 PA
Medicare BlueEssential (PPO) Excellus Health Plan, Inc. T4 No $0 NY
Medicare BlueActive (PPO) Excellus Health Plan, Inc. T4 No $0 NY
Medicare BlueVital (PPO) Excellus Health Plan, Inc. T4 No $0 NY
Univera SeniorChoice Basic (HMO) Excellus Health Plan, Inc. T4 No $0 NY
Univera SeniorChoice Extra (HMO) Excellus Health Plan, Inc. T4 No $0 NY
Medicare Blue Choice Core (HMO) Excellus Health Plan, Inc. T4 No $0 NY
Univera Medicare Dual (HMO D-SNP) Excellus Health Plan Community Care LLC T4 No $0 NY
Medicare Blue Dual (HMO D-SNP) Excellus Health Plan Community Care LLC T4 No $0 NY
Geisinger Gold Preferred Complete Rx (PPO) Geisinger Indemnity Insurance Company T4 No $0 PA
Geisinger Gold Secure Rx (HMO D-SNP) Geisinger Health Plan T4 No $0 PA
Geisinger Gold Classic 360 Rx (HMO) Geisinger Health Plan T4 No $0 PA
Show the next 30 plans
Geisinger Gold Classic Essential Rx (HMO) Geisinger Health Plan T4 No $0 PA
Presbyterian Senior Care Plan 2 with Rx (HMO) Presbyterian Health Plan T4 No $0 NM
Presbyterian Dual Plus (HMO D-SNP) Presbyterian Health Plan T4 No $0 NM
Presbyterian Senior Care Extra Health Plan with Rx (HMO) Presbyterian Health Plan T4 No $0 NM
CDPHP $0 Medicare Rx (HMO) Capital District Physicians' Health Plan, Inc. T4 No $0 NY
CareOregon Advantage Plus (HMO D-SNP) Health Plan OF Careoregon, Inc. T4 No $0 OR
PacificSource Medicare Essentials Rx 27 (HMO) Pacificsource Community Health Plans T4 No $0 OR
PacificSource Medicare MyCare Choice Rx 29 (HMO-POS) Pacificsource Community Health Plans T4 No $0 MT
PacificSource Medicare Essentials Choice Rx 36 (HMO-POS) Pacificsource Community Health Plans T4 No $0 OR
PacificSource Medicare MyCare Rx 40 (HMO) Pacificsource Community Health Plans T4 No $0 OR
PacificSource Dual Care (HMO D-SNP) Pacificsource Community Health Plans T4 No $0 OR
PacificSource Medicare MyCare Choice Rx 34 (HMO-POS) Pacificsource Community Health Plans T4 No $19.00 ID
Geisinger Gold Value Rx (HMO) Geisinger Health Plan T4 No $23.00 PA
PacificSource Medicare Essentials Choice Rx 14 (HMO-POS) Pacificsource Community Health Plans T4 No $29.10 OR
Univera SeniorChoice Core (PPO) Excellus Health Plan, Inc. T4 No $33.00 NY
Univera SeniorChoice Advanced (HMO-POS) Excellus Health Plan, Inc. T4 No $36.90 NY
Geisinger Gold Classic Complete Rx (HMO) Geisinger Health Plan T4 No $48.00 PA
Medicare BlueClassic (PPO) Excellus Health Plan, Inc. T4 No $51.00 NY
PacificSource Medicare MyCare Choice Rx 24 (HMO-POS) Pacificsource Community Health Plans T4 No $52.00 ID
Univera SeniorChoice Secure (HMO-POS) Excellus Health Plan, Inc. T4 No $54.90 NY
Medicare BlueBalanced (PPO) Excellus Health Plan, Inc. T4 No $55.00 NY
Medicare Blue Choice Prime (HMO) Excellus Health Plan, Inc. T4 No $55.00 NY
Univera SeniorChoice Value Plus (HMO-POS) Excellus Health Plan, Inc. T4 No $58.60 NY
Presbyterian Senior Care Plan 3 with Rx (HMO) Presbyterian Health Plan T4 No $65.80 NM
PacificSource Medicare Essentials Rx 41 (HMO) Pacificsource Community Health Plans T4 No $69.30 OR
Medicare BlueEnhanced (PPO) Excellus Health Plan, Inc. T4 No $70.30 NY
Medicare BluePlus (PPO) Excellus Health Plan, Inc. T4 No $86.40 NY
PacificSource Medicare Explorer Rx 4 (PPO) Pacificsource Community Health Plans T4 No $88.70 OR
Geisinger Gold Classic Advantage Rx (HMO) Geisinger Health Plan T4 No $99.30 PA
CDPHP Clear Rx (HMO) Capital District Physicians' Health Plan, Inc. T4 No $100.00 NY

Showing top 50 of 54 plans.

Frequently Asked Questions

Is amcinonide 0.001 MG/MG Topical Ointment covered by Medicare Part D?

Yes, amcinonide 0.001 MG/MG Topical Ointment is covered by 56 Medicare Part D plans (1.1% of all Part D formularies).

What tier is amcinonide 0.001 MG/MG Topical Ointment on Medicare Part D plans?

amcinonide 0.001 MG/MG Topical Ointment averages Tier 3.4 across Part D plans, ranging from Tier 1 to Tier 4.

Does amcinonide 0.001 MG/MG Topical Ointment require prior authorization?

0% of Part D formularies require prior authorization for amcinonide 0.001 MG/MG Topical Ointment. Step therapy: 0%. Quantity limits: 0%.

Nationwide similar Part D drugs

Data-derived peers across the CMS Part D formulary extract: nearest average tier placement and nearest prior-authorization rate. Not therapeutic alternatives or same-generic strengths.

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