Medicare Part D coverage · ammonium lactate · RxCUI 543460
ammonium lactate 120 MG/ML Topical Cream
Per the CMS 2026 Part D formulary file, ammonium lactate 120 MG/ML Topical Cream is covered by 5,048 Medicare Part D plans (99.9% of enrollable products), averaging Tier 1.8, with prior authorization required on 0.3% of covering formularies.
- 99.9%
- Plan coverage
- 5,048
- Plans covering
- T1.8
- Avg tier
- 0.3%
- Prior auth required
What the CMS Formulary Data Shows for ammonium lactate 120 MG/ML Topical Cream
Per the CMS 2026 Part D formulary file, ammonium lactate 120 MG/ML Topical Cream (RxNorm concept RXCUI 543460, generic name ammonium lactate) appears on 327 distinct formulary files spanning 5,048 Medicare Part D plan offerings - 99.9% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 3, with a cross-plan average of Tier 1.8.
Real-world access to ammonium lactate 120 MG/ML Topical Cream depends on utilization management as much as tier placement: 0.3% 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 491,025 Part D beneficiaries filled ammonium lactate 120 MG/ML Topical Cream in 2023, with total plan-and-beneficiary spending of $28,815,046 and an average per-beneficiary annual cost of $58.68. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry ammonium lactate 120 MG/ML Topical Cream today.
Coverage Details
- Formularies covering
- 327
- Plans covering
- 5,048
- Coverage rate
- 99.9%
- Tier range
- Tier 1 – Tier 3
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 0.3% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 491,025
- Total spending
- $28,815,046
- Avg per beneficiary
- $58.68
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering ammonium lactate 120 MG/ML Topical Cream
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 |
| Wellpoint Medicare Advantage (HMO-POS) | Wellpoint West Virginia , Inc. | T1 | No | $0 | WV |
| Anthem Medicare Advantage 3 (HMO-POS) | Healthkeepers, Inc. | T1 | No | $0 | VA |
| Anthem Medicare Advantage 3 (HMO-POS) | Healthkeepers, Inc. | T1 | No | $0 | VA |
| Anthem Medicare Advantage 3 (HMO-POS) | Healthkeepers, Inc. | T1 | No | $0 | VA |
| Wellpoint Medicare Advantage 2 (HMO-POS) | Wellpoint Tennessee, Inc. | T1 | No | $0 | TN |
| Wellpoint Medicare Advantage 2 (HMO-POS) | Wellpoint Tennessee, Inc. | T1 | No | $0 | TN |
| Wellpoint Medicare Advantage 2 (HMO-POS) | Wellpoint Tennessee, Inc. | T1 | No | $0 | TN |
| Wellpoint Medicare Advantage 2 (HMO-POS) | Wellpoint Tennessee, Inc. | T1 | No | $0 | TN |
| Freedom VIP Care (HMO C-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom VIP Savings (HMO C-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom VIP Savings (HMO C-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom VIP Rewards (HMO C-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom VIP Rewards (HMO C-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Optimum Diamond Rewards (HMO C-SNP) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Optimum Diamond Savings (HMO C-SNP) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Optimum Diamond Rewards (HMO C-SNP) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Optimum Diamond (HMO C-SNP) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Freedom Medi-Medi Partial (HMO D-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
Show the next 30 plans
| Freedom Medi-Medi Full (HMO D-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Optimum Emerald Partial (HMO D-SNP) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Optimum Emerald Full (HMO D-SNP) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Freedom Medicare Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Medicare Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom VIP Savings COPD (HMO C-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom VIP Savings COPD (HMO C-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Máximo (HMO-POS) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Máximo (HMO-POS) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Optimum Gold Rewards Plan (HMO) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Optimum Platinum Plan (HMO) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Optimum Gold Plan (HMO) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Optimum Gold Rewards Plan (HMO) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Optimum Gold Rewards Plan (HMO) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Optimum Diamond Rewards COPD (HMO C-SNP) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Optimum Diamond Savings COPD (HMO C-SNP) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Optimum Gold Plus Plan (HMO) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Optimum Diamond Rewards COPD (HMO C-SNP) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| HealthSun HealthAdvantage Plan (HMO) | Healthsun Health Plans, Inc. | T1 | No | $0 | FL |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is ammonium lactate 120 MG/ML Topical Cream covered by Medicare Part D?
Yes, ammonium lactate 120 MG/ML Topical Cream is covered by 5,048 Medicare Part D plans (99.9% of all Part D formularies).
What tier is ammonium lactate 120 MG/ML Topical Cream on Medicare Part D plans?
ammonium lactate 120 MG/ML Topical Cream averages Tier 1.8 across Part D plans, ranging from Tier 1 to Tier 3.
Does ammonium lactate 120 MG/ML Topical Cream require prior authorization?
0.3% of Part D formularies require prior authorization for ammonium lactate 120 MG/ML Topical Cream. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on ammonium lactate 120 MG/ML Topical Cream?
In 2023, total Medicare Part D spending on ammonium lactate 120 MG/ML Topical Cream was $28,815,046, covering 491,025 beneficiaries. The average spend per beneficiary was $58.68.
Read our methodology - how this data is sourced, computed, and verified.
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.
Closest average formulary tier
- ipratropium bromide 0.2 MG/ML Inhalation Solution T1.8
- levetiracetam 1000 MG Oral Tablet T1.8
- nitroglycerin 0.4 MG Sublingual Tablet T1.8
- pentoxifylline 400 MG Extended Release Oral Tablet T1.8
- fenofibrate 54 MG Oral Tablet T1.8
- prednisolone sodium phosphate 2.5 MG/ML / sulfacetamide sodium 100 MG/ML Ophthalmic Solution T1.8
Similar prior-authorization rate
- mitotane 500 MG Oral Tablet [Lysodren] 0.3% PA
- diazoxide 50 MG/ML Oral Suspension 0.3% PA
- nitroglycerin 0.004 MG/MG Rectal Ointment 0.3% PA
- cromolyn sodium 20 MG/ML Oral Solution 0.3% PA
- methsuximide 300 MG Oral Capsule 0.3% PA
- amylase 252600 UNT / lipase 60000 UNT / protease 189600 UNT Delayed Release Oral Capsule [Zenpep] 0.3% PA