azelaic acid 200 MG/ML Topical Cream [Azelex]
azelaic acid
RxCUI: 1043753
What the CMS Formulary Data Shows for azelaic acid 200 MG/ML Topical Cream [Azelex]
Per the CMS 2026 Part D formulary file, azelaic acid 200 MG/ML Topical Cream [Azelex] (RxNorm concept RXCUI 1043753, generic name azelaic acid) appears on 23 distinct formulary files spanning 161 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 3.4.
Real-world access to azelaic acid 200 MG/ML Topical Cream [Azelex] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 8.7% require step therapy. 4.3% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 37,203 Part D beneficiaries filled azelaic acid 200 MG/ML Topical Cream [Azelex] in 2023, with total plan-and-beneficiary spending of $9,790,845 and an average per-beneficiary annual cost of $263.17. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry azelaic acid 200 MG/ML Topical Cream [Azelex] today.
Coverage Details
- Formularies covering
- 23
- Plans covering
- 161
- Coverage rate
- 3.2%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 8.7% of formularies
- Quantity limits
- 4.3% of formularies
2023 Medicare Spending
- Beneficiaries
- 37,203
- Total spending
- $9,790,845
- Avg per beneficiary
- $263.17
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering azelaic acid 200 MG/ML Topical Cream [Azelex]
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Gold Coast Health Plan Total Care Advantage (HMO D-SNP) | Ventura County Medi-Cal Managed Care Commission | T1 | No | $0 | CA |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | Health Care Service Corporation | T1 | No | $0 | NM |
| Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) | Health Care Service Corporation | T1 | No | $0 | NM |
| SecureBlue (HMO D-SNP) | HMO Minnesota | T1 | No | $0 | MN |
| Hamaspik Medicare Choice (HMO D-SNP) | HAMASPIK, INC. | T1 | No | $0 | NY |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | HCSC INSURANCE SERVICES COMPANY | T1 | No | $4.80 | TX |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | GHS INSURANCE COMPANY | T1 | No | $5.00 | OK |
| Hamaspik Medicare Select (HMO D-SNP) | HAMASPIK, INC. | T1 | No | $34.50 | NY |
| Presbyterian Senior Care Plan 2 with Rx (HMO) | PRESBYTERIAN HEALTH PLAN | T3 | No | $0 | NM |
| Presbyterian Dual Plus (HMO D-SNP) | PRESBYTERIAN HEALTH PLAN | T3 | No | $0 | NM |
| Presbyterian Senior Care Extra Health Plan with Rx (HMO) | PRESBYTERIAN HEALTH PLAN | T3 | No | $0 | NM |
| Presbyterian Senior Care Plan 3 with Rx (HMO) | PRESBYTERIAN HEALTH PLAN | T3 | No | $65.80 | NM |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | UT |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | NV |
| Select Health Medicare Dual (HMO D-SNP) | SELECTHEALTH, INC. | T4 | No | $0 | UT |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | UT |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | NV |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | UT |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | CO |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | CO |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | CO |
| Select Health Medicare Flex (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | CO |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | CO |
| Select Health Medicare Active (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | CO |
| Select Health Medicare Dual (HMO D-SNP) | SELECTHEALTH, INC. | T4 | No | $0 | NV |
| Select Health Medicare Wellness (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | NV |
| 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 |
| Blue Medicare Essential Plus (HMO-POS) | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | T4 | No | $0 | NC |
| Blue Medicare Choice (HMO) | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | T4 | No | $0 | NC |
| Blue Medicare Essential (HMO) | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | T4 | No | $0 | NC |
| Experience Health Medicare Advantage (HMO) | BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | T4 | No | $0 | NC |
| Healthy Blue + Medicare (HMO-POS D-SNP) | BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH | T4 | No | $0 | NC |
| Blue Advantage Complete (PPO) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | T4 | No | $0 | AL |
| BSW SeniorCare Advantage (PPO) | Baylor Scott & White Insurance Company | T4 | No | $0 | TX |
| BSW SeniorCare Advantage Basic (PPO) | Baylor Scott & White Insurance Company | T4 | No | $0 | TX |
| BSW SeniorCare Advantage (PPO) | Baylor Scott & White Insurance Company | T4 | No | $0 | TX |
| BSW SeniorCare Advantage Select Rx (HMO-POS) | SCOTT AND WHITE HEALTH PLAN | T4 | No | $0 | TX |
| BSW SeniorCare Advantage Premium Rx (HMO-POS) | SCOTT AND WHITE HEALTH PLAN | T4 | No | $0 | TX |
| BSW SeniorCare Advantage Select Rx (HMO-POS) | SCOTT AND WHITE HEALTH PLAN | T4 | No | $0 | TX |
| Blue Cross Medicare Advantage Classic (PPO) | Health Care Service Corporation | T4 | No | $0 | MT |
| Blue Cross Medicare Advantage Choice Plus (PPO) | HCSC INSURANCE SERVICES COMPANY | T4 | No | $0 | TX |
| Blue Cross Medicare Advantage Choice Plus (PPO) | HCSC INSURANCE SERVICES COMPANY | T4 | No | $0 | TX |
| Blue Cross Medicare Advantage Balance (PPO) | HCSC INSURANCE SERVICES COMPANY | T4 | No | $0 | NM |
Frequently Asked Questions
Is azelaic acid 200 MG/ML Topical Cream [Azelex] covered by Medicare Part D?
Yes, azelaic acid 200 MG/ML Topical Cream [Azelex] is covered by 161 Medicare Part D plans (3.2% of all Part D formularies).
What tier is azelaic acid 200 MG/ML Topical Cream [Azelex] on Medicare Part D plans?
azelaic acid 200 MG/ML Topical Cream [Azelex] averages Tier 3.4 across Part D plans, ranging from Tier 1 to Tier 4.
Does azelaic acid 200 MG/ML Topical Cream [Azelex] require prior authorization?
0% of Part D formularies require prior authorization for azelaic acid 200 MG/ML Topical Cream [Azelex]. Step therapy: 8.7%. Quantity limits: 4.3%.
How much does Medicare spend on azelaic acid 200 MG/ML Topical Cream [Azelex]?
In 2023, total Medicare Part D spending on azelaic acid 200 MG/ML Topical Cream [Azelex] was $9,790,845, covering 37,203 beneficiaries. The average spend per beneficiary was $263.17.
Read our methodology - how this data is sourced, computed, and verified.