azelaic acid 200 MG/ML Topical Cream [Azelex]

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azelaic acid

RxCUI: 1043753

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
161
Plans Covering
T3.4
Avg Tier
0%
Prior Auth Required

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

8 plans
Tier 1, Preferred Generic
4 plans
Tier 3, Preferred Brand
88 plans
Tier 4, Non-Preferred

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.

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