bacitracin 0.5 UNT/MG / polymyxin B 10 UNT/MG Ophthalmic Ointment

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bacitracin

RxCUI: 308511

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.
99.8%
Plan Coverage
5,058
Plans Covering
T1.7
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for bacitracin 0.5 UNT/MG / polymyxin B 10 UNT/MG Ophthalmic Ointment

Per the CMS 2026 Part D formulary file, bacitracin 0.5 UNT/MG / polymyxin B 10 UNT/MG Ophthalmic Ointment (RxNorm concept RXCUI 308511, generic name bacitracin) appears on 329 distinct formulary files spanning 5,058 Medicare Part D plan offerings - 99.8% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 1.7.

Real-world access to bacitracin 0.5 UNT/MG / polymyxin B 10 UNT/MG Ophthalmic Ointment depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 10% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 14,794 Part D beneficiaries filled bacitracin 0.5 UNT/MG / polymyxin B 10 UNT/MG Ophthalmic Ointment in 2023, with total plan-and-beneficiary spending of $1,917,494 and an average per-beneficiary annual cost of $129.61. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry bacitracin 0.5 UNT/MG / polymyxin B 10 UNT/MG Ophthalmic Ointment today.

Coverage Details

Formularies covering
329
Plans covering
5,058
Coverage rate
99.8%
Tier range
Tier 1 – Tier 4
Average tier
Tier 2, Generic

Restrictions

Prior authorization required
0% of formularies
Step therapy required
0% of formularies
Quantity limits
10% of formularies

2023 Medicare Spending

Beneficiaries
14,794
Total spending
$1,917,494
Avg per beneficiary
$129.61

Tier Distribution Across Plans

100 plans
Tier 1, Preferred Generic

Medicare Advantage Plans (MA-PD) Covering bacitracin 0.5 UNT/MG / polymyxin B 10 UNT/MG Ophthalmic Ointment

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
HealthSun HealthAdvantage Plan (HMO) HEALTHSUN HEALTH PLANS, INC. T1 No $0 FL
HealthSun MediMax (HMO) HEALTHSUN HEALTH PLANS, INC. T1 No $0 FL
HealthSun HealthAdvantage Plan (HMO) HEALTHSUN HEALTH PLANS, INC. T1 No $0 FL
HealthSun HealthAdvantage Plan (HMO) HEALTHSUN HEALTH PLANS, INC. T1 No $0 FL
HealthSun MediSun Plus (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T1 No $0 FL
HealthSun HealthAdvantage Plus (HMO) HEALTHSUN HEALTH PLANS, INC. T1 No $0 FL
HealthSun HealthAdvantage Plus (HMO) HEALTHSUN HEALTH PLANS, INC. T1 No $0 FL
HealthSun MediSun Extra (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T1 No $0 FL
HealthSun HealthAdvantage Plus (HMO) HEALTHSUN HEALTH PLANS, INC. T1 No $0 FL
HealthSun VitalCare (HMO C-SNP) HEALTHSUN HEALTH PLANS, INC. T1 No $0 FL
HealthSun VitalCare (HMO C-SNP) HEALTHSUN HEALTH PLANS, INC. T1 No $0 FL
HealthSun MediSun Full Dual Plus (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T1 No $0 FL
HealthSun MediSun Full Dual Extra (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T1 No $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply Extra (HMO) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply Extra Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply More Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply Complete Platinum (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply Level Platinum (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply Extra Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply Level Platinum (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply Extra Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply Level Platinum (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply Extra Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply More Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply Complete Platinum (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply Level Platinum (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply Integrated (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply Integrated (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply Integrated (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply Integrated (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply Integrated (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply Integrated (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL
Simply Integrated (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T1 No $0 FL

Frequently Asked Questions

Is bacitracin 0.5 UNT/MG / polymyxin B 10 UNT/MG Ophthalmic Ointment covered by Medicare Part D?

Yes, bacitracin 0.5 UNT/MG / polymyxin B 10 UNT/MG Ophthalmic Ointment is covered by 5,058 Medicare Part D plans (99.8% of all Part D formularies).

What tier is bacitracin 0.5 UNT/MG / polymyxin B 10 UNT/MG Ophthalmic Ointment on Medicare Part D plans?

bacitracin 0.5 UNT/MG / polymyxin B 10 UNT/MG Ophthalmic Ointment averages Tier 1.7 across Part D plans, ranging from Tier 1 to Tier 4.

Does bacitracin 0.5 UNT/MG / polymyxin B 10 UNT/MG Ophthalmic Ointment require prior authorization?

0% of Part D formularies require prior authorization for bacitracin 0.5 UNT/MG / polymyxin B 10 UNT/MG Ophthalmic Ointment. Step therapy: 0%. Quantity limits: 10%.

How much does Medicare spend on bacitracin 0.5 UNT/MG / polymyxin B 10 UNT/MG Ophthalmic Ointment?

In 2023, total Medicare Part D spending on bacitracin 0.5 UNT/MG / polymyxin B 10 UNT/MG Ophthalmic Ointment was $1,917,494, covering 14,794 beneficiaries. The average spend per beneficiary was $129.61.

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