Medicare Part D coverage · betamethasone dipropionate · RxCUI 388525
betamethasone dipropionate 0.000643 MG/MG / calcipotriene 0.00005 MG/MG Topical Ointment
Per the CMS 2026 Part D formulary file, betamethasone dipropionate 0.000643 MG/MG / calcipotriene 0.00005 MG/MG Topical Ointment is covered by 104 Medicare Part D plans (2.1% of enrollable products), averaging Tier 3.9, with prior authorization required on 21.4% of covering formularies.
- 2.1%
- Plan coverage
- 104
- Plans covering
- T3.9
- Avg tier
- 21.4%
- Prior auth required
What the CMS Formulary Data Shows for betamethasone dipropionate 0.000643 MG/MG / calcipotriene 0.00005 MG/MG Topical Ointment
Per the CMS 2026 Part D formulary file, betamethasone dipropionate 0.000643 MG/MG / calcipotriene 0.00005 MG/MG Topical Ointment (RxNorm concept RXCUI 388525, generic name betamethasone dipropionate) appears on 14 distinct formulary files spanning 104 Medicare Part D plan offerings - 2.1% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 2 to Tier 4, with a cross-plan average of Tier 3.9.
Real-world access to betamethasone dipropionate 0.000643 MG/MG / calcipotriene 0.00005 MG/MG Topical Ointment depends on utilization management as much as tier placement: 21.4% of covering formularies require prior authorization. 7.1% require step therapy. 28.6% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 407,711 Part D beneficiaries filled betamethasone dipropionate 0.000643 MG/MG / calcipotriene 0.00005 MG/MG Topical Ointment in 2023, with total plan-and-beneficiary spending of $42,156,509 and an average per-beneficiary annual cost of $103.40. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry betamethasone dipropionate 0.000643 MG/MG / calcipotriene 0.00005 MG/MG Topical Ointment today.
Coverage Details
- Formularies covering
- 14
- Plans covering
- 104
- Coverage rate
- 2.1%
- Tier range
- Tier 2 – Tier 4
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 21.4% of formularies
- Step therapy required
- 7.1% of formularies
- Quantity limits
- 28.6% of formularies
2023 Medicare Spending
- Beneficiaries
- 407,711
- Total spending
- $42,156,509
- Avg per beneficiary
- $103.40
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering betamethasone dipropionate 0.000643 MG/MG / calcipotriene 0.00005 MG/MG Topical Ointment
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Healthy Mississippi Premier Advantage (HMO-POS) | Healthy Mississippi, Inc. | T2 | No | $0 | MS |
| 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 | Yes | $0 | NY |
| Medicare BlueActive (PPO) | Excellus Health Plan, Inc. | T4 | Yes | $0 | NY |
| Medicare BlueVital (PPO) | Excellus Health Plan, Inc. | T4 | Yes | $0 | NY |
| Univera SeniorChoice Basic (HMO) | Excellus Health Plan, Inc. | T4 | Yes | $0 | NY |
| Univera SeniorChoice Extra (HMO) | Excellus Health Plan, Inc. | T4 | Yes | $0 | NY |
Show the next 30 plans
| Medicare Blue Choice Core (HMO) | Excellus Health Plan, Inc. | T4 | Yes | $0 | NY |
| HAP Medicare Explore (PPO) | Alliance Health AND Life Insurance Company | T4 | No | $0 | MI |
| HAP Medicare Prime (PPO) | Alliance Health AND Life Insurance Company | T4 | No | $0 | MI |
| HAP Medicare Connect (HMO) | Health Alliance Plan OF Michigan | T4 | No | $0 | MI |
| HAP Medicare Complete Duals (HMO D-SNP) | Health Alliance Plan OF Michigan | T4 | No | $0 | MI |
| HAP Medicare Superior (HMO) | Health Alliance Plan OF Michigan | T4 | No | $0 | MI |
| Henry Ford Select (HMO) | Health Alliance Plan OF Michigan | T4 | No | $0 | MI |
| Univera Medicare Dual (HMO D-SNP) | Excellus Health Plan Community Care LLC | T4 | Yes | $0 | NY |
| Medicare Blue Dual (HMO D-SNP) | Excellus Health Plan Community Care LLC | T4 | Yes | $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 |
| Geisinger Gold Classic Essential Rx (HMO) | Geisinger Health Plan | T4 | No | $0 | PA |
| DrMax (HMO) | Doctors Healthcare Plans, Inc. | T4 | No | $0 | FL |
| DrExtraCare (HMO C-SNP) | Doctors Healthcare Plans, Inc. | T4 | No | $0 | FL |
| DrSelect (HMO) | Doctors Healthcare Plans, Inc. | T4 | No | $0 | FL |
| DrSelect-CFL (HMO) | Doctors Healthcare Plans, Inc. | T4 | No | $0 | FL |
| DrPlatinum-CFL (HMO D-SNP) | Doctors Healthcare Plans, Inc. | T4 | No | $0 | FL |
| DrTotalCare-CFL (HMO C-SNP) | Doctors Healthcare Plans, Inc. | T4 | No | $0 | FL |
| DrElite-SFL (HMO) | Doctors Healthcare Plans, Inc. | T4 | No | $0 | FL |
| PriorityMedicare Key (HMO-POS) | Priority Health | T4 | No | $0 | MI |
| PriorityMedicare Smart Savings (HMO-POS) | Priority Health | T4 | No | $0 | MI |
| PriorityMedicare Edge (PPO) | Priority Health | T4 | No | $0 | MI |
| PriorityMedicare Vital (PPO) | Priority Health | T4 | No | $0 | MI |
| PriorityMedicare Thrive (PPO) | Priority Health | T4 | No | $0 | MI |
| PriorityMedicare D-SNP (HMO D-SNP) | Priority Health Choice, Inc. | T4 | No | $0 | MI |
| PriorityMedicare Dual Premier (HMO D-SNP) | Priority Health Choice, Inc. | T4 | No | $0 | MI |
| CDPHP $0 Medicare Rx (HMO) | Capital District Physicians' Health Plan, Inc. | T4 | Yes | $0 | NY |
| 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 |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is betamethasone dipropionate 0.000643 MG/MG / calcipotriene 0.00005 MG/MG Topical Ointment covered by Medicare Part D?
Yes, betamethasone dipropionate 0.000643 MG/MG / calcipotriene 0.00005 MG/MG Topical Ointment is covered by 104 Medicare Part D plans (2.1% of all Part D formularies).
What tier is betamethasone dipropionate 0.000643 MG/MG / calcipotriene 0.00005 MG/MG Topical Ointment on Medicare Part D plans?
betamethasone dipropionate 0.000643 MG/MG / calcipotriene 0.00005 MG/MG Topical Ointment averages Tier 3.9 across Part D plans, ranging from Tier 2 to Tier 4.
Does betamethasone dipropionate 0.000643 MG/MG / calcipotriene 0.00005 MG/MG Topical Ointment require prior authorization?
21.4% of Part D formularies require prior authorization for betamethasone dipropionate 0.000643 MG/MG / calcipotriene 0.00005 MG/MG Topical Ointment. Step therapy: 7.1%. Quantity limits: 28.6%.
How much does Medicare spend on betamethasone dipropionate 0.000643 MG/MG / calcipotriene 0.00005 MG/MG Topical Ointment?
In 2023, total Medicare Part D spending on betamethasone dipropionate 0.000643 MG/MG / calcipotriene 0.00005 MG/MG Topical Ointment was $42,156,509, covering 407,711 beneficiaries. The average spend per beneficiary was $103.40.
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
- rufinamide 40 MG/ML Oral Suspension T3.9
- pirfenidone 267 MG Oral Tablet T3.9
- 24 HR tacrolimus 4 MG Extended Release Oral Tablet [Envarsus] T3.9
- daptomycin 500 MG Injection T3.9
- emtricitabine 133 MG / tenofovir disoproxil fumarate 200 MG Oral Tablet T3.9
- 0.6 ML fondaparinux sodium 12.5 MG/ML Prefilled Syringe T3.9
Similar prior-authorization rate
- Once-Daily clindamycin 0.01 MG/MG Topical Gel 21.4% PA
- 0.14 ML risperidone 357 MG/ML Prefilled Syringe [Uzedy] 21.3% PA
- 0.21 ML risperidone 357 MG/ML Prefilled Syringe [Uzedy] 21.3% PA
- 0.28 ML risperidone 357 MG/ML Prefilled Syringe [Uzedy] 21.3% PA
- 0.35 ML risperidone 357 MG/ML Prefilled Syringe [Uzedy] 21.3% PA
- 0.42 ML risperidone 357 MG/ML Prefilled Syringe [Uzedy] 21.3% PA