betamethasone 0.0005 MG/MG / calcipotriene 0.00005 MG/MG Topical Ointment

Verify with CMS →

betamethasone

RxCUI: 388525

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.
2.1%
Plan Coverage
105
Plans Covering
T3.9
Avg Tier
21.4%
Prior Auth Required

What the CMS Formulary Data Shows for betamethasone 0.0005 MG/MG / calcipotriene 0.00005 MG/MG Topical Ointment

Per the CMS 2026 Part D formulary file, betamethasone 0.0005 MG/MG / calcipotriene 0.00005 MG/MG Topical Ointment (RxNorm concept RXCUI 388525, generic name betamethasone) appears on 14 distinct formulary files spanning 105 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 0.0005 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 0.0005 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 0.0005 MG/MG / calcipotriene 0.00005 MG/MG Topical Ointment today.

Coverage Details

Formularies covering
14
Plans covering
105
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

1 plans
Tier 2, Generic
99 plans
Tier 4, Non-Preferred

Medicare Advantage Plans (MA-PD) Covering betamethasone 0.0005 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
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

Frequently Asked Questions

Is betamethasone 0.0005 MG/MG / calcipotriene 0.00005 MG/MG Topical Ointment covered by Medicare Part D?

Yes, betamethasone 0.0005 MG/MG / calcipotriene 0.00005 MG/MG Topical Ointment is covered by 105 Medicare Part D plans (2.1% of all Part D formularies).

What tier is betamethasone 0.0005 MG/MG / calcipotriene 0.00005 MG/MG Topical Ointment on Medicare Part D plans?

betamethasone 0.0005 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 0.0005 MG/MG / calcipotriene 0.00005 MG/MG Topical Ointment require prior authorization?

21.4% of Part D formularies require prior authorization for betamethasone 0.0005 MG/MG / calcipotriene 0.00005 MG/MG Topical Ointment. Step therapy: 7.1%. Quantity limits: 28.6%.

How much does Medicare spend on betamethasone 0.0005 MG/MG / calcipotriene 0.00005 MG/MG Topical Ointment?

In 2023, total Medicare Part D spending on betamethasone 0.0005 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.

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