betamethasone 0.0005 MG/MG / calcipotriene 0.00005 MG/MG Topical Ointment
betamethasone
RxCUI: 388525
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
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.
Read our methodology - how this data is sourced, computed, and verified.