Medicare Part D coverage · betamethasone dipropionate · RxCUI 833461

betamethasone dipropionate 0.643 MG/ML / calcipotriene 0.05 MG/ML Topical Suspension

Per the CMS 2026 Part D formulary file, betamethasone dipropionate 0.643 MG/ML / calcipotriene 0.05 MG/ML Topical Suspension is covered by 191 Medicare Part D plans (3.8% of enrollable products), averaging Tier 3.9, with prior authorization required on 28.6% of covering formularies.

3.8%
Plan coverage
191
Plans covering
T3.9
Avg tier
28.6%
Prior auth required

Verify with CMS →

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.

What the CMS Formulary Data Shows for betamethasone dipropionate 0.643 MG/ML / calcipotriene 0.05 MG/ML Topical Suspension

Per the CMS 2026 Part D formulary file, betamethasone dipropionate 0.643 MG/ML / calcipotriene 0.05 MG/ML Topical Suspension (RxNorm concept RXCUI 833461, generic name betamethasone dipropionate) appears on 14 distinct formulary files spanning 191 Medicare Part D plan offerings - 3.8% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 3 to Tier 5, with a cross-plan average of Tier 3.9.

Real-world access to betamethasone dipropionate 0.643 MG/ML / calcipotriene 0.05 MG/ML Topical Suspension depends on utilization management as much as tier placement: 28.6% of covering formularies require prior authorization. 7.1% require step therapy. 21.4% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 407,711 Part D beneficiaries filled betamethasone dipropionate 0.643 MG/ML / calcipotriene 0.05 MG/ML Topical Suspension 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 0.643 MG/ML / calcipotriene 0.05 MG/ML Topical Suspension today.

Coverage Details

Formularies covering
14
Plans covering
191
Coverage rate
3.8%
Tier range
Tier 3 – Tier 5
Average tier
Tier 4, Non-Preferred

Restrictions

Prior authorization required
28.6% of formularies
Step therapy required
7.1% of formularies
Quantity limits
21.4% of formularies

2023 Medicare Spending

Beneficiaries
407,711
Total spending
$42,156,509
Avg per beneficiary
$103.40

Tier Distribution Across Plans

15 plans
Tier 3, Preferred Brand
85 plans
Tier 4, Non-Preferred

Medicare Advantage Plans (MA-PD) Covering betamethasone dipropionate 0.643 MG/ML / calcipotriene 0.05 MG/ML Topical Suspension

100 Medicare Advantage plans with Part D drug coverage include this drug.

Plan Insurer Tier PA Premium States
Select Health Medicare Essential (HMO) Selecthealth, Inc. T3 No $0 UT
Select Health Medicare Essential (HMO) Selecthealth, Inc. T3 No $0 NV
Select Health Medicare Dual (HMO D-SNP) Selecthealth, Inc. T3 No $0 UT
Select Health Medicare Essential (HMO) Selecthealth, Inc. T3 No $0 UT
Select Health Medicare + Kroger (HMO) Selecthealth, Inc. T3 No $0 NV
Select Health Medicare + Kroger (HMO) Selecthealth, Inc. T3 No $0 UT
Select Health Medicare Essential (HMO) Selecthealth, Inc. T3 No $0 CO
Select Health Medicare Essential (HMO) Selecthealth, Inc. T3 No $0 CO
Select Health Medicare + Kroger (HMO) Selecthealth, Inc. T3 No $0 CO
Select Health Medicare Flex (HMO) Selecthealth, Inc. T3 No $0 CO
Select Health Medicare + Kroger (HMO) Selecthealth, Inc. T3 No $0 CO
Select Health Medicare Active (HMO) Selecthealth, Inc. T3 No $0 CO
Select Health Medicare Dual (HMO D-SNP) Selecthealth, Inc. T3 No $0 NV
Select Health Medicare Wellness (HMO) Selecthealth, Inc. T3 No $0 NV
Healthy Mississippi Premier Advantage (HMO-POS) Healthy Mississippi, Inc. T3 No $0 MS
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
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
PriorityMedicare Key (HMO-POS) Priority Health T4 Yes $0 MI
PriorityMedicare Smart Savings (HMO-POS) Priority Health T4 Yes $0 MI
PriorityMedicare Edge (PPO) Priority Health T4 Yes $0 MI
PriorityMedicare Vital (PPO) Priority Health T4 Yes $0 MI
PriorityMedicare Thrive (PPO) Priority Health T4 Yes $0 MI
PriorityMedicare D-SNP (HMO D-SNP) Priority Health Choice, Inc. T4 Yes $0 MI
PriorityMedicare Dual Premier (HMO D-SNP) Priority Health Choice, Inc. T4 Yes $0 MI
Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) Kaiser Foundation HP, Inc. T4 No $0 CA
Kaiser Permanente Senior Advantage Enhanced Solano (HMO) Kaiser Foundation HP, Inc. T4 No $0 CA
Kaiser Permanente Senior Advantage Inland Empire (HMO) Kaiser Foundation HP, Inc. T4 No $0 CA
Kaiser Permanente Sr Adv Enhanced Marin San Mateo (HMO) Kaiser Foundation HP, Inc. T4 No $0 CA
Kaiser Permanente Senior Advantage Ventura (HMO) Kaiser Foundation HP, Inc. T4 No $0 CA
Kaiser Permanente Senior Advantage Enhanced Kern (HMO) Kaiser Foundation HP, Inc. T4 No $0 CA
Kaiser Permanente Senior Advantage Basic Kern (HMO) Kaiser Foundation HP, Inc. T4 No $0 CA
Kaiser Permanente Senior Advantage San Diego (HMO) Kaiser Foundation HP, Inc. T4 No $0 CA
Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO) Kaiser Foundation HP, Inc. T4 No $0 CA
Kaiser Permanente Senior Advantage Enhanced Stanis (HMO) Kaiser Foundation HP, Inc. T4 No $0 CA
Kaiser Permanente Senior Advantage Basic Stanis (HMO) Kaiser Foundation HP, Inc. T4 No $0 CA
Kaiser Permanente Senior Advantage Basic SnJoaq (HMO) Kaiser Foundation HP, Inc. T4 No $0 CA
Kaiser Permanente Senior Advantage Basic Fresno (HMO) Kaiser Foundation HP, Inc. T4 No $0 CA
Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO) Kaiser Foundation HP, Inc. T4 No $0 CA
Kaiser Permanente Senior Advantage Santa Cruz (HMO) Kaiser Foundation HP, Inc. T4 No $0 CA
Kaiser Permanente Senior Advantage Basic Alameda (HMO) Kaiser Foundation HP, Inc. T4 No $0 CA
Kaiser Permanente Senior Advantage Basic SF (HMO) Kaiser Foundation HP, Inc. T4 No $0 CA
Kaiser Permanente Sr Adv Basic Contra Costa (HMO) Kaiser Foundation HP, Inc. T4 No $0 CA
Kaiser Permanente Sr Adv Basic Santa Clara (HMO) Kaiser Foundation HP, Inc. T4 No $0 CA
Kaiser Permanente Senior Advantage Basic Solano (HMO) Kaiser Foundation HP, Inc. T4 No $0 CA

Showing top 50 of 100 plans.

Frequently Asked Questions

Is betamethasone dipropionate 0.643 MG/ML / calcipotriene 0.05 MG/ML Topical Suspension covered by Medicare Part D?

Yes, betamethasone dipropionate 0.643 MG/ML / calcipotriene 0.05 MG/ML Topical Suspension is covered by 191 Medicare Part D plans (3.8% of all Part D formularies).

What tier is betamethasone dipropionate 0.643 MG/ML / calcipotriene 0.05 MG/ML Topical Suspension on Medicare Part D plans?

betamethasone dipropionate 0.643 MG/ML / calcipotriene 0.05 MG/ML Topical Suspension averages Tier 3.9 across Part D plans, ranging from Tier 3 to Tier 5.

Does betamethasone dipropionate 0.643 MG/ML / calcipotriene 0.05 MG/ML Topical Suspension require prior authorization?

28.6% of Part D formularies require prior authorization for betamethasone dipropionate 0.643 MG/ML / calcipotriene 0.05 MG/ML Topical Suspension. Step therapy: 7.1%. Quantity limits: 21.4%.

How much does Medicare spend on betamethasone dipropionate 0.643 MG/ML / calcipotriene 0.05 MG/ML Topical Suspension?

In 2023, total Medicare Part D spending on betamethasone dipropionate 0.643 MG/ML / calcipotriene 0.05 MG/ML Topical Suspension was $42,156,509, covering 407,711 beneficiaries. The average spend per beneficiary was $103.40.

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.

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