betamethasone 0.5 MG/ML / calcipotriene 0.05 MG/ML Topical Lotion

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betamethasone

RxCUI: 833461

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.
3.6%
Plan Coverage
180
Plans Covering
T3.9
Avg Tier
30.8%
Prior Auth Required

What the CMS Formulary Data Shows for betamethasone 0.5 MG/ML / calcipotriene 0.05 MG/ML Topical Lotion

Per the CMS 2026 Part D formulary file, betamethasone 0.5 MG/ML / calcipotriene 0.05 MG/ML Topical Lotion (RxNorm concept RXCUI 833461, generic name betamethasone) appears on 13 distinct formulary files spanning 180 Medicare Part D plan offerings - 3.6% 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 0.5 MG/ML / calcipotriene 0.05 MG/ML Topical Lotion depends on utilization management as much as tier placement: 30.8% of covering formularies require prior authorization. 7.7% require step therapy. 23.1% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 407,711 Part D beneficiaries filled betamethasone 0.5 MG/ML / calcipotriene 0.05 MG/ML Topical Lotion 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 0.5 MG/ML / calcipotriene 0.05 MG/ML Topical Lotion today.

Coverage Details

Formularies covering
13
Plans covering
180
Coverage rate
3.6%
Tier range
Tier 3 – Tier 5
Average tier
Tier 4, Non-Preferred

Restrictions

Prior authorization required
30.8% of formularies
Step therapy required
7.7% of formularies
Quantity limits
23.1% 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 0.5 MG/ML / calcipotriene 0.05 MG/ML Topical Lotion

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
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

Frequently Asked Questions

Is betamethasone 0.5 MG/ML / calcipotriene 0.05 MG/ML Topical Lotion covered by Medicare Part D?

Yes, betamethasone 0.5 MG/ML / calcipotriene 0.05 MG/ML Topical Lotion is covered by 180 Medicare Part D plans (3.6% of all Part D formularies).

What tier is betamethasone 0.5 MG/ML / calcipotriene 0.05 MG/ML Topical Lotion on Medicare Part D plans?

betamethasone 0.5 MG/ML / calcipotriene 0.05 MG/ML Topical Lotion averages Tier 3.9 across Part D plans, ranging from Tier 3 to Tier 5.

Does betamethasone 0.5 MG/ML / calcipotriene 0.05 MG/ML Topical Lotion require prior authorization?

30.8% of Part D formularies require prior authorization for betamethasone 0.5 MG/ML / calcipotriene 0.05 MG/ML Topical Lotion. Step therapy: 7.7%. Quantity limits: 23.1%.

How much does Medicare spend on betamethasone 0.5 MG/ML / calcipotriene 0.05 MG/ML Topical Lotion?

In 2023, total Medicare Part D spending on betamethasone 0.5 MG/ML / calcipotriene 0.05 MG/ML Topical Lotion 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