calcitriol 0.000003 MG/MG Topical Ointment
calcitriol
RxCUI: 388517
What the CMS Formulary Data Shows for calcitriol 0.000003 MG/MG Topical Ointment
Per the CMS 2026 Part D formulary file, calcitriol 0.000003 MG/MG Topical Ointment (RxNorm concept RXCUI 388517, generic name calcitriol) appears on 50 distinct formulary files spanning 1,044 Medicare Part D plan offerings - 20.6% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 2.8.
Real-world access to calcitriol 0.000003 MG/MG Topical Ointment depends on utilization management as much as tier placement: 10% of covering formularies require prior authorization. 4% require step therapy. 10% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 310,587 Part D beneficiaries filled calcitriol 0.000003 MG/MG Topical Ointment in 2023, with total plan-and-beneficiary spending of $31,339,139 and an average per-beneficiary annual cost of $100.90. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry calcitriol 0.000003 MG/MG Topical Ointment today.
Coverage Details
- Formularies covering
- 50
- Plans covering
- 1,044
- Coverage rate
- 20.6%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 10% of formularies
- Step therapy required
- 4% of formularies
- Quantity limits
- 10% of formularies
2023 Medicare Spending
- Beneficiaries
- 310,587
- Total spending
- $31,339,139
- Avg per beneficiary
- $100.90
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering calcitriol 0.000003 MG/MG Topical Ointment
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Sentara Community Complete Select (HMO D-SNP) | SENTARA HEALTH PLANS | T1 | No | $0 | VA |
| Sentara Community Complete (HMO D-SNP) | SENTARA HEALTH PLANS | T1 | No | $0 | VA |
| SeniorCare Complete (HMO D-SNP) | SOUTH COUNTRY HEALTH ALLIANCE | T1 | No | $0 | MN |
| AbilityCare (HMO D-SNP) | SOUTH COUNTRY HEALTH ALLIANCE | T1 | No | $0 | MN |
| Alameda Alliance Wellness (HMO D-SNP) | ALAMEDA ALLIANCE FOR HEALTH | T1 | No | $0 | CA |
| Abilis Health Community (HMO I-SNP) | SIGNATURE ADVANTAGE, LLC | T1 | No | $0 | KY, TN |
| Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) | ARKANSAS SUPERIOR SELECT, INC. | T1 | No | $0 | AR |
| Mass General Brigham SCO (HMO D-SNP) | MASS GENERAL BRIGHAM HEALTH PLAN, INC | T1 | No | $0 | MA |
| Mass General Brigham One Care (HMO D-SNP) | MASS GENERAL BRIGHAM HEALTH PLAN, INC | T1 | No | $0 | MA |
| Tufts Health One Care (HMO D-SNP) | TUFTS HEALTH PUBLIC PLANS, INC. | T1 | No | $0 | MA |
| Tufts Health One Care CW (HMO D-SNP) | TUFTS HEALTH PUBLIC PLANS, INC. | T1 | No | $0 | MA |
| Tufts Health Plan Senior Care Options (HMO D-SNP) | TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION | T1 | No | $0 | MA |
| Tufts Health Plan Senior Care Options CW (HMO D-SNP) | TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION | T1 | No | $0 | MA |
| Texas Independence Health Plan, Inc. (HMO I-SNP) | TEXAS INDEPENDENCE HEALTH PLAN, INC. | T1 | No | $4.80 | TX |
| Texas Independence Community Plan (HMO I-SNP) | TEXAS INDEPENDENCE HEALTH PLAN, INC. | T1 | No | $4.80 | TX |
| Tribute Select (HMO-POS I-SNP) | ARKANSAS SUPERIOR SELECT, INC. | T1 | No | $8.90 | AR |
| Valor Health Plan (HMO I-SNP) | TSG GUARD, INC. | T1 | No | $31.40 | OH |
| WV Senior Advantage (HMO I-SNP) | WEST VIRGINIA SENIOR ADVANTAGE, INC. | T1 | No | $32.70 | WV |
| Abilis Health (HMO I-SNP) | SIGNATURE ADVANTAGE, LLC | T1 | No | $35.90 | KY, TN |
| CommuniCare Advantage ISNP (HMO I-SNP) | OH CHS SNP INC. | T1 | No | $38.40 | IN, MD, OH |
| Troy Medicare (HMO) | TROY HEALTH, INC. | T2 | No | $0 | NC |
| Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) | TROY HEALTH, INC. | T2 | No | $0 | NC |
| Contra Costa Health Care Plus (HMO D-SNP) | CONTRA COSTA COUNTY MEDICAL SERVICE DBA CONTRA COSTA HEALTH | T2 | No | $0 | CA |
| Keystone First VIP Choice (HMO D-SNP) | VISTA HEALTH PLAN, INC. | T2 | No | $0 | PA |
| AmeriHealth Caritas VIP Care (HMO D-SNP) | VISTA HEALTH PLAN, INC. | T2 | No | $0 | PA |
| First Choice VIP Care (HMO D-SNP) | SELECT HEALTH OF SOUTH CAROLINA, INC. | T2 | No | $0 | SC |
| AmeriHealth Caritas VIP Care (HMO D-SNP) | AmeriHealth Caritas VIP Next, Inc. | T2 | No | $0 | DE |
| AmeriHealth Caritas VIP Care Choice (HMO D-SNP) | AmeriHealth Caritas VIP Next, Inc. | T2 | No | $0 | DE |
| AmeriHealth Caritas VIP Care (HMO D-SNP) | AMERIHEALTH CARITAS FLORIDA INC | T2 | No | $0 | FL |
| AmeriHealth Caritas VIP Care (HMO D-SNP) | AMERIHEALTH CARITAS LOUISIANA, INC. | T2 | No | $0 | LA |
| AmeriHealth Caritas VIP Care (HMO D-SNP) | AMERIHEALTH CARITAS NORTH CAROLINA, INC. | T2 | No | $0 | NC |
| AmeriHealth Caritas VIP Care (HMO D-SNP) | AMERIHEALTH MICHIGAN, INC. | T2 | No | $0 | MI |
| Healthy Mississippi Premier Advantage (HMO-POS) | Healthy Mississippi, Inc. | T2 | No | $0 | MS |
| Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) | KAISER FOUNDATION HP, INC. | T2 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Enhanced Solano (HMO) | KAISER FOUNDATION HP, INC. | T2 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Inland Empire (HMO) | KAISER FOUNDATION HP, INC. | T2 | No | $0 | CA |
| Kaiser Permanente Sr Adv Enhanced Marin San Mateo (HMO) | KAISER FOUNDATION HP, INC. | T2 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Ventura (HMO) | KAISER FOUNDATION HP, INC. | T2 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Enhanced Kern (HMO) | KAISER FOUNDATION HP, INC. | T2 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Basic Kern (HMO) | KAISER FOUNDATION HP, INC. | T2 | No | $0 | CA |
| Kaiser Permanente Senior Advantage San Diego (HMO) | KAISER FOUNDATION HP, INC. | T2 | No | $0 | CA |
| Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO) | KAISER FOUNDATION HP, INC. | T2 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Enhanced Stanis (HMO) | KAISER FOUNDATION HP, INC. | T2 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Basic Stanis (HMO) | KAISER FOUNDATION HP, INC. | T2 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Basic SnJoaq (HMO) | KAISER FOUNDATION HP, INC. | T2 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Basic Fresno (HMO) | KAISER FOUNDATION HP, INC. | T2 | No | $0 | CA |
| Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO) | KAISER FOUNDATION HP, INC. | T2 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Santa Cruz (HMO) | KAISER FOUNDATION HP, INC. | T2 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Basic Alameda (HMO) | KAISER FOUNDATION HP, INC. | T2 | No | $0 | CA |
| Kaiser Permanente Senior Advantage Basic SF (HMO) | KAISER FOUNDATION HP, INC. | T2 | No | $0 | CA |
Frequently Asked Questions
Is calcitriol 0.000003 MG/MG Topical Ointment covered by Medicare Part D?
Yes, calcitriol 0.000003 MG/MG Topical Ointment is covered by 1,044 Medicare Part D plans (20.6% of all Part D formularies).
What tier is calcitriol 0.000003 MG/MG Topical Ointment on Medicare Part D plans?
calcitriol 0.000003 MG/MG Topical Ointment averages Tier 2.8 across Part D plans, ranging from Tier 1 to Tier 4.
Does calcitriol 0.000003 MG/MG Topical Ointment require prior authorization?
10% of Part D formularies require prior authorization for calcitriol 0.000003 MG/MG Topical Ointment. Step therapy: 4%. Quantity limits: 10%.
How much does Medicare spend on calcitriol 0.000003 MG/MG Topical Ointment?
In 2023, total Medicare Part D spending on calcitriol 0.000003 MG/MG Topical Ointment was $31,339,139, covering 310,587 beneficiaries. The average spend per beneficiary was $100.90.
Read our methodology - how this data is sourced, computed, and verified.