Medicare Part D coverage · calcitriol · RxCUI 388517
calcitriol 0.000003 MG/MG Topical Ointment
Per the CMS 2026 Part D formulary file, calcitriol 0.000003 MG/MG Topical Ointment is covered by 1,043 Medicare Part D plans (20.6% of enrollable products), averaging Tier 2.8, with prior authorization required on 10% of covering formularies.
- 20.6%
- Plan coverage
- 1,043
- Plans covering
- T2.8
- Avg tier
- 10%
- Prior auth required
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 1,043 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 $31,335,739 and an average per-beneficiary annual cost of $100.89. 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
- 1,043
- 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
- $31,335,739
- Avg per beneficiary
- $100.89
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 |
Show the next 30 plans
Showing top 50 of 100 plans.
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 1,043 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 $31,335,739, covering 310,587 beneficiaries. The average spend per beneficiary was $100.89.
Read our methodology - how this data is sourced, computed, and verified.
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.
Closest average formulary tier
Similar prior-authorization rate
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