Medicare Part D coverage · ciclopirox · RxCUI 309291
ciclopirox 80 MG/ML Topical Solution
Per the CMS 2026 Part D formulary file, ciclopirox 80 MG/ML Topical Solution is covered by 4,053 Medicare Part D plans (80.2% of enrollable products), averaging Tier 1.9, with prior authorization required on 7.2% of covering formularies.
- 80.2%
- Plan coverage
- 4,053
- Plans covering
- T1.9
- Avg tier
- 7.2%
- Prior auth required
What the CMS Formulary Data Shows for ciclopirox 80 MG/ML Topical Solution
Per the CMS 2026 Part D formulary file, ciclopirox 80 MG/ML Topical Solution (RxNorm concept RXCUI 309291, generic name ciclopirox) appears on 263 distinct formulary files spanning 4,053 Medicare Part D plan offerings - 80.2% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 1.9.
Real-world access to ciclopirox 80 MG/ML Topical Solution depends on utilization management as much as tier placement: 7.2% of covering formularies require prior authorization. 0% require step therapy. 70% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 397,306 Part D beneficiaries filled ciclopirox 80 MG/ML Topical Solution in 2023, with total plan-and-beneficiary spending of $28,729,532 and an average per-beneficiary annual cost of $72.31. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry ciclopirox 80 MG/ML Topical Solution today.
Coverage Details
- Formularies covering
- 263
- Plans covering
- 4,053
- Coverage rate
- 80.2%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 7.2% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 70% of formularies
2023 Medicare Spending
- Beneficiaries
- 397,306
- Total spending
- $28,729,532
- Avg per beneficiary
- $72.31
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering ciclopirox 80 MG/ML Topical Solution
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 |
| Wellpoint Medicare Advantage (HMO-POS) | Wellpoint West Virginia , Inc. | T1 | No | $0 | WV |
| Anthem Medicare Advantage 3 (HMO-POS) | Healthkeepers, Inc. | T1 | No | $0 | VA |
| Anthem Medicare Advantage 3 (HMO-POS) | Healthkeepers, Inc. | T1 | No | $0 | VA |
| Anthem Medicare Advantage 3 (HMO-POS) | Healthkeepers, Inc. | T1 | No | $0 | VA |
| Wellpoint Medicare Advantage 2 (HMO-POS) | Wellpoint Tennessee, Inc. | T1 | No | $0 | TN |
| Wellpoint Medicare Advantage 2 (HMO-POS) | Wellpoint Tennessee, Inc. | T1 | No | $0 | TN |
| Wellpoint Medicare Advantage 2 (HMO-POS) | Wellpoint Tennessee, Inc. | T1 | No | $0 | TN |
| Wellpoint Medicare Advantage 2 (HMO-POS) | Wellpoint Tennessee, Inc. | T1 | No | $0 | TN |
| Freedom VIP Care (HMO C-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom VIP Savings (HMO C-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom VIP Savings (HMO C-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom VIP Rewards (HMO C-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom VIP Rewards (HMO C-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Optimum Diamond Rewards (HMO C-SNP) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Optimum Diamond Savings (HMO C-SNP) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Optimum Diamond Rewards (HMO C-SNP) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Optimum Diamond (HMO C-SNP) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Freedom Medi-Medi Partial (HMO D-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
Show the next 30 plans
| Freedom Medi-Medi Full (HMO D-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Optimum Emerald Partial (HMO D-SNP) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Optimum Emerald Full (HMO D-SNP) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Freedom Medicare Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Medicare Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom VIP Savings COPD (HMO C-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom VIP Savings COPD (HMO C-SNP) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Platinum Rewards Plan Rx (HMO) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Máximo (HMO-POS) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Freedom Máximo (HMO-POS) | Freedom Health, Inc. | T1 | No | $0 | FL |
| Optimum Gold Rewards Plan (HMO) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Optimum Platinum Plan (HMO) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Optimum Gold Plan (HMO) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Optimum Gold Rewards Plan (HMO) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Optimum Gold Rewards Plan (HMO) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Optimum Diamond Rewards COPD (HMO C-SNP) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Optimum Diamond Savings COPD (HMO C-SNP) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Optimum Gold Plus Plan (HMO) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| Optimum Diamond Rewards COPD (HMO C-SNP) | Optimum Healthcare, Inc. | T1 | No | $0 | FL |
| ElderServe MAP (HMO D-SNP) | Elderserve Health, Inc. | T1 | No | $0 | NY |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is ciclopirox 80 MG/ML Topical Solution covered by Medicare Part D?
Yes, ciclopirox 80 MG/ML Topical Solution is covered by 4,053 Medicare Part D plans (80.2% of all Part D formularies).
What tier is ciclopirox 80 MG/ML Topical Solution on Medicare Part D plans?
ciclopirox 80 MG/ML Topical Solution averages Tier 1.9 across Part D plans, ranging from Tier 1 to Tier 4.
Does ciclopirox 80 MG/ML Topical Solution require prior authorization?
7.2% of Part D formularies require prior authorization for ciclopirox 80 MG/ML Topical Solution. Step therapy: 0%. Quantity limits: 70%.
How much does Medicare spend on ciclopirox 80 MG/ML Topical Solution?
In 2023, total Medicare Part D spending on ciclopirox 80 MG/ML Topical Solution was $28,729,532, covering 397,306 beneficiaries. The average spend per beneficiary was $72.31.
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
- 24 HR oxybutynin chloride 10 MG Extended Release Oral Tablet T1.9
- 24 HR nifedipine 60 MG Extended Release Oral Tablet T1.9
- levothyroxine sodium 0.025 MG Oral Tablet [Levoxyl] T1.9
- 24 HR alprazolam 2 MG Extended Release Oral Tablet T1.9
- baclofen 2 MG/ML Oral Solution T1.9
- acarbose 50 MG Oral Tablet T1.9
Similar prior-authorization rate
- febuxostat 40 MG Oral Tablet 7.2% PA
- febuxostat 80 MG Oral Tablet 7.3% PA
- glycopyrrolate 2 MG Oral Tablet 7.3% PA
- glycopyrrolate 1 MG Oral Tablet 7.3% PA
- sucroferric oxyhydroxide 500 MG Chewable Tablet [Velphoro] 7.1% PA
- mometasone furoate 0.025 MG/ACTUAT / olopatadine hydrochloride 0.665 MG/ACTUAT Metered Dose Nasal Spray [Ryaltris] 7.1% PA