ciclopirox 80 MG/ML Topical Solution

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ciclopirox

RxCUI: 309291

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.
80.3%
Plan Coverage
4,068
Plans Covering
T1.9
Avg Tier
7.5%
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 265 distinct formulary files spanning 4,068 Medicare Part D plan offerings - 80.3% 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: 7.5% of covering formularies require prior authorization. 0% require step therapy. 69.8% 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
265
Plans covering
4,068
Coverage rate
80.3%
Tier range
Tier 1 – Tier 4
Average tier
Tier 2, Generic

Restrictions

Prior authorization required
7.5% of formularies
Step therapy required
0% of formularies
Quantity limits
69.8% of formularies

2023 Medicare Spending

Beneficiaries
397,306
Total spending
$28,729,532
Avg per beneficiary
$72.31

Tier Distribution Across Plans

100 plans
Tier 1, Preferred Generic

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
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

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 4,068 Medicare Part D plans (80.3% 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?

7.5% of Part D formularies require prior authorization for ciclopirox 80 MG/ML Topical Solution. Step therapy: 0%. Quantity limits: 69.8%.

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.

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