clindamycin 10 MG/ML Topical Foam

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clindamycin

RxCUI: 477451

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.
13.6%
Plan Coverage
690
Plans Covering
T3.1
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for clindamycin 10 MG/ML Topical Foam

Per the CMS 2026 Part D formulary file, clindamycin 10 MG/ML Topical Foam (RxNorm concept RXCUI 477451, generic name clindamycin) appears on 19 distinct formulary files spanning 690 Medicare Part D plan offerings - 13.6% 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 3.1.

Real-world access to clindamycin 10 MG/ML Topical Foam depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 63.2% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 8,722 Part D beneficiaries filled clindamycin 10 MG/ML Topical Foam in 2023, with total plan-and-beneficiary spending of $2,074,052 and an average per-beneficiary annual cost of $237.80. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry clindamycin 10 MG/ML Topical Foam today.

Coverage Details

Formularies covering
19
Plans covering
690
Coverage rate
13.6%
Tier range
Tier 1 – Tier 4
Average tier
Tier 3, Preferred Brand

Restrictions

Prior authorization required
0% of formularies
Step therapy required
0% of formularies
Quantity limits
63.2% of formularies

2023 Medicare Spending

Beneficiaries
8,722
Total spending
$2,074,052
Avg per beneficiary
$237.80

Tier Distribution Across Plans

7 plans
Tier 1, Preferred Generic
9 plans
Tier 2, Generic
84 plans
Tier 4, Non-Preferred

Medicare Advantage Plans (MA-PD) Covering clindamycin 10 MG/ML Topical Foam

100 Medicare Advantage plans with Part D drug coverage include this drug.

Plan Insurer Tier PA Premium States
CareAdvantage (HMO D-SNP) SAN MATEO HEALTH COMMISSION T1 No $0 CA
PHP (HMO C-SNP) AIDS HEALTHCARE FOUNDATION T1 No $0 CA
VNS Health Total (HMO D-SNP) VNS CHOICE T1 No $0 NY
Community Care's Partnership Program (HMO D-SNP) COMMUNITY CARE HEALTH PLAN, INC. T1 No $0 WI
Gold Dialysis & Kidney Complete (HMO-POS C-SNP) GOLD KIDNEY OF FLORIDA INC T1 No $4.80 FL
Gold Dialysis & Kidney Complete (HMO-POS C-SNP) GOLD KIDNEY OF ARIZONA T1 No $17.00 AZ
VNS Health EasyCare Plus (HMO D-SNP) VNS CHOICE T1 No $51.60 NY
Gold Heart & Diabetes (HMO-POS C-SNP) GOLD KIDNEY OF FLORIDA INC T2 No $0 FL
Gold Heart & Diabetes Complete (HMO-POS C-SNP) GOLD KIDNEY OF FLORIDA INC T2 No $0 FL
Gold Dialysis & Kidney (HMO-POS C-SNP) GOLD KIDNEY OF FLORIDA INC T2 No $0 FL
Gold Health (HMO-POS C-SNP) GOLD KIDNEY OF FLORIDA INC T2 No $0 FL
Gold Dialysis & Kidney (HMO-POS C-SNP) GOLD KIDNEY OF FLORIDA INC T2 No $0 FL
Gold Heart & Diabetes (HMO-POS C-SNP) GOLD KIDNEY OF ARIZONA T2 No $0 AZ
Gold Dialysis & Kidney (HMO-POS C-SNP) GOLD KIDNEY OF ARIZONA T2 No $0 AZ
Gold Heart & Diabetes (HMO-POS C-SNP) GOLD KIDNEY OF ARIZONA T2 No $0 AZ
Gold Dialysis & Kidney (HMO-POS C-SNP) GOLD KIDNEY OF ARIZONA T2 No $0 AZ
Aetna Medicare Signature (HMO) AETNA HEALTH OF CALIFORNIA INC. T4 No $0 CA
Aetna Medicare Signature (HMO) AETNA HEALTH OF CALIFORNIA INC. T4 No $0 CA
Aetna Medicare Signature Extra (HMO-POS) AETNA HEALTH OF CALIFORNIA INC. T4 No $0 CA
Aetna Medicare Prime (HMO-POS) AETNA HEALTH OF CALIFORNIA INC. T4 No $0 CA
Aetna Medicare Prime (HMO-POS) AETNA HEALTH OF CALIFORNIA INC. T4 No $0 CA
Aetna Medicare Prime (HMO-POS) AETNA HEALTH OF CALIFORNIA INC. T4 No $0 CA
Aetna Medicare Signature Extra (HMO) AETNA HEALTH OF CALIFORNIA INC. T4 No $0 CA
Aetna Medicare Prime (HMO-POS) AETNA HEALTH OF CALIFORNIA INC. T4 No $0 CA
Aetna Medicare Signature Extra (HMO) AETNA HEALTH OF CALIFORNIA INC. T4 No $0 CA
Aetna Medicare Signature Extra (HMO) AETNA HEALTH OF CALIFORNIA INC. T4 No $0 CA
Aetna Medicare Signature Extra (HMO) AETNA HEALTH OF CALIFORNIA INC. T4 No $0 CA
Aetna Medicare Signature Care (HMO-POS) AETNA HEALTH OF OHIO INC. T4 No $0 OH
Aetna Medicare Signature Extra (HMO-POS) AETNA HEALTH OF OHIO INC. T4 No $0 OH
Aetna Medicare Signature Care (HMO-POS) AETNA HEALTH OF OHIO INC. T4 No $0 OH
Aetna Medicare Signature Extra (HMO-POS) AETNA HEALTH OF OHIO INC. T4 No $0 KY
Aetna Medicare Signature (HMO-POS) AETNA HEALTH OF OHIO INC. T4 No $0 KY
Aetna Medicare Signature (HMO-POS) AETNA HEALTH OF OHIO INC. T4 No $0 KY
Aetna Medicare HIDE (HMO D-SNP) AETNA HEALTH OF OHIO INC. T4 No $0 KY
Aetna Medicare Dual Care (HMO D-SNP) AETNA HEALTH OF OHIO INC. T4 No $0 OH
Aetna Medicare Signature Care (HMO-POS) AETNA HEALTH OF OHIO INC. T4 No $0 OH
Aetna Medicare Signature (HMO-POS) AETNA HEALTH OF OHIO INC. T4 No $0 OH
Aetna Medicare Signature (HMO-POS) AETNA HEALTH OF OHIO INC. T4 No $0 KY
Aetna Medicare Partial Dual (HMO D-SNP) AETNA HEALTH OF OHIO INC. T4 No $0 KY
Aetna Medicare Partial Dual (HMO D-SNP) AETNA HEALTH OF OHIO INC. T4 No $0 OH
Aetna Medicare Signature (HMO) AETNA HEALTH INC.(GA) T4 No $0 GA
Aetna Medicare Signature (HMO-POS) COVENTRY HEALTH CARE OF ILLINOIS, INC. T4 No $0 WI
Aetna Medicare Signature (HMO-POS) COVENTRY HEALTH CARE OF ILLINOIS, INC. T4 No $0 IL
Aetna Medicare Prime Chronic Care (HMO C-SNP) COVENTRY HEALTH CARE OF ILLINOIS, INC. T4 No $0 IL
Aetna Medicare Signature Extra (HMO-POS) COVENTRY HEALTH CARE OF ILLINOIS, INC. T4 No $0 IL
Aetna Medicare Signature (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T4 No $0 IA
Aetna Medicare Signature (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T4 No $0 NE
Aetna Medicare Signature (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T4 No $0 KS, MO
Aetna Medicare Signature Extra (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T4 No $0 KS
Aetna Medicare Signature (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T4 No $0 KS, MO

Frequently Asked Questions

Is clindamycin 10 MG/ML Topical Foam covered by Medicare Part D?

Yes, clindamycin 10 MG/ML Topical Foam is covered by 690 Medicare Part D plans (13.6% of all Part D formularies).

What tier is clindamycin 10 MG/ML Topical Foam on Medicare Part D plans?

clindamycin 10 MG/ML Topical Foam averages Tier 3.1 across Part D plans, ranging from Tier 1 to Tier 4.

Does clindamycin 10 MG/ML Topical Foam require prior authorization?

0% of Part D formularies require prior authorization for clindamycin 10 MG/ML Topical Foam. Step therapy: 0%. Quantity limits: 63.2%.

How much does Medicare spend on clindamycin 10 MG/ML Topical Foam?

In 2023, total Medicare Part D spending on clindamycin 10 MG/ML Topical Foam was $2,074,052, covering 8,722 beneficiaries. The average spend per beneficiary was $237.80.

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