clindamycin 100 MG Vaginal Insert [Cleocin]
clindamycin
RxCUI: 882533
What the CMS Formulary Data Shows for clindamycin 100 MG Vaginal Insert [Cleocin]
Per the CMS 2026 Part D formulary file, clindamycin 100 MG Vaginal Insert [Cleocin] (RxNorm concept RXCUI 882533, generic name clindamycin) appears on 18 distinct formulary files spanning 173 Medicare Part D plan offerings - 3.4% 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 3.6.
Real-world access to clindamycin 100 MG Vaginal Insert [Cleocin] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 0% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 8,722 Part D beneficiaries filled clindamycin 100 MG Vaginal Insert [Cleocin] 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 100 MG Vaginal Insert [Cleocin] today.
Coverage Details
- Formularies covering
- 18
- Plans covering
- 173
- Coverage rate
- 3.4%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 8,722
- Total spending
- $2,074,052
- Avg per beneficiary
- $237.80
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering clindamycin 100 MG Vaginal Insert [Cleocin]
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Community Care's Partnership Program (HMO D-SNP) | COMMUNITY CARE HEALTH PLAN, INC. | T1 | No | $0 | WI |
| CareAdvantage (HMO D-SNP) | SAN MATEO HEALTH COMMISSION | T2 | No | $0 | CA |
| CalOptima Health OneCare Complete (HMO D-SNP) | ORANGE COUNTY HEALTH AUTHORITY | T2 | No | $0 | CA |
| SCAN Connections (HMO D-SNP) | SCAN HEALTH PLAN | T3 | No | $0 | CA |
| SCAN Connections at Home (HMO D-SNP) | SCAN HEALTH PLAN | T3 | No | $0 | CA |
| SCAN Classic (HMO) | SCAN HEALTH PLAN NEVADA, INC. | T3 | No | $0 | NV |
| SCAN Balance (HMO C-SNP) | SCAN HEALTH PLAN NEVADA, INC. | T3 | No | $0 | NV |
| SCAN Strive (HMO C-SNP) | SCAN HEALTH PLAN NEVADA, INC. | T3 | No | $0 | NV |
| SCAN MyChoice (HMO) | SCAN HEALTH PLAN NEVADA, INC. | T3 | No | $0 | NV |
| SCAN Classic (HMO) | SCAN DESERT HEALTH PLAN, INC. | T3 | No | $0 | AZ |
| SCAN Balance (HMO C-SNP) | SCAN DESERT HEALTH PLAN, INC. | T3 | No | $0 | AZ |
| SCAN Embrace (HMO-POS I-SNP) | SCAN DESERT HEALTH PLAN, INC. | T3 | No | $0 | AZ |
| SCAN Strive (HMO C-SNP) | SCAN DESERT HEALTH PLAN, INC. | T3 | No | $0 | AZ |
| SCAN MyChoice (HMO) | SCAN DESERT HEALTH PLAN, INC. | T3 | No | $0 | AZ |
| SCAN Classic WA (HMO) | SCAN HEALTH PLAN (WA) | T3 | No | $0 | WA |
| SCAN MyChoice WA (HMO) | SCAN HEALTH PLAN (WA) | T3 | No | $0 | WA |
| SCAN Classic (HMO) | SCAN HEALTH PLAN (NM) | T3 | No | $0 | NM |
| SCAN Balance (HMO C-SNP) | SCAN HEALTH PLAN (NM) | T3 | No | $0 | NM |
| SCAN Strive (HMO C-SNP) | SCAN HEALTH PLAN (NM) | T3 | No | $0 | NM |
| SCAN MyChoice (HMO) | SCAN HEALTH PLAN (NM) | T3 | No | $0 | NM |
| SCAN Classic (HMO) | SCAN HEALTH PLAN | T3 | No | $0 | CA |
| SCAN Classic (HMO) | SCAN HEALTH PLAN | T3 | No | $0 | CA |
| SCAN Classic (HMO) | SCAN HEALTH PLAN | T3 | No | $0 | CA |
| SCAN Classic (HMO) | SCAN HEALTH PLAN | T3 | No | $0 | CA |
| SCAN Classic (HMO) | SCAN HEALTH PLAN | T3 | No | $0 | CA |
| SCAN Classic (HMO) | SCAN HEALTH PLAN | T3 | No | $0 | CA |
| SCAN Classic (HMO) | SCAN HEALTH PLAN | T3 | No | $0 | CA |
| SCAN Balance (HMO C-SNP) | SCAN HEALTH PLAN | T3 | No | $0 | CA |
| SCAN Prime (HMO) | SCAN HEALTH PLAN | T3 | No | $0 | CA |
| SCAN Classic (HMO) | SCAN HEALTH PLAN | T3 | No | $0 | CA |
| SCAN Balance (HMO C-SNP) | SCAN HEALTH PLAN | T3 | No | $0 | CA |
| SCAN Classic (HMO) | SCAN HEALTH PLAN | T3 | No | $0 | CA |
| SCAN Balance (HMO C-SNP) | SCAN HEALTH PLAN | T3 | No | $0 | CA |
| SCAN Alta (HMO) | SCAN HEALTH PLAN | T3 | No | $0 | CA |
| SCAN Venture (HMO) | SCAN HEALTH PLAN | T3 | No | $0 | CA |
| SCAN Venture (HMO) | SCAN HEALTH PLAN | T3 | No | $0 | CA |
| SCAN Embrace (HMO I-SNP) | SCAN HEALTH PLAN | T3 | No | $0 | CA |
| SCAN Embrace (HMO I-SNP) | SCAN HEALTH PLAN | T3 | No | $0 | CA |
| SCAN Embrace (HMO-POS I-SNP) | SCAN HEALTH PLAN | T3 | No | $0 | CA |
| SCAN Affirm partnered with Included LGBTQ+ Health (HMO) | SCAN HEALTH PLAN | T3 | No | $0 | CA |
| SCAN Affirm partnered with Included LGBTQ+ Health (HMO) | SCAN HEALTH PLAN | T3 | No | $0 | CA |
| SCAN Strive (HMO C-SNP) | SCAN HEALTH PLAN | T3 | No | $0 | CA |
| SCAN Strive (HMO C-SNP) | SCAN HEALTH PLAN | T3 | No | $0 | CA |
| SCAN Inspired by women for women (HMO) | SCAN HEALTH PLAN | T3 | No | $0 | CA |
| SCAN Classic (HMO) | SCAN HEALTH PLAN | T3 | No | $0 | CA |
| SCAN Balance (HMO C-SNP) | SCAN HEALTH PLAN | T3 | No | $0 | CA |
| SCAN Balance (HMO C-SNP) | SCAN HEALTH PLAN | T3 | No | $0 | CA |
| SCAN Balance (HMO C-SNP) | SCAN HEALTH PLAN | T3 | No | $0 | CA |
| SCAN Balance (HMO C-SNP) | SCAN HEALTH PLAN | T3 | No | $0 | CA |
| SCAN Affirm partnered with Included LGBTQ+ Health (HMO) | SCAN HEALTH PLAN | T3 | No | $0 | CA |
Frequently Asked Questions
Is clindamycin 100 MG Vaginal Insert [Cleocin] covered by Medicare Part D?
Yes, clindamycin 100 MG Vaginal Insert [Cleocin] is covered by 173 Medicare Part D plans (3.4% of all Part D formularies).
What tier is clindamycin 100 MG Vaginal Insert [Cleocin] on Medicare Part D plans?
clindamycin 100 MG Vaginal Insert [Cleocin] averages Tier 3.6 across Part D plans, ranging from Tier 1 to Tier 4.
Does clindamycin 100 MG Vaginal Insert [Cleocin] require prior authorization?
0% of Part D formularies require prior authorization for clindamycin 100 MG Vaginal Insert [Cleocin]. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on clindamycin 100 MG Vaginal Insert [Cleocin]?
In 2023, total Medicare Part D spending on clindamycin 100 MG Vaginal Insert [Cleocin] was $2,074,052, covering 8,722 beneficiaries. The average spend per beneficiary was $237.80.
Read our methodology - how this data is sourced, computed, and verified.