clindamycin 10 MG/ML Medicated Pad [Clindacin]

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clindamycin

RxCUI: 1091339

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.
30.6%
Plan Coverage
1,550
Plans Covering
T3
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for clindamycin 10 MG/ML Medicated Pad [Clindacin]

Per the CMS 2026 Part D formulary file, clindamycin 10 MG/ML Medicated Pad [Clindacin] (RxNorm concept RXCUI 1091339, generic name clindamycin) appears on 69 distinct formulary files spanning 1,550 Medicare Part D plan offerings - 30.6% 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.

Real-world access to clindamycin 10 MG/ML Medicated Pad [Clindacin] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 11.6% 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 Medicated Pad [Clindacin] 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 Medicated Pad [Clindacin] today.

Coverage Details

Formularies covering
69
Plans covering
1,550
Coverage rate
30.6%
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
11.6% of formularies

2023 Medicare Spending

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

Tier Distribution Across Plans

37 plans
Tier 1, Preferred Generic
63 plans
Tier 2, Generic

Standalone Drug Plans (PDP) Covering clindamycin 10 MG/ML Medicated Pad [Clindacin]

5 standalone prescription drug plans include this drug.

Plan Insurer Tier PA ST Premium States
Anthem Full Dual Advantage (PPO D-SNP) ANTHEM HEALTH PLANS, INC. T2 No No $0 CT
Anthem Dual Advantage (PPO D-SNP) ANTHEM HEALTH PLANS, INC. T2 No No $0 CT
Anthem Kidney Care (HMO-POS C-SNP) ANTHEM HEALTH PLANS, INC. T2 No No $0 CT
Anthem Full Dual Advantage Select (HMO D-SNP) ANTHEM HEALTH PLANS, INC. T2 No No $0 CT
Anthem Dual Advantage (HMO D-SNP) ANTHEM HEALTH PLANS, INC. T2 No No $0 CT

Medicare Advantage Plans (MA-PD) Covering clindamycin 10 MG/ML Medicated Pad [Clindacin]

95 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
Gold Coast Health Plan Total Care Advantage (HMO D-SNP) Ventura County Medi-Cal Managed Care Commission T1 No $0 CA
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) Health Care Service Corporation T1 No $0 NM
Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) Health Care Service Corporation T1 No $0 NM
SecureBlue (HMO D-SNP) HMO Minnesota T1 No $0 MN
Hamaspik Medicare Choice (HMO D-SNP) HAMASPIK, INC. T1 No $0 NY
Provider Partners Pennsylvania Community Plan (HMO I-SNP) PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC T1 No $0 PA
Provider Partners North Carolina Community Plan (HMO I-SNP) PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA T1 No $0 NC
Provider Partners Indiana Community Plan (HMO I-SNP) PROVIDER PARTNERS HEALTH PLAN OF INDIANA T1 No $0 IN
Provider Partners Maryland Community Plan (HMO I-SNP) PROVIDER PARTNERS HEALTH PLAN, INC. T1 No $0 MD
Provider Partners Missouri Community Plan (HMO I-SNP) PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC. T1 No $0 MO
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
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) GATEWAY HEALTH PLAN, INC. T1 No $0 PA
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) GATEWAY HEALTH PLAN, INC. T1 No $0 PA
Highmark Health Options Duals (HMO D-SNP) HIGHMARK HEALTH OPTIONS WEST VIRGINIA INC. T1 No $0 WV
Highmark Health Options Duals (HMO D-SNP) HIGHMARK BCBSD, INC. T1 No $0 DE
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) HCSC INSURANCE SERVICES COMPANY T1 No $4.80 TX
Provider Partners Texas Advantage Plan (HMO I-SNP) PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC. T1 No $4.80 TX
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) GHS INSURANCE COMPANY T1 No $5.00 OK
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) GATEWAY HEALTH PLAN, INC. T1 No $13.10 PA
Provider Partners Illinois Advantage Plan (HMO I-SNP) PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS T1 No $15.20 IL
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) GATEWAY HEALTH PLAN, INC. T1 No $17.60 PA
Provider Partners Maryland Advantage Plan (HMO I-SNP) PROVIDER PARTNERS HEALTH PLAN, INC. T1 No $31.20 MD
Provider Partners Maryland Essential Plan (HMO I-SNP) PROVIDER PARTNERS HEALTH PLAN, INC. T1 No $31.20 MD
Highmark Health Options Duals Select (HMO D-SNP) HIGHMARK BCBSD, INC. T1 No $31.20 DE
Provider Partners Pennsylvania Advantage Plan (HMO I-SNP) PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC T1 No $32.70 PA
Provider Partners Pennsylvania Essential Plan (HMO I-SNP) PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC T1 No $32.70 PA
Hamaspik Medicare Select (HMO D-SNP) HAMASPIK, INC. T1 No $34.50 NY
Provider Partners North Carolina Advantage Plan (HMO I-SNP) PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA T1 No $36.20 NC
Provider Partners North Carolina Essential Plan (HMO I-SNP) PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA T1 No $36.20 NC
Provider Partners Indiana Advantage Plan (HMO I-SNP) PROVIDER PARTNERS HEALTH PLAN OF INDIANA T1 No $38.40 IN
Provider Partners Indiana Essential Plan (HMO I-SNP) PROVIDER PARTNERS HEALTH PLAN OF INDIANA T1 No $38.40 IN
Provider Partners Kentucky Advantage Plan (HMO I-SNP) PROVIDER PARTNERS HEALTH PLAN OF KENTUCKY T1 No $38.40 KY
Provider Partners Missouri Advantage Plan (HMO I-SNP) PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC. T1 No $43.00 MO
Provider Partners Missouri Essential Plan (HMO I-SNP) PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC. T1 No $43.00 MO
Anthem Medicare Advantage (HMO-POS) BLUE CROSS OF CALIFORNIA T2 No $0 CA
Anthem Medicare Advantage (HMO-POS) BLUE CROSS OF CALIFORNIA T2 No $0 CA
Anthem Medicare Advantage (HMO-POS) BLUE CROSS OF CALIFORNIA T2 No $0 CA
Anthem Medicare Advantage (HMO-POS) BLUE CROSS OF CALIFORNIA T2 No $0 CA
Anthem Full Dual Advantage (HMO D-SNP) ANTHEM INSURANCE COMPANIES, INC. T2 No $0 IN
Anthem I PathWays Dual Care Advantage (HMO D-SNP) ANTHEM INSURANCE COMPANIES, INC. T2 No $0 IN
Anthem I PathWays Dual Care Advantage NFLOC (HMO D-SNP) ANTHEM INSURANCE COMPANIES, INC. T2 No $0 IN
Wellpoint Full Dual Advantage (HMO-POS D-SNP) WELLPOINT IOWA, INC. T2 No $0 IA
Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP) WELLPOINT IOWA, INC. T2 No $0 IA
Wellpoint Full Dual Advantage (HMO D-SNP) WELLPOINT WEST VIRGINIA , INC. T2 No $0 WV
Wellpoint Full Dual Advantage (HMO D-SNP) WELLPOINT WASHINGTON, INC. T2 No $0 WA
Wellpoint Dual Advantage (HMO D-SNP) WELLPOINT WASHINGTON, INC. T2 No $0 WA
Healthy Blue Dual Advantage (HMO D-SNP) COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC. T2 No $0 LA

Frequently Asked Questions

Is clindamycin 10 MG/ML Medicated Pad [Clindacin] covered by Medicare Part D?

Yes, clindamycin 10 MG/ML Medicated Pad [Clindacin] is covered by 1,550 Medicare Part D plans (30.6% of all Part D formularies).

What tier is clindamycin 10 MG/ML Medicated Pad [Clindacin] on Medicare Part D plans?

clindamycin 10 MG/ML Medicated Pad [Clindacin] averages Tier 3 across Part D plans, ranging from Tier 1 to Tier 4.

Does clindamycin 10 MG/ML Medicated Pad [Clindacin] require prior authorization?

0% of Part D formularies require prior authorization for clindamycin 10 MG/ML Medicated Pad [Clindacin]. Step therapy: 0%. Quantity limits: 11.6%.

How much does Medicare spend on clindamycin 10 MG/ML Medicated Pad [Clindacin]?

In 2023, total Medicare Part D spending on clindamycin 10 MG/ML Medicated Pad [Clindacin] 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