Medicare Part D coverage · clobetasol propionate · RxCUI 861512

clobetasol propionate 0.5 MG/ML Topical Spray

Per the CMS 2026 Part D formulary file, clobetasol propionate 0.5 MG/ML Topical Spray is covered by 247 Medicare Part D plans (4.9% of enrollable products), averaging Tier 3, with prior authorization required on 0% of covering formularies.

4.9%
Plan coverage
247
Plans covering
T3
Avg tier
0%
Prior auth required

Verify with CMS →

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.

What the CMS Formulary Data Shows for clobetasol propionate 0.5 MG/ML Topical Spray

Per the CMS 2026 Part D formulary file, clobetasol propionate 0.5 MG/ML Topical Spray (RxNorm concept RXCUI 861512, generic name clobetasol propionate) appears on 20 distinct formulary files spanning 247 Medicare Part D plan offerings - 4.9% 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 clobetasol propionate 0.5 MG/ML Topical Spray depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 45% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 1,250,981 Part D beneficiaries filled clobetasol propionate 0.5 MG/ML Topical Spray in 2023, with total plan-and-beneficiary spending of $152,216,122 and an average per-beneficiary annual cost of $121.68. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry clobetasol propionate 0.5 MG/ML Topical Spray today.

Coverage Details

Formularies covering
20
Plans covering
247
Coverage rate
4.9%
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
45% of formularies

2023 Medicare Spending

Beneficiaries
1,250,981
Total spending
$152,216,122
Avg per beneficiary
$121.68

Tier Distribution Across Plans

8 plans
Tier 1, Preferred Generic
92 plans
Tier 2, Generic

Medicare Advantage Plans (MA-PD) Covering clobetasol propionate 0.5 MG/ML Topical Spray

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
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
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) Gateway Health Plan, Inc. T1 No $13.10 PA
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) Gateway Health Plan, Inc. T1 No $17.60 PA
Highmark Health Options Duals Select (HMO D-SNP) Highmark Bcbsd, Inc. T1 No $31.20 DE
Healthy Mississippi Premier Advantage (HMO-POS) Healthy Mississippi, Inc. T2 No $0 MS
Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) Kaiser Foundation HP, Inc. T2 No $0 CA
Kaiser Permanente Senior Advantage Enhanced Solano (HMO) Kaiser Foundation HP, Inc. T2 No $0 CA
Kaiser Permanente Senior Advantage Inland Empire (HMO) Kaiser Foundation HP, Inc. T2 No $0 CA
Kaiser Permanente Sr Adv Enhanced Marin San Mateo (HMO) Kaiser Foundation HP, Inc. T2 No $0 CA
Kaiser Permanente Senior Advantage Ventura (HMO) Kaiser Foundation HP, Inc. T2 No $0 CA
Kaiser Permanente Senior Advantage Enhanced Kern (HMO) Kaiser Foundation HP, Inc. T2 No $0 CA
Kaiser Permanente Senior Advantage Basic Kern (HMO) Kaiser Foundation HP, Inc. T2 No $0 CA
Kaiser Permanente Senior Advantage San Diego (HMO) Kaiser Foundation HP, Inc. T2 No $0 CA
Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO) Kaiser Foundation HP, Inc. T2 No $0 CA
Kaiser Permanente Senior Advantage Enhanced Stanis (HMO) Kaiser Foundation HP, Inc. T2 No $0 CA
Kaiser Permanente Senior Advantage Basic Stanis (HMO) Kaiser Foundation HP, Inc. T2 No $0 CA
Show the next 30 plans
Kaiser Permanente Senior Advantage Basic SnJoaq (HMO) Kaiser Foundation HP, Inc. T2 No $0 CA
Kaiser Permanente Senior Advantage Basic Fresno (HMO) Kaiser Foundation HP, Inc. T2 No $0 CA
Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO) Kaiser Foundation HP, Inc. T2 No $0 CA
Kaiser Permanente Senior Advantage Santa Cruz (HMO) Kaiser Foundation HP, Inc. T2 No $0 CA
Kaiser Permanente Senior Advantage Basic Alameda (HMO) Kaiser Foundation HP, Inc. T2 No $0 CA
Kaiser Permanente Senior Advantage Basic SF (HMO) Kaiser Foundation HP, Inc. T2 No $0 CA
Kaiser Permanente Sr Adv Basic Contra Costa (HMO) Kaiser Foundation HP, Inc. T2 No $0 CA
Kaiser Permanente Sr Adv Basic Santa Clara (HMO) Kaiser Foundation HP, Inc. T2 No $0 CA
Kaiser Permanente Senior Advantage Basic Solano (HMO) Kaiser Foundation HP, Inc. T2 No $0 CA
Kaiser Permanente Senior Advantage Basic San Mateo (HMO) Kaiser Foundation HP, Inc. T2 No $0 CA
Kaiser Permanente Sr Advantage LA, Orange Value (HMO) Kaiser Foundation HP, Inc. T2 No $0 CA
Kaiser Permanente Sr Advantage Inland Empire Value (HMO) Kaiser Foundation HP, Inc. T2 No $0 CA
Kaiser Permanente Senior Advantage San Diego Value (HMO) Kaiser Foundation HP, Inc. T2 No $0 CA
Kaiser Permanente Senior Advantage Ventura Value (HMO) Kaiser Foundation HP, Inc. T2 No $0 CA
Kaiser Permanente Senior Advantage Core DM (HMO) Kaiser Foundation HP OF Co T2 No $0 CO
Kaiser Permanente Dual Essential (HMO D-SNP) Kaiser Foundation HP OF Co T2 No $0 CO
Kaiser Permanente Senior Advantage Silver DM (HMO-POS) Kaiser Foundation HP OF Co T2 No $0 CO
Kaiser Permanente Senior Advantage Core South (HMO) Kaiser Foundation HP OF Co T2 No $0 CO
Kaiser Permanente Senior Advantage Core North (HMO) Kaiser Foundation HP OF Co T2 No $0 CO
Kaiser Permanente Senior Advantage Enhanced (HMO-POS) Kaiser Foundation HP OF Co T2 No $0 CO
Kaiser Permanente Dual Complete Pueblo (HMO D-SNP) Kaiser Foundation HP OF Co T2 No $0 CO
Kaiser Permanente Senior Advantage Bronze DM (HMO-POS) Kaiser Foundation HP OF Co T2 No $0 CO
Kaiser Permanente Dual Complete (HMO D-SNP) Kaiser Foundation HP OF Co T2 No $0 CO
Kaiser Permanente Dual Essential Plan 1 (HMO D-SNP) Kaiser Foundation HP OF GA, Inc. T2 No $0 GA
Kaiser Permanente Senior Advantage Basic 1 (HMO) Kaiser Foundation HP OF GA, Inc. T2 No $0 GA
Kaiser Permanente Dual Essential Plan 2 (HMO D-SNP) Kaiser Foundation HP OF GA, Inc. T2 No $0 GA
Kaiser Permanente Senior Advantage Basic 2 (HMO) Kaiser Foundation HP OF GA, Inc. T2 No $0 GA
Kaiser Permanente Senior Advantage Care Plus (HMO-POS) Kaiser Foundation HP OF GA, Inc. T2 No $0 GA
Kaiser Permanente Dual Complete (HMO D-SNP) Kaiser Foundation HP OF GA, Inc. T2 No $0 GA
Kaiser Permanente Senior Advantage Basic (HMO) Kaiser Foundation HP, Inc. T2 No $0 HI

Showing top 50 of 100 plans.

Frequently Asked Questions

Is clobetasol propionate 0.5 MG/ML Topical Spray covered by Medicare Part D?

Yes, clobetasol propionate 0.5 MG/ML Topical Spray is covered by 247 Medicare Part D plans (4.9% of all Part D formularies).

What tier is clobetasol propionate 0.5 MG/ML Topical Spray on Medicare Part D plans?

clobetasol propionate 0.5 MG/ML Topical Spray averages Tier 3 across Part D plans, ranging from Tier 1 to Tier 4.

Does clobetasol propionate 0.5 MG/ML Topical Spray require prior authorization?

0% of Part D formularies require prior authorization for clobetasol propionate 0.5 MG/ML Topical Spray. Step therapy: 0%. Quantity limits: 45%.

How much does Medicare spend on clobetasol propionate 0.5 MG/ML Topical Spray?

In 2023, total Medicare Part D spending on clobetasol propionate 0.5 MG/ML Topical Spray was $152,216,122, covering 1,250,981 beneficiaries. The average spend per beneficiary was $121.68.

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.

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