crotamiton 100 MG/ML Topical Lotion [Crotan]
crotamiton
RxCUI: 2049603
What the CMS Formulary Data Shows for crotamiton 100 MG/ML Topical Lotion [Crotan]
Per the CMS 2026 Part D formulary file, crotamiton 100 MG/ML Topical Lotion [Crotan] (RxNorm concept RXCUI 2049603, generic name crotamiton) appears on 10 distinct formulary files spanning 36 Medicare Part D plan offerings - 0.7% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 5, with a cross-plan average of Tier 2.9.
Real-world access to crotamiton 100 MG/ML Topical Lotion [Crotan] depends on utilization management as much as tier placement: 10% of covering formularies require prior authorization. 0% require step therapy. 10% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 2,145 Part D beneficiaries filled crotamiton 100 MG/ML Topical Lotion [Crotan] in 2023, with total plan-and-beneficiary spending of $13,587,999 and an average per-beneficiary annual cost of $6,334.73. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry crotamiton 100 MG/ML Topical Lotion [Crotan] today.
Coverage Details
- Formularies covering
- 10
- Plans covering
- 36
- Coverage rate
- 0.7%
- Tier range
- Tier 1 – Tier 5
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 10% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 10% of formularies
2023 Medicare Spending
- Beneficiaries
- 2,145
- Total spending
- $13,587,999
- Avg per beneficiary
- $6,334.73
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering crotamiton 100 MG/ML Topical Lotion [Crotan]
36 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| CalOptima Health OneCare Complete (HMO D-SNP) | ORANGE COUNTY HEALTH AUTHORITY | T1 | Yes | $0 | CA |
| 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 |
| 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 |
| Mass General Brigham Advantage (PPO) | Mass General Brigham Health Plan, Inc. | T3 | No | $0 | MA |
| Mass General Brigham Advantage Secure (HMO-POS) | Mass General Brigham Health Plan, Inc. | T3 | No | $62.00 | MA |
| Mass General Brigham Advantage Premier (PPO) | Mass General Brigham Health Plan, Inc. | T3 | No | $79.70 | MA |
| Mass General Brigham Advantage Signature (PPO) | Mass General Brigham Health Plan, Inc. | T3 | No | $147.20 | MA |
| Samaritan Dual Advantage (HMO D-SNP) | SAMARITAN HEALTH PLANS, INC. | T4 | No | $10.50 | OR |
| Medicare BlueEssential (PPO) | EXCELLUS HEALTH PLAN, INC. | T5 | No | $0 | NY |
| Medicare BlueActive (PPO) | EXCELLUS HEALTH PLAN, INC. | T5 | No | $0 | NY |
| Medicare BlueVital (PPO) | EXCELLUS HEALTH PLAN, INC. | T5 | No | $0 | NY |
| Univera SeniorChoice Basic (HMO) | EXCELLUS HEALTH PLAN, INC. | T5 | No | $0 | NY |
| Univera SeniorChoice Extra (HMO) | EXCELLUS HEALTH PLAN, INC. | T5 | No | $0 | NY |
| Medicare Blue Choice Core (HMO) | EXCELLUS HEALTH PLAN, INC. | T5 | No | $0 | NY |
| Univera Medicare Dual (HMO D-SNP) | EXCELLUS HEALTH PLAN COMMUNITY CARE LLC | T5 | No | $0 | NY |
| Medicare Blue Dual (HMO D-SNP) | EXCELLUS HEALTH PLAN COMMUNITY CARE LLC | T5 | No | $0 | NY |
| CDPHP $0 Medicare Rx (HMO) | CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC. | T5 | No | $0 | NY |
| Univera SeniorChoice Core (PPO) | EXCELLUS HEALTH PLAN, INC. | T5 | No | $33.00 | NY |
| Univera SeniorChoice Advanced (HMO-POS) | EXCELLUS HEALTH PLAN, INC. | T5 | No | $36.90 | NY |
| Medicare BlueClassic (PPO) | EXCELLUS HEALTH PLAN, INC. | T5 | No | $51.00 | NY |
| Univera SeniorChoice Secure (HMO-POS) | EXCELLUS HEALTH PLAN, INC. | T5 | No | $54.90 | NY |
| Medicare BlueBalanced (PPO) | EXCELLUS HEALTH PLAN, INC. | T5 | No | $55.00 | NY |
| Medicare Blue Choice Prime (HMO) | EXCELLUS HEALTH PLAN, INC. | T5 | No | $55.00 | NY |
| Univera SeniorChoice Value Plus (HMO-POS) | EXCELLUS HEALTH PLAN, INC. | T5 | No | $58.60 | NY |
| Medicare BlueEnhanced (PPO) | EXCELLUS HEALTH PLAN, INC. | T5 | No | $70.30 | NY |
| Medicare BluePlus (PPO) | EXCELLUS HEALTH PLAN, INC. | T5 | No | $86.40 | NY |
| CDPHP Clear Rx (HMO) | CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC. | T5 | No | $100.00 | NY |
| CDPHP Choice Rx (HMO) | CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC. | T5 | No | $135.00 | NY |
| Medicare Blue Choice Optimum (HMO-POS) | EXCELLUS HEALTH PLAN, INC. | T5 | No | $146.00 | NY |
Frequently Asked Questions
Is crotamiton 100 MG/ML Topical Lotion [Crotan] covered by Medicare Part D?
Yes, crotamiton 100 MG/ML Topical Lotion [Crotan] is covered by 36 Medicare Part D plans (0.7% of all Part D formularies).
What tier is crotamiton 100 MG/ML Topical Lotion [Crotan] on Medicare Part D plans?
crotamiton 100 MG/ML Topical Lotion [Crotan] averages Tier 2.9 across Part D plans, ranging from Tier 1 to Tier 5.
Does crotamiton 100 MG/ML Topical Lotion [Crotan] require prior authorization?
10% of Part D formularies require prior authorization for crotamiton 100 MG/ML Topical Lotion [Crotan]. Step therapy: 0%. Quantity limits: 10%.
How much does Medicare spend on crotamiton 100 MG/ML Topical Lotion [Crotan]?
In 2023, total Medicare Part D spending on crotamiton 100 MG/ML Topical Lotion [Crotan] was $13,587,999, covering 2,145 beneficiaries. The average spend per beneficiary was $6,334.73.
Read our methodology - how this data is sourced, computed, and verified.