desoximetasone 2.5 MG/ML Topical Spray

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desoximetasone

RxCUI: 1376338

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.
2.4%
Plan Coverage
121
Plans Covering
T3.3
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for desoximetasone 2.5 MG/ML Topical Spray

Per the CMS 2026 Part D formulary file, desoximetasone 2.5 MG/ML Topical Spray (RxNorm concept RXCUI 1376338, generic name desoximetasone) appears on 9 distinct formulary files spanning 121 Medicare Part D plan offerings - 2.4% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 2 to Tier 4, with a cross-plan average of Tier 3.3.

Real-world access to desoximetasone 2.5 MG/ML Topical Spray depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 11.1% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 27,754 Part D beneficiaries filled desoximetasone 2.5 MG/ML Topical Spray in 2023, with total plan-and-beneficiary spending of $6,489,455 and an average per-beneficiary annual cost of $233.82. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry desoximetasone 2.5 MG/ML Topical Spray today.

Coverage Details

Formularies covering
9
Plans covering
121
Coverage rate
2.4%
Tier range
Tier 2 – Tier 4
Average tier
Tier 3, Preferred Brand

Restrictions

Prior authorization required
0% of formularies
Step therapy required
0% of formularies
Quantity limits
11.1% of formularies

2023 Medicare Spending

Beneficiaries
27,754
Total spending
$6,489,455
Avg per beneficiary
$233.82

Tier Distribution Across Plans

89 plans
Tier 2, Generic
11 plans
Tier 4, Non-Preferred

Standalone Drug Plans (PDP) Covering desoximetasone 2.5 MG/ML Topical Spray

2 standalone prescription drug plans include this drug.

Plan Insurer Tier PA ST Premium States
Blue Rx PDP Complete (PDP) HM HEALTH INSURANCE COMPANY T2 No No $164.80 -
Blue Rx PDP Plus (PDP) HM HEALTH INSURANCE COMPANY T2 No No $193.20 -

Medicare Advantage Plans (MA-PD) Covering desoximetasone 2.5 MG/ML Topical Spray

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

Plan Insurer Tier PA Premium States
HealthSun HealthAdvantage Plan (HMO) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun MediMax (HMO) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun HealthAdvantage Plan (HMO) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun HealthAdvantage Plan (HMO) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun MediSun Plus (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun HealthAdvantage Plus (HMO) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun HealthAdvantage Plus (HMO) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun MediSun Extra (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun HealthAdvantage Plus (HMO) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun VitalCare (HMO C-SNP) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun VitalCare (HMO C-SNP) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun MediSun Full Dual Plus (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun MediSun Full Dual Extra (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Level (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Extra (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Extra Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply More Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Complete Platinum (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Level Platinum (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Extra Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Level Platinum (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Extra Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Level Platinum (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Extra Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply More Platinum (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Complete Platinum (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Level Platinum (HMO C-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Integrated (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Integrated (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Integrated (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Integrated (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Integrated (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Integrated (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Integrated (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Integrated Platinum (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply Integrated Platinum (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL

Frequently Asked Questions

Is desoximetasone 2.5 MG/ML Topical Spray covered by Medicare Part D?

Yes, desoximetasone 2.5 MG/ML Topical Spray is covered by 121 Medicare Part D plans (2.4% of all Part D formularies).

What tier is desoximetasone 2.5 MG/ML Topical Spray on Medicare Part D plans?

desoximetasone 2.5 MG/ML Topical Spray averages Tier 3.3 across Part D plans, ranging from Tier 2 to Tier 4.

Does desoximetasone 2.5 MG/ML Topical Spray require prior authorization?

0% of Part D formularies require prior authorization for desoximetasone 2.5 MG/ML Topical Spray. Step therapy: 0%. Quantity limits: 11.1%.

How much does Medicare spend on desoximetasone 2.5 MG/ML Topical Spray?

In 2023, total Medicare Part D spending on desoximetasone 2.5 MG/ML Topical Spray was $6,489,455, covering 27,754 beneficiaries. The average spend per beneficiary was $233.82.

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