desoximetasone 0.5 MG/ML Topical Cream

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desoximetasone

RxCUI: 197573

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.
16.6%
Plan Coverage
843
Plans Covering
T2.8
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for desoximetasone 0.5 MG/ML Topical Cream

Per the CMS 2026 Part D formulary file, desoximetasone 0.5 MG/ML Topical Cream (RxNorm concept RXCUI 197573, generic name desoximetasone) appears on 71 distinct formulary files spanning 843 Medicare Part D plan offerings - 16.6% 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 2.8.

Real-world access to desoximetasone 0.5 MG/ML Topical Cream depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 46.5% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 27,754 Part D beneficiaries filled desoximetasone 0.5 MG/ML Topical Cream 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 0.5 MG/ML Topical Cream today.

Coverage Details

Formularies covering
71
Plans covering
843
Coverage rate
16.6%
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
46.5% of formularies

2023 Medicare Spending

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

Tier Distribution Across Plans

30 plans
Tier 1, Preferred Generic
70 plans
Tier 2, Generic

Medicare Advantage Plans (MA-PD) Covering desoximetasone 0.5 MG/ML Topical Cream

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

Plan Insurer Tier PA Premium States
CareAdvantage (HMO D-SNP) SAN MATEO HEALTH COMMISSION T1 No $0 CA
NaviCare (HMO D-SNP) FALLON COMMUNITY HEALTH PLAN T1 No $0 MA
Hamaspik Medicare Choice (HMO D-SNP) HAMASPIK, INC. T1 No $0 NY
SeniorCare Complete (HMO D-SNP) SOUTH COUNTRY HEALTH ALLIANCE T1 No $0 MN
AbilityCare (HMO D-SNP) SOUTH COUNTRY HEALTH ALLIANCE T1 No $0 MN
Alameda Alliance Wellness (HMO D-SNP) ALAMEDA ALLIANCE FOR HEALTH T1 No $0 CA
PHP (HMO C-SNP) AIDS HEALTHCARE FOUNDATION T1 No $0 CA
VNS Health Total (HMO D-SNP) VNS CHOICE T1 No $0 NY
CalOptima Health OneCare Complete (HMO D-SNP) ORANGE COUNTY HEALTH AUTHORITY T1 No $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
Tufts Health One Care (HMO D-SNP) TUFTS HEALTH PUBLIC PLANS, INC. T1 No $0 MA
Tufts Health One Care CW (HMO D-SNP) TUFTS HEALTH PUBLIC PLANS, INC. T1 No $0 MA
Tufts Health Plan Senior Care Options (HMO D-SNP) TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION T1 No $0 MA
Tufts Health Plan Senior Care Options CW (HMO D-SNP) TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION T1 No $0 MA
Leon MediExtra (HMO) LEON HEALTH, INC. T1 No $0 FL
Leon MediDual (HMO D-SNP) LEON HEALTH, INC. T1 No $0 FL
Leon MediMore (HMO) LEON HEALTH, INC. T1 No $0 FL
Leon MediMax (HMO D-SNP) LEON HEALTH, INC. T1 No $0 FL
Gold Dialysis & Kidney Complete (HMO-POS C-SNP) GOLD KIDNEY OF FLORIDA INC T1 No $4.80 FL
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) GATEWAY HEALTH PLAN, INC. T1 No $13.10 PA
Gold Dialysis & Kidney Complete (HMO-POS C-SNP) GOLD KIDNEY OF ARIZONA T1 No $17.00 AZ
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
Hamaspik Medicare Select (HMO D-SNP) HAMASPIK, INC. T1 No $34.50 NY
VNS Health EasyCare Plus (HMO D-SNP) VNS CHOICE T1 No $51.60 NY
Freedom VIP Care (HMO C-SNP) FREEDOM HEALTH, INC. T2 No $0 FL
Freedom VIP Savings (HMO C-SNP) FREEDOM HEALTH, INC. T2 No $0 FL
Freedom VIP Savings (HMO C-SNP) FREEDOM HEALTH, INC. T2 No $0 FL
Freedom VIP Rewards (HMO C-SNP) FREEDOM HEALTH, INC. T2 No $0 FL
Freedom VIP Rewards (HMO C-SNP) FREEDOM HEALTH, INC. T2 No $0 FL
Optimum Diamond Rewards (HMO C-SNP) OPTIMUM HEALTHCARE, INC. T2 No $0 FL
Optimum Diamond Savings (HMO C-SNP) OPTIMUM HEALTHCARE, INC. T2 No $0 FL
Optimum Diamond Rewards (HMO C-SNP) OPTIMUM HEALTHCARE, INC. T2 No $0 FL
Optimum Diamond (HMO C-SNP) OPTIMUM HEALTHCARE, INC. T2 No $0 FL
Freedom Medi-Medi Partial (HMO D-SNP) FREEDOM HEALTH, INC. T2 No $0 FL
Freedom Medi-Medi Full (HMO D-SNP) FREEDOM HEALTH, INC. T2 No $0 FL
Optimum Emerald Partial (HMO D-SNP) OPTIMUM HEALTHCARE, INC. T2 No $0 FL
Optimum Emerald Full (HMO D-SNP) OPTIMUM HEALTHCARE, INC. T2 No $0 FL
Freedom Medicare Plan Rx (HMO) FREEDOM HEALTH, INC. T2 No $0 FL
Freedom Medicare Plan Rx (HMO) FREEDOM HEALTH, INC. T2 No $0 FL
Freedom VIP Savings COPD (HMO C-SNP) FREEDOM HEALTH, INC. T2 No $0 FL
Freedom VIP Savings COPD (HMO C-SNP) FREEDOM HEALTH, INC. T2 No $0 FL
Freedom Platinum Plan Rx (HMO) FREEDOM HEALTH, INC. T2 No $0 FL
Freedom Platinum Plan Rx (HMO) FREEDOM HEALTH, INC. T2 No $0 FL
Freedom Platinum Plan Rx (HMO) FREEDOM HEALTH, INC. T2 No $0 FL

Frequently Asked Questions

Is desoximetasone 0.5 MG/ML Topical Cream covered by Medicare Part D?

Yes, desoximetasone 0.5 MG/ML Topical Cream is covered by 843 Medicare Part D plans (16.6% of all Part D formularies).

What tier is desoximetasone 0.5 MG/ML Topical Cream on Medicare Part D plans?

desoximetasone 0.5 MG/ML Topical Cream averages Tier 2.8 across Part D plans, ranging from Tier 1 to Tier 4.

Does desoximetasone 0.5 MG/ML Topical Cream require prior authorization?

0% of Part D formularies require prior authorization for desoximetasone 0.5 MG/ML Topical Cream. Step therapy: 0%. Quantity limits: 46.5%.

How much does Medicare spend on desoximetasone 0.5 MG/ML Topical Cream?

In 2023, total Medicare Part D spending on desoximetasone 0.5 MG/ML Topical Cream 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