Emollient clobetasol propionate 0.5 MG/ML Topical Foam [Tovet]
Emollient clobetasol propionate
RxCUI: 2180345
What the CMS Formulary Data Shows for Emollient clobetasol propionate 0.5 MG/ML Topical Foam [Tovet]
Per the CMS 2026 Part D formulary file, Emollient clobetasol propionate 0.5 MG/ML Topical Foam [Tovet] (RxNorm concept RXCUI 2180345, generic name Emollient clobetasol propionate) appears on 4 distinct formulary files spanning 22 Medicare Part D plan offerings - 0.4% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 3 to Tier 4, with a cross-plan average of Tier 3.8.
Real-world access to Emollient clobetasol propionate 0.5 MG/ML Topical Foam [Tovet] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 50% apply quantity limits.
Medicare Part D spending dashboard figures are not published for this drug. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry Emollient clobetasol propionate 0.5 MG/ML Topical Foam [Tovet] today.
Coverage Details
- Formularies covering
- 4
- Plans covering
- 22
- Coverage rate
- 0.4%
- Tier range
- Tier 3 – Tier 4
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 50% of formularies
Tier Distribution Across Plans
Standalone Drug Plans (PDP) Covering Emollient clobetasol propionate 0.5 MG/ML Topical Foam [Tovet]
2 standalone prescription drug plans include this drug.
| Plan | Insurer | Tier | PA | ST | Premium | States |
|---|---|---|---|---|---|---|
| Blue Rx PDP Complete (PDP) | HM HEALTH INSURANCE COMPANY | T3 | No | No | $164.80 | - |
| Blue Rx PDP Plus (PDP) | HM HEALTH INSURANCE COMPANY | T3 | No | No | $193.20 | - |
Medicare Advantage Plans (MA-PD) Covering Emollient clobetasol propionate 0.5 MG/ML Topical Foam [Tovet]
20 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Security Blue HMO-POS Standard (HMO-POS) | HIGHMARK CHOICE COMPANY | T3 | No | $51.80 | PA |
| Freedom Blue PPO Select (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T3 | No | $95.70 | PA |
| Security Blue HMO-POS Deluxe (HMO-POS) | HIGHMARK CHOICE COMPANY | T3 | No | $95.90 | PA |
| Freedom Blue PPO Standard (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T3 | No | $98.20 | PA |
| Freedom Blue PPO Select (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T3 | No | $115.70 | PA |
| Freedom Blue PPO Deluxe (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T3 | No | $122.40 | PA |
| Freedom Blue PPO Classic (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T3 | No | $140.90 | PA |
| Freedom Blue PPO Classic (PPO) | HIGHMARK SENIOR HEALTH COMPANY | T3 | No | $145.40 | PA |
| Jefferson Health Plans Choice (PPO) | PARTNERS INSURANCE COMPANY OF NEW JERSEY INC | T4 | No | $0 | NJ |
| Jefferson Health Plans Complete (HMO) | HEALTH PARTNERS PLANS, INC. | T4 | No | $0 | PA |
| Jefferson Health Plans Silver (HMO) | HEALTH PARTNERS PLANS, INC. | T4 | No | $0 | NJ |
| Jefferson Health Plans Elite (HMO) | HEALTH PARTNERS PLANS, INC. | T4 | No | $0 | NJ |
| Presbyterian Senior Care Plan 2 with Rx (HMO) | PRESBYTERIAN HEALTH PLAN | T4 | No | $0 | NM |
| Presbyterian Dual Plus (HMO D-SNP) | PRESBYTERIAN HEALTH PLAN | T4 | No | $0 | NM |
| Presbyterian Senior Care Extra Health Plan with Rx (HMO) | PRESBYTERIAN HEALTH PLAN | T4 | No | $0 | NM |
| CareOregon Advantage Plus (HMO D-SNP) | HEALTH PLAN OF CAREOREGON, INC. | T4 | No | $0 | OR |
| Jefferson Health Plans Flex Pro (PPO) | PARTNERS INSURANCE COMPANY INC | T4 | No | $18.00 | PA |
| Jefferson Health Plans Flex Plus (PPO) | PARTNERS INSURANCE COMPANY INC | T4 | No | $32.70 | PA |
| Jefferson Health Plans Prime (HMO) | HEALTH PARTNERS PLANS, INC. | T4 | No | $32.70 | PA |
| Presbyterian Senior Care Plan 3 with Rx (HMO) | PRESBYTERIAN HEALTH PLAN | T4 | No | $65.80 | NM |
Frequently Asked Questions
Is Emollient clobetasol propionate 0.5 MG/ML Topical Foam [Tovet] covered by Medicare Part D?
Yes, Emollient clobetasol propionate 0.5 MG/ML Topical Foam [Tovet] is covered by 22 Medicare Part D plans (0.4% of all Part D formularies).
What tier is Emollient clobetasol propionate 0.5 MG/ML Topical Foam [Tovet] on Medicare Part D plans?
Emollient clobetasol propionate 0.5 MG/ML Topical Foam [Tovet] averages Tier 3.8 across Part D plans, ranging from Tier 3 to Tier 4.
Does Emollient clobetasol propionate 0.5 MG/ML Topical Foam [Tovet] require prior authorization?
0% of Part D formularies require prior authorization for Emollient clobetasol propionate 0.5 MG/ML Topical Foam [Tovet]. Step therapy: 0%. Quantity limits: 50%.
Read our methodology - how this data is sourced, computed, and verified.