fluocinolone acetonide 0.1 MG/ML Otic Solution [Dermotic]

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fluocinolone acetonide

RxCUI: 1191301

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.
0.5%
Plan Coverage
26
Plans Covering
T3
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for fluocinolone acetonide 0.1 MG/ML Otic Solution [Dermotic]

Per the CMS 2026 Part D formulary file, fluocinolone acetonide 0.1 MG/ML Otic Solution [Dermotic] (RxNorm concept RXCUI 1191301, generic name fluocinolone acetonide) appears on 4 distinct formulary files spanning 26 Medicare Part D plan offerings - 0.5% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 3 to Tier 3, with a cross-plan average of Tier 3.

Real-world access to fluocinolone acetonide 0.1 MG/ML Otic Solution [Dermotic] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 0% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 80,799 Part D beneficiaries filled fluocinolone acetonide 0.1 MG/ML Otic Solution [Dermotic] in 2023, with total plan-and-beneficiary spending of $9,589,481 and an average per-beneficiary annual cost of $118.68. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry fluocinolone acetonide 0.1 MG/ML Otic Solution [Dermotic] today.

Coverage Details

Formularies covering
4
Plans covering
26
Coverage rate
0.5%
Tier range
Tier 3, Preferred Brand
Average tier
Tier 3, Preferred Brand

Restrictions

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

2023 Medicare Spending

Beneficiaries
80,799
Total spending
$9,589,481
Avg per beneficiary
$118.68

Tier Distribution Across Plans

26 plans
Tier 3, Preferred Brand

Standalone Drug Plans (PDP) Covering fluocinolone acetonide 0.1 MG/ML Otic Solution [Dermotic]

2 standalone prescription drug plans include this drug.

Plan Insurer Tier PA ST Premium States
Blue Shield Rx Plus (PDP) California Physicians' Service T3 No No $199.70 -
Blue Shield Rx Enhanced (PDP) California Physicians' Service T3 No No $227.80 -

Medicare Advantage Plans (MA-PD) Covering fluocinolone acetonide 0.1 MG/ML Otic Solution [Dermotic]

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

Plan Insurer Tier PA Premium States
DrMax (HMO) DOCTORS HEALTHCARE PLANS, INC. T3 No $0 FL
DrExtraCare (HMO C-SNP) DOCTORS HEALTHCARE PLANS, INC. T3 No $0 FL
DrSelect (HMO) DOCTORS HEALTHCARE PLANS, INC. T3 No $0 FL
DrSelect-CFL (HMO) DOCTORS HEALTHCARE PLANS, INC. T3 No $0 FL
DrPlatinum-CFL (HMO D-SNP) DOCTORS HEALTHCARE PLANS, INC. T3 No $0 FL
DrTotalCare-CFL (HMO C-SNP) DOCTORS HEALTHCARE PLANS, INC. T3 No $0 FL
DrElite-SFL (HMO) DOCTORS HEALTHCARE PLANS, INC. T3 No $0 FL
Blue Shield 65 Plus (HMO) California Physicians' Service T3 No $0 CA
Blue Shield 65 Plus (HMO) California Physicians' Service T3 No $0 CA
Blue Shield 65 Plus Plan 2 (HMO) California Physicians' Service T3 No $0 CA
Blue Shield 65 Plus (HMO) California Physicians' Service T3 No $0 CA
Blue Shield 65 Plus (HMO) California Physicians' Service T3 No $0 CA
Blue Shield 65 Plus (HMO) California Physicians' Service T3 No $0 CA
Blue Shield 65 Plus (HMO) California Physicians' Service T3 No $0 CA
Blue Shield 65 Plus Choice Plan (HMO) California Physicians' Service T3 No $0 CA
Blue Shield Inspire (HMO) California Physicians' Service T3 No $0 CA
Blue Shield Inspire (HMO) California Physicians' Service T3 No $0 CA
Blue Shield TotalDual Plan (HMO D-SNP) California Physicians' Service T3 No $0 CA
Blue Shield AdvantageOptimum Plan (HMO) California Physicians' Service T3 No $0 CA
Blue Shield AdvantageOptimum Plan 1 (HMO) California Physicians' Service T3 No $0 CA
DrFlex (HMO D-SNP) DOCTORS HEALTHCARE PLANS, INC. T3 No $1.10 FL
DrPlus (HMO D-SNP) DOCTORS HEALTHCARE PLANS, INC. T3 No $4.80 FL
Blue Shield Advantage (HMO) California Physicians' Service T3 No $20.00 CA
Blue Shield Inspire (HMO) California Physicians' Service T3 No $46.90 CA

Frequently Asked Questions

Is fluocinolone acetonide 0.1 MG/ML Otic Solution [Dermotic] covered by Medicare Part D?

Yes, fluocinolone acetonide 0.1 MG/ML Otic Solution [Dermotic] is covered by 26 Medicare Part D plans (0.5% of all Part D formularies).

What tier is fluocinolone acetonide 0.1 MG/ML Otic Solution [Dermotic] on Medicare Part D plans?

fluocinolone acetonide 0.1 MG/ML Otic Solution [Dermotic] averages Tier 3 across Part D plans, ranging from Tier 3 to Tier 3.

Does fluocinolone acetonide 0.1 MG/ML Otic Solution [Dermotic] require prior authorization?

0% of Part D formularies require prior authorization for fluocinolone acetonide 0.1 MG/ML Otic Solution [Dermotic]. Step therapy: 0%. Quantity limits: 0%.

How much does Medicare spend on fluocinolone acetonide 0.1 MG/ML Otic Solution [Dermotic]?

In 2023, total Medicare Part D spending on fluocinolone acetonide 0.1 MG/ML Otic Solution [Dermotic] was $9,589,481, covering 80,799 beneficiaries. The average spend per beneficiary was $118.68.

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