Medicare Part D coverage · fluticasone propionate · RxCUI 1797907
fluticasone propionate 0.05 MG/ACTUAT Metered Dose Nasal Spray
Per the CMS 2026 Part D formulary file, fluticasone propionate 0.05 MG/ACTUAT Metered Dose Nasal Spray is covered by 5,052 Medicare Part D plans (100% of enrollable products), averaging Tier 1.6, with prior authorization required on 0% of covering formularies.
- 100%
- Plan coverage
- 5,052
- Plans covering
- T1.6
- Avg tier
- 0%
- Prior auth required
What the CMS Formulary Data Shows for fluticasone propionate 0.05 MG/ACTUAT Metered Dose Nasal Spray
Per the CMS 2026 Part D formulary file, fluticasone propionate 0.05 MG/ACTUAT Metered Dose Nasal Spray (RxNorm concept RXCUI 1797907, generic name fluticasone propionate) appears on 328 distinct formulary files spanning 5,052 Medicare Part D plan offerings - 100% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 3, with a cross-plan average of Tier 1.6.
Real-world access to fluticasone propionate 0.05 MG/ACTUAT Metered Dose Nasal Spray depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 85.7% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 4,902,813 Part D beneficiaries filled fluticasone propionate 0.05 MG/ACTUAT Metered Dose Nasal Spray in 2023, with total plan-and-beneficiary spending of $201,536,224 and an average per-beneficiary annual cost of $41.11. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry fluticasone propionate 0.05 MG/ACTUAT Metered Dose Nasal Spray today.
Coverage Details
- Formularies covering
- 328
- Plans covering
- 5,052
- Coverage rate
- 100%
- Tier range
- Tier 1 – Tier 3
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 85.7% of formularies
2023 Medicare Spending
- Beneficiaries
- 4,902,813
- Total spending
- $201,536,224
- Avg per beneficiary
- $41.11
Tier Distribution Across Plans
Standalone Drug Plans (PDP) Covering fluticasone propionate 0.05 MG/ACTUAT Metered Dose Nasal Spray
2 standalone prescription drug plans include this drug.
| Plan | Insurer | Tier | PA | ST | Premium | States |
|---|---|---|---|---|---|---|
| AARP Medicare Rx Preferred from UHC (PDP) | Unitedhealthcare INS. Co. & UHC INS. Co. OF NY | T1 | No | No | $0 | - |
| AARP Medicare Rx Preferred from UHC (PDP) | Unitedhealthcare INS. Co. & UHC INS. Co. OF NY | T1 | No | No | $0 | - |
Medicare Advantage Plans (MA-PD) Covering fluticasone propionate 0.05 MG/ACTUAT Metered Dose Nasal Spray
98 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| UHC Dual Complete IA-S001 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T1 | No | $0 | IA |
| UHC Dual Complete MO-S001 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T1 | No | $0 | MO |
| UHC Dual Complete NE-S001 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T1 | No | $0 | NE |
| UHC Dual Complete KS-S001 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T1 | No | $0 | KS |
| UHC Dual Complete MO-S3 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T1 | No | $0 | MO |
| UHC Dual Complete KS-Q1 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T1 | No | $0 | KS |
| UHC Dual Complete TN-S001 (HMO-POS D-SNP) | Unitedhealthcare Plan OF THE River Valley, Inc. | T1 | No | $0 | TN |
| UHC Dual Complete TN-Y001 (HMO-POS D-SNP) | Unitedhealthcare Plan OF THE River Valley, Inc. | T1 | No | $0 | TN |
| UHC Dual Complete TN-Y2 (HMO-POS D-SNP) | Unitedhealthcare Plan OF THE River Valley, Inc. | T1 | No | $0 | TN |
| AARP Medicare Advantage from UHC MI-0001 (PPO) | Unitedhealthcare Insurance Company | T1 | No | $0 | MI |
| UHC Dual Complete NM-Y1 (PPO D-SNP) | Unitedhealthcare Insurance Company | T1 | No | $0 | NM |
| UHC Dual Complete NM-S1 (PPO D-SNP) | Unitedhealthcare Insurance Company | T1 | No | $0 | NM |
| UHC Dual Complete NM-V1 (PPO D-SNP) | Unitedhealthcare Insurance Company | T1 | No | $0 | NM |
| UHC Dual Complete AZ-S001 (HMO-POS D-SNP) | Arizona Physicians IPA, Inc. | T1 | No | $0 | AZ |
| UHC Dual Complete AZ-Y001 (HMO-POS D-SNP) | Arizona Physicians IPA, Inc. | T1 | No | $0 | AZ |
| UHC Dual Complete VA-Y4 (PPO D-SNP) | Care Improvement Plus South Central Insurance Co. | T1 | No | $0 | VA |
| AARP Medicare Advantage from UHC AL-0001 (HMO-POS) | Unitedhealthcare OF THE Midlands, Inc. | T1 | No | $0 | AL |
| AARP Medicare Advantage from UHC CA-0002 (HMO-POS) | UHC OF California | T1 | No | $0 | CA |
| UHC Sharp Medicare Advantage CA-001P (HMO-POS) | UHC OF California | T1 | No | $0 | CA |
| AARP Medicare Advantage from UHC CA-003P (HMO-POS) | UHC OF California | T1 | No | $0 | CA |
Show the next 30 plans
Showing top 50 of 98 plans.
Frequently Asked Questions
Is fluticasone propionate 0.05 MG/ACTUAT Metered Dose Nasal Spray covered by Medicare Part D?
Yes, fluticasone propionate 0.05 MG/ACTUAT Metered Dose Nasal Spray is covered by 5,052 Medicare Part D plans (100% of all Part D formularies).
What tier is fluticasone propionate 0.05 MG/ACTUAT Metered Dose Nasal Spray on Medicare Part D plans?
fluticasone propionate 0.05 MG/ACTUAT Metered Dose Nasal Spray averages Tier 1.6 across Part D plans, ranging from Tier 1 to Tier 3.
Does fluticasone propionate 0.05 MG/ACTUAT Metered Dose Nasal Spray require prior authorization?
0% of Part D formularies require prior authorization for fluticasone propionate 0.05 MG/ACTUAT Metered Dose Nasal Spray. Step therapy: 0%. Quantity limits: 85.7%.
How much does Medicare spend on fluticasone propionate 0.05 MG/ACTUAT Metered Dose Nasal Spray?
In 2023, total Medicare Part D spending on fluticasone propionate 0.05 MG/ACTUAT Metered Dose Nasal Spray was $201,536,224, covering 4,902,813 beneficiaries. The average spend per beneficiary was $41.11.
Read our methodology - how this data is sourced, computed, and verified.
Nationwide similar Part D drugs
Data-derived peers across the CMS Part D formulary extract: nearest average tier placement and nearest prior-authorization rate. Not therapeutic alternatives or same-generic strengths.
Closest average formulary tier
Similar prior-authorization rate
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