Medicare Part D coverage · fluticasone propionate · RxCUI 895990

fluticasone propionate 0.5 MG/ML Topical Lotion

Per the CMS 2026 Part D formulary file, fluticasone propionate 0.5 MG/ML Topical Lotion is covered by 107 Medicare Part D plans (2.1% of enrollable products), averaging Tier 2.2, with prior authorization required on 0% of covering formularies.

2.1%
Plan coverage
107
Plans covering
T2.2
Avg tier
0%
Prior auth required

Verify with CMS →

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.

What the CMS Formulary Data Shows for fluticasone propionate 0.5 MG/ML Topical Lotion

Per the CMS 2026 Part D formulary file, fluticasone propionate 0.5 MG/ML Topical Lotion (RxNorm concept RXCUI 895990, generic name fluticasone propionate) appears on 25 distinct formulary files spanning 107 Medicare Part D plan offerings - 2.1% 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 2.2.

Real-world access to fluticasone propionate 0.5 MG/ML Topical Lotion depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 4% 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 0.5 MG/ML Topical Lotion 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 0.5 MG/ML Topical Lotion today.

Coverage Details

Formularies covering
25
Plans covering
107
Coverage rate
2.1%
Tier range
Tier 1 – Tier 4
Average tier
Tier 2, Generic

Restrictions

Prior authorization required
0% of formularies
Step therapy required
0% of formularies
Quantity limits
4% of formularies

2023 Medicare Spending

Beneficiaries
4,902,813
Total spending
$201,536,224
Avg per beneficiary
$41.11

Tier Distribution Across Plans

7 plans
Tier 1, Preferred Generic
41 plans
Tier 2, Generic
39 plans
Tier 3, Preferred Brand
13 plans
Tier 4, Non-Preferred

Medicare Advantage Plans (MA-PD) Covering fluticasone propionate 0.5 MG/ML Topical Lotion

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

Plan Insurer Tier PA Premium States
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
Community Care's Partnership Program (HMO D-SNP) Community Care Health Plan, Inc. T1 No $0 WI
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
Troy Medicare (HMO) Troy Health, Inc. T2 No $0 NC
Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) Troy Health, Inc. T2 No $0 NC
Contra Costa Health Care Plus (HMO D-SNP) Contra Costa County Medical Service DBA Contra Costa Health T2 No $0 CA
Keystone First VIP Choice (HMO D-SNP) Vista Health Plan, Inc. T2 No $0 PA
AmeriHealth Caritas VIP Care (HMO D-SNP) Vista Health Plan, Inc. T2 No $0 PA
First Choice VIP Care (HMO D-SNP) Select Health OF South Carolina, Inc. T2 No $0 SC
AmeriHealth Caritas VIP Care (HMO D-SNP) AmeriHealth Caritas VIP Next, Inc. T2 No $0 DE
AmeriHealth Caritas VIP Care Choice (HMO D-SNP) AmeriHealth Caritas VIP Next, Inc. T2 No $0 DE
AmeriHealth Caritas VIP Care (HMO D-SNP) Amerihealth Caritas Florida, Inc. T2 No $0 FL
AmeriHealth Caritas VIP Care (HMO D-SNP) Amerihealth Caritas Louisiana, Inc. T2 No $0 LA
AmeriHealth Caritas VIP Care (HMO D-SNP) Amerihealth Caritas North Carolina, Inc. T2 No $0 NC
AmeriHealth Caritas VIP Care (HMO D-SNP) Amerihealth Michigan, Inc. T2 No $0 MI
MMM Supremo (HMO C-SNP) MMM Healthcare, LLC T2 No $0 PR
Show the next 30 plans
MMM Diamante Platino (HMO D-SNP) MMM Healthcare, LLC T2 No $0 PR
MMM Unico (HMO-POS) MMM Healthcare, LLC T2 No $0 PR
MMM Elite (HMO-POS) MMM Healthcare, LLC T2 No $0 PR
MMM Deluxe (HMO-POS) MMM Healthcare, LLC T2 No $0 PR
MMM Dorado Platino (HMO D-SNP) MMM Healthcare, LLC T2 No $0 PR
PMC Premier Platino (HMO D-SNP) MMM Healthcare, LLC T2 No $0 PR
PMC Max (HMO-POS) MMM Healthcare, LLC T2 No $0 PR
MMM Plenitud (HMO-POS) MMM Healthcare, LLC T2 No $0 PR
MMM Valioso (HMO-POS) MMM Healthcare, LLC T2 No $0 PR
MMM Combo Platino (HMO D-SNP) MMM Healthcare, LLC T2 No $0 PR
MMM Flexi Platino (HMO D-SNP) MMM Healthcare, LLC T2 No $0 PR
MMM Grandioso (HMO-POS) MMM Healthcare, LLC T2 No $0 PR
MMM Mega Flex (HMO-POS) MMM Healthcare, LLC T2 No $0 PR
MMM Relax Platino (HMO D-SNP) MMM Healthcare, LLC T2 No $0 PR
MMM Balance (HMO-POS) MMM Healthcare, LLC T2 No $0 PR
FHCP Medicare Classic (HMO) Florida Blue Medicare, Inc. T2 No $0 FL
PacificSource Medicare Essentials Rx 27 (HMO) Pacificsource Community Health Plans T2 No $0 OR
PacificSource Medicare MyCare Choice Rx 29 (HMO-POS) Pacificsource Community Health Plans T2 No $0 MT
PacificSource Medicare Essentials Choice Rx 36 (HMO-POS) Pacificsource Community Health Plans T2 No $0 OR
PacificSource Medicare MyCare Rx 40 (HMO) Pacificsource Community Health Plans T2 No $0 OR
PacificSource Dual Care (HMO D-SNP) Pacificsource Community Health Plans T2 No $0 OR
PacificSource Medicare MyCare Choice Rx 34 (HMO-POS) Pacificsource Community Health Plans T2 No $19.00 ID
PacificSource Medicare Essentials Choice Rx 14 (HMO-POS) Pacificsource Community Health Plans T2 No $29.10 OR
FHCP Medicare Rx Plus (HMO-POS) Florida Blue Medicare, Inc. T2 No $49.00 FL
PacificSource Medicare MyCare Choice Rx 24 (HMO-POS) Pacificsource Community Health Plans T2 No $52.00 ID
PacificSource Medicare Essentials Rx 41 (HMO) Pacificsource Community Health Plans T2 No $69.30 OR
PacificSource Medicare Explorer Rx 4 (PPO) Pacificsource Community Health Plans T2 No $88.70 OR
PacificSource Medicare Essentials Rx 6 (HMO) Pacificsource Community Health Plans T2 No $105.90 OR
Freedom VIP Care (HMO C-SNP) Freedom Health, Inc. T3 No $0 FL
Freedom VIP Savings (HMO C-SNP) Freedom Health, Inc. T3 No $0 FL

Showing top 50 of 100 plans.

Frequently Asked Questions

Is fluticasone propionate 0.5 MG/ML Topical Lotion covered by Medicare Part D?

Yes, fluticasone propionate 0.5 MG/ML Topical Lotion is covered by 107 Medicare Part D plans (2.1% of all Part D formularies).

What tier is fluticasone propionate 0.5 MG/ML Topical Lotion on Medicare Part D plans?

fluticasone propionate 0.5 MG/ML Topical Lotion averages Tier 2.2 across Part D plans, ranging from Tier 1 to Tier 4.

Does fluticasone propionate 0.5 MG/ML Topical Lotion require prior authorization?

0% of Part D formularies require prior authorization for fluticasone propionate 0.5 MG/ML Topical Lotion. Step therapy: 0%. Quantity limits: 4%.

How much does Medicare spend on fluticasone propionate 0.5 MG/ML Topical Lotion?

In 2023, total Medicare Part D spending on fluticasone propionate 0.5 MG/ML Topical Lotion was $201,536,224, covering 4,902,813 beneficiaries. The average spend per beneficiary was $41.11.

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.

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