hydrocortisone 25 MG/ML Topical Solution
hydrocortisone
RxCUI: 197786
What the CMS Formulary Data Shows for hydrocortisone 25 MG/ML Topical Solution
Per the CMS 2026 Part D formulary file, hydrocortisone 25 MG/ML Topical Solution (RxNorm concept RXCUI 197786, generic name hydrocortisone) appears on 2 distinct formulary files spanning 29 Medicare Part D plan offerings - 0.6% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 2 to Tier 4, with a cross-plan average of Tier 3.
Real-world access to hydrocortisone 25 MG/ML Topical Solution 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 1,257,661 Part D beneficiaries filled hydrocortisone 25 MG/ML Topical Solution in 2023, with total plan-and-beneficiary spending of $47,540,093 and an average per-beneficiary annual cost of $37.80. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry hydrocortisone 25 MG/ML Topical Solution today.
Coverage Details
- Formularies covering
- 2
- Plans covering
- 29
- Coverage rate
- 0.6%
- Tier range
- Tier 2 – Tier 4
- 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
- 1,257,661
- Total spending
- $47,540,093
- Avg per beneficiary
- $37.80
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering hydrocortisone 25 MG/ML Topical Solution
29 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Health First Rewards H1099-014 (HMO) | HEALTH FIRST HEALTH PLANS | T2 | No | $0 | FL |
| Health First SunSaver H1099-016 (HMO) | HEALTH FIRST HEALTH PLANS | T2 | No | $0 | FL |
| Health First Complete Care H1099-023 (HMO) | HEALTH FIRST HEALTH PLANS | T2 | No | $0 | FL |
| Health First Emerald Plus H1099-024 (HMO) | HEALTH FIRST HEALTH PLANS | T2 | No | $0 | FL |
| Health First Premier Access H1099-025 (HMO-POS) | HEALTH FIRST HEALTH PLANS | T2 | No | $0 | FL |
| Health First Emerald Plus H1099-026 (HMO) | HEALTH FIRST HEALTH PLANS | T2 | No | $0 | FL |
| Health First Premier Access H1099-027 (HMO-POS) | HEALTH FIRST HEALTH PLANS | T2 | No | $0 | FL |
| Health First Emerald Plus H1099-028 (HMO) | HEALTH FIRST HEALTH PLANS | T2 | No | $0 | FL |
| Health First Value H1099-006 (HMO) | HEALTH FIRST HEALTH PLANS | T2 | No | $15.00 | FL |
| Health First Classic H1099-001 (HMO-POS) | HEALTH FIRST HEALTH PLANS | T2 | No | $49.40 | FL |
| Wellpoint Medicare Advantage (HMO-POS) | WELLPOINT WEST VIRGINIA , INC. | T4 | No | $0 | WV |
| Anthem Medicare Advantage 3 (HMO-POS) | HealthKeepers, Inc. | T4 | No | $0 | VA |
| Anthem Medicare Advantage 3 (HMO-POS) | HealthKeepers, Inc. | T4 | No | $0 | VA |
| Anthem Medicare Advantage 3 (HMO-POS) | HealthKeepers, Inc. | T4 | No | $0 | VA |
| Wellpoint Medicare Advantage 2 (HMO-POS) | WELLPOINT TENNESSEE, INC. | T4 | No | $0 | TN |
| Wellpoint Medicare Advantage 2 (HMO-POS) | WELLPOINT TENNESSEE, INC. | T4 | No | $0 | TN |
| Wellpoint Medicare Advantage 2 (HMO-POS) | WELLPOINT TENNESSEE, INC. | T4 | No | $0 | TN |
| Wellpoint Medicare Advantage 2 (HMO-POS) | WELLPOINT TENNESSEE, INC. | T4 | No | $0 | TN |
| Wellpoint Medicare Advantage (HMO) | WELLPOINT SOUTH CAROLINA, INC. | T4 | No | $14.00 | SC |
| Anthem Medicare Advantage 3 (HMO-POS) | HealthKeepers, Inc. | T4 | No | $24.00 | VA |
| Anthem Medicare Advantage 2 (HMO-POS) | Anthem HP, LLC | T4 | No | $30.00 | NY |
| Anthem Medicare Advantage 2 (HMO-POS) | Anthem HP, LLC | T4 | No | $34.00 | NY |
| Anthem Medicare Advantage 2 (HMO-POS) | ANTHEM HP, LLC. | T4 | No | $44.00 | NY |
| Anthem Medicare Advantage (HMO-POS) | ANTHEM HP, LLC. | T4 | No | $44.00 | NY |
| Anthem Medicare Advantage 2 (HMO-POS) | Anthem HP, LLC | T4 | No | $56.00 | NY |
| Anthem Medicare Advantage (HMO) | ANTHEM HP, LLC. | T4 | No | $65.00 | NY |
| Anthem Medicare Advantage 3 (HMO-POS) | Anthem HP, LLC | T4 | No | $70.00 | NY |
| Anthem Medicare Advantage (HMO) | ANTHEM HP, LLC. | T4 | No | $80.00 | NY |
| Anthem Medicare Advantage (HMO) | ANTHEM HP, LLC. | T4 | No | $90.00 | NY |
Frequently Asked Questions
Is hydrocortisone 25 MG/ML Topical Solution covered by Medicare Part D?
Yes, hydrocortisone 25 MG/ML Topical Solution is covered by 29 Medicare Part D plans (0.6% of all Part D formularies).
What tier is hydrocortisone 25 MG/ML Topical Solution on Medicare Part D plans?
hydrocortisone 25 MG/ML Topical Solution averages Tier 3 across Part D plans, ranging from Tier 2 to Tier 4.
Does hydrocortisone 25 MG/ML Topical Solution require prior authorization?
0% of Part D formularies require prior authorization for hydrocortisone 25 MG/ML Topical Solution. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on hydrocortisone 25 MG/ML Topical Solution?
In 2023, total Medicare Part D spending on hydrocortisone 25 MG/ML Topical Solution was $47,540,093, covering 1,257,661 beneficiaries. The average spend per beneficiary was $37.80.
Read our methodology - how this data is sourced, computed, and verified.