hydrocortisone butyrate 0.001 MG/MG Topical Ointment

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hydrocortisone butyrate

RxCUI: 1370758

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.
47.9%
Plan Coverage
2,426
Plans Covering
T2.8
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for hydrocortisone butyrate 0.001 MG/MG Topical Ointment

Per the CMS 2026 Part D formulary file, hydrocortisone butyrate 0.001 MG/MG Topical Ointment (RxNorm concept RXCUI 1370758, generic name hydrocortisone butyrate) appears on 96 distinct formulary files spanning 2,426 Medicare Part D plan offerings - 47.9% 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 2.8.

Real-world access to hydrocortisone butyrate 0.001 MG/MG Topical Ointment depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 49% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 6,139 Part D beneficiaries filled hydrocortisone butyrate 0.001 MG/MG Topical Ointment in 2023, with total plan-and-beneficiary spending of $5,733,330 and an average per-beneficiary annual cost of $933.92. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry hydrocortisone butyrate 0.001 MG/MG Topical Ointment today.

Coverage Details

Formularies covering
96
Plans covering
2,426
Coverage rate
47.9%
Tier range
Tier 1 – Tier 4
Average tier
Tier 3, Preferred Brand

Restrictions

Prior authorization required
0% of formularies
Step therapy required
0% of formularies
Quantity limits
49% of formularies

2023 Medicare Spending

Beneficiaries
6,139
Total spending
$5,733,330
Avg per beneficiary
$933.92

Tier Distribution Across Plans

35 plans
Tier 1, Preferred Generic
65 plans
Tier 2, Generic

Medicare Advantage Plans (MA-PD) Covering hydrocortisone butyrate 0.001 MG/MG Topical Ointment

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

Plan Insurer Tier PA Premium States
CareAdvantage (HMO D-SNP) SAN MATEO HEALTH COMMISSION T1 No $0 CA
Gold Coast Health Plan Total Care Advantage (HMO D-SNP) Ventura County Medi-Cal Managed Care Commission T1 No $0 CA
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) Health Care Service Corporation T1 No $0 NM
Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) Health Care Service Corporation T1 No $0 NM
SecureBlue (HMO D-SNP) HMO Minnesota T1 No $0 MN
Hamaspik Medicare Choice (HMO D-SNP) HAMASPIK, INC. T1 No $0 NY
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
PHP (HMO C-SNP) AIDS HEALTHCARE FOUNDATION T1 No $0 CA
VNS Health Total (HMO D-SNP) VNS CHOICE T1 No $0 NY
Platino Blindao (HMO D-SNP) TRIPLE S ADVANTAGE, INC. T1 No $0 PR
Platino Enlace (HMO D-SNP) TRIPLE S ADVANTAGE, INC. T1 No $0 PR
PLATINO ADVANCE (HMO D-SNP) TRIPLE S ADVANTAGE, INC. T1 No $0 PR
PLATINO PLUS (HMO D-SNP) TRIPLE S ADVANTAGE, INC. T1 No $0 PR
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
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) GATEWAY HEALTH PLAN, INC. T1 No $0 PA
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) GATEWAY HEALTH PLAN, INC. T1 No $0 PA
Highmark Health Options Duals (HMO D-SNP) HIGHMARK HEALTH OPTIONS WEST VIRGINIA INC. T1 No $0 WV
Highmark Health Options Duals (HMO D-SNP) HIGHMARK BCBSD, INC. T1 No $0 DE
Leon MediExtra (HMO) LEON HEALTH, INC. T1 No $0 FL
Leon MediDual (HMO D-SNP) LEON HEALTH, INC. T1 No $0 FL
Leon MediMore (HMO) LEON HEALTH, INC. T1 No $0 FL
Leon MediMax (HMO D-SNP) LEON HEALTH, INC. T1 No $0 FL
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) HCSC INSURANCE SERVICES COMPANY T1 No $4.80 TX
Gold Dialysis & Kidney Complete (HMO-POS C-SNP) GOLD KIDNEY OF FLORIDA INC T1 No $4.80 FL
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) GHS INSURANCE COMPANY T1 No $5.00 OK
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) GATEWAY HEALTH PLAN, INC. T1 No $13.10 PA
Gold Dialysis & Kidney Complete (HMO-POS C-SNP) GOLD KIDNEY OF ARIZONA T1 No $17.00 AZ
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) GATEWAY HEALTH PLAN, INC. T1 No $17.60 PA
Highmark Health Options Duals Select (HMO D-SNP) HIGHMARK BCBSD, INC. T1 No $31.20 DE
Hamaspik Medicare Select (HMO D-SNP) HAMASPIK, INC. T1 No $34.50 NY
VNS Health EasyCare Plus (HMO D-SNP) VNS CHOICE T1 No $51.60 NY
HealthSun HealthAdvantage Plan (HMO) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun MediMax (HMO) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun HealthAdvantage Plan (HMO) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun HealthAdvantage Plan (HMO) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun MediSun Plus (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun HealthAdvantage Plus (HMO) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun HealthAdvantage Plus (HMO) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun MediSun Extra (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun HealthAdvantage Plus (HMO) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun VitalCare (HMO C-SNP) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun VitalCare (HMO C-SNP) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun MediSun Full Dual Plus (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
HealthSun MediSun Full Dual Extra (HMO D-SNP) HEALTHSUN HEALTH PLANS, INC. T2 No $0 FL
Simply Complete (HMO D-SNP) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL
Simply More (HMO) SIMPLY HEALTHCARE PLANS, INC. T2 No $0 FL

Frequently Asked Questions

Is hydrocortisone butyrate 0.001 MG/MG Topical Ointment covered by Medicare Part D?

Yes, hydrocortisone butyrate 0.001 MG/MG Topical Ointment is covered by 2,426 Medicare Part D plans (47.9% of all Part D formularies).

What tier is hydrocortisone butyrate 0.001 MG/MG Topical Ointment on Medicare Part D plans?

hydrocortisone butyrate 0.001 MG/MG Topical Ointment averages Tier 2.8 across Part D plans, ranging from Tier 1 to Tier 4.

Does hydrocortisone butyrate 0.001 MG/MG Topical Ointment require prior authorization?

0% of Part D formularies require prior authorization for hydrocortisone butyrate 0.001 MG/MG Topical Ointment. Step therapy: 0%. Quantity limits: 49%.

How much does Medicare spend on hydrocortisone butyrate 0.001 MG/MG Topical Ointment?

In 2023, total Medicare Part D spending on hydrocortisone butyrate 0.001 MG/MG Topical Ointment was $5,733,330, covering 6,139 beneficiaries. The average spend per beneficiary was $933.92.

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