hydrocortisone 25 MG/ML Topical Cream [Proctosol]
hydrocortisone
RxCUI: 1540356
What the CMS Formulary Data Shows for hydrocortisone 25 MG/ML Topical Cream [Proctosol]
Per the CMS 2026 Part D formulary file, hydrocortisone 25 MG/ML Topical Cream [Proctosol] (RxNorm concept RXCUI 1540356, generic name hydrocortisone) appears on 308 distinct formulary files spanning 4,108 Medicare Part D plan offerings - 81.1% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 1.9.
Real-world access to hydrocortisone 25 MG/ML Topical Cream [Proctosol] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 29.2% 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 Cream [Proctosol] 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 Cream [Proctosol] today.
Coverage Details
- Formularies covering
- 308
- Plans covering
- 4,108
- Coverage rate
- 81.1%
- 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
- 29.2% of formularies
2023 Medicare Spending
- Beneficiaries
- 1,257,661
- Total spending
- $47,540,093
- Avg per beneficiary
- $37.80
Tier Distribution Across Plans
Standalone Drug Plans (PDP) Covering hydrocortisone 25 MG/ML Topical Cream [Proctosol]
5 standalone prescription drug plans include this drug.
| Plan | Insurer | Tier | PA | ST | Premium | States |
|---|---|---|---|---|---|---|
| Anthem Full Dual Advantage (PPO D-SNP) | ANTHEM HEALTH PLANS, INC. | T1 | No | No | $0 | CT |
| Anthem Dual Advantage (PPO D-SNP) | ANTHEM HEALTH PLANS, INC. | T1 | No | No | $0 | CT |
| Anthem Kidney Care (HMO-POS C-SNP) | ANTHEM HEALTH PLANS, INC. | T1 | No | No | $0 | CT |
| Anthem Full Dual Advantage Select (HMO D-SNP) | ANTHEM HEALTH PLANS, INC. | T1 | No | No | $0 | CT |
| Anthem Dual Advantage (HMO D-SNP) | ANTHEM HEALTH PLANS, INC. | T1 | No | No | $0 | CT |
Medicare Advantage Plans (MA-PD) Covering hydrocortisone 25 MG/ML Topical Cream [Proctosol]
95 Medicare Advantage plans with Part D drug coverage include this drug.
Frequently Asked Questions
Is hydrocortisone 25 MG/ML Topical Cream [Proctosol] covered by Medicare Part D?
Yes, hydrocortisone 25 MG/ML Topical Cream [Proctosol] is covered by 4,108 Medicare Part D plans (81.1% of all Part D formularies).
What tier is hydrocortisone 25 MG/ML Topical Cream [Proctosol] on Medicare Part D plans?
hydrocortisone 25 MG/ML Topical Cream [Proctosol] averages Tier 1.9 across Part D plans, ranging from Tier 1 to Tier 4.
Does hydrocortisone 25 MG/ML Topical Cream [Proctosol] require prior authorization?
0% of Part D formularies require prior authorization for hydrocortisone 25 MG/ML Topical Cream [Proctosol]. Step therapy: 0%. Quantity limits: 29.2%.
How much does Medicare spend on hydrocortisone 25 MG/ML Topical Cream [Proctosol]?
In 2023, total Medicare Part D spending on hydrocortisone 25 MG/ML Topical Cream [Proctosol] 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.