hydrocortisone valerate 0.002 MG/MG Topical Ointment
hydrocortisone valerate
RxCUI: 1370750
What the CMS Formulary Data Shows for hydrocortisone valerate 0.002 MG/MG Topical Ointment
Per the CMS 2026 Part D formulary file, hydrocortisone valerate 0.002 MG/MG Topical Ointment (RxNorm concept RXCUI 1370750, generic name hydrocortisone valerate) appears on 90 distinct formulary files spanning 2,455 Medicare Part D plan offerings - 48.5% 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 2.7.
Real-world access to hydrocortisone valerate 0.002 MG/MG Topical Ointment depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 18.9% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 15,376 Part D beneficiaries filled hydrocortisone valerate 0.002 MG/MG Topical Ointment in 2023, with total plan-and-beneficiary spending of $2,062,478 and an average per-beneficiary annual cost of $134.14. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry hydrocortisone valerate 0.002 MG/MG Topical Ointment today.
Coverage Details
- Formularies covering
- 90
- Plans covering
- 2,455
- Coverage rate
- 48.5%
- 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
- 18.9% of formularies
2023 Medicare Spending
- Beneficiaries
- 15,376
- Total spending
- $2,062,478
- Avg per beneficiary
- $134.14
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering hydrocortisone valerate 0.002 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 |
| NaviCare (HMO D-SNP) | FALLON COMMUNITY HEALTH PLAN | T1 | No | $0 | MA |
| 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 |
| 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 |
| 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 |
| Tufts Health One Care (HMO D-SNP) | TUFTS HEALTH PUBLIC PLANS, INC. | T1 | No | $0 | MA |
| Tufts Health One Care CW (HMO D-SNP) | TUFTS HEALTH PUBLIC PLANS, INC. | T1 | No | $0 | MA |
| Tufts Health Plan Senior Care Options (HMO D-SNP) | TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION | T1 | No | $0 | MA |
| Tufts Health Plan Senior Care Options CW (HMO D-SNP) | TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION | T1 | No | $0 | MA |
| 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 |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | GOLD KIDNEY OF FLORIDA INC | T1 | No | $4.80 | FL |
| 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 |
| Wellpoint Medicare Advantage (HMO-POS) | WELLPOINT WEST VIRGINIA , INC. | T2 | No | $0 | WV |
| Anthem Medicare Advantage 3 (HMO-POS) | HealthKeepers, Inc. | T2 | No | $0 | VA |
| Anthem Medicare Advantage 3 (HMO-POS) | HealthKeepers, Inc. | T2 | No | $0 | VA |
| Anthem Medicare Advantage 3 (HMO-POS) | HealthKeepers, Inc. | T2 | No | $0 | VA |
| Wellpoint Medicare Advantage 2 (HMO-POS) | WELLPOINT TENNESSEE, INC. | T2 | No | $0 | TN |
| Wellpoint Medicare Advantage 2 (HMO-POS) | WELLPOINT TENNESSEE, INC. | T2 | No | $0 | TN |
| Wellpoint Medicare Advantage 2 (HMO-POS) | WELLPOINT TENNESSEE, INC. | T2 | No | $0 | TN |
| Wellpoint Medicare Advantage 2 (HMO-POS) | WELLPOINT TENNESSEE, INC. | T2 | No | $0 | TN |
| Anthem Select (HMO-POS) | BLUE CROSS OF CALIFORNIA | T2 | No | $0 | CA |
| Anthem Medicare Advantage (HMO-POS) | BLUE CROSS OF CALIFORNIA | T2 | No | $0 | CA |
| Anthem Medicare Advantage (HMO-POS) | BLUE CROSS OF CALIFORNIA | T2 | No | $0 | CA |
| Anthem Medicare Advantage (HMO-POS) | BLUE CROSS OF CALIFORNIA | T2 | No | $0 | CA |
| Anthem Select (HMO-POS) | BLUE CROSS OF CALIFORNIA | T2 | No | $0 | CA |
| Anthem Select (HMO-POS) | BLUE CROSS OF CALIFORNIA | T2 | No | $0 | CA |
| Anthem Select (HMO-POS) | BLUE CROSS OF CALIFORNIA | T2 | No | $0 | CA |
| Anthem Medicare Advantage (HMO-POS) | BLUE CROSS OF CALIFORNIA | T2 | No | $0 | CA |
| Anthem Select (HMO-POS) | BLUE CROSS OF CALIFORNIA | T2 | No | $0 | CA |
| Anthem Medicare Advantage (HMO-POS) | BLUE CROSS OF CALIFORNIA | T2 | No | $0 | CA |
| Wellpoint Medicare Advantage (HMO-POS) | WELLPOINT HEALTH PLANS, INC. | T2 | No | $0 | AZ |
Frequently Asked Questions
Is hydrocortisone valerate 0.002 MG/MG Topical Ointment covered by Medicare Part D?
Yes, hydrocortisone valerate 0.002 MG/MG Topical Ointment is covered by 2,455 Medicare Part D plans (48.5% of all Part D formularies).
What tier is hydrocortisone valerate 0.002 MG/MG Topical Ointment on Medicare Part D plans?
hydrocortisone valerate 0.002 MG/MG Topical Ointment averages Tier 2.7 across Part D plans, ranging from Tier 1 to Tier 4.
Does hydrocortisone valerate 0.002 MG/MG Topical Ointment require prior authorization?
0% of Part D formularies require prior authorization for hydrocortisone valerate 0.002 MG/MG Topical Ointment. Step therapy: 0%. Quantity limits: 18.9%.
How much does Medicare spend on hydrocortisone valerate 0.002 MG/MG Topical Ointment?
In 2023, total Medicare Part D spending on hydrocortisone valerate 0.002 MG/MG Topical Ointment was $2,062,478, covering 15,376 beneficiaries. The average spend per beneficiary was $134.14.
Read our methodology - how this data is sourced, computed, and verified.