Medicare Part D coverage · hydrocortisone valerate · RxCUI 1370750
hydrocortisone valerate 0.002 MG/MG Topical Ointment
Per the CMS 2026 Part D formulary file, hydrocortisone valerate 0.002 MG/MG Topical Ointment is covered by 2,455 Medicare Part D plans (48.6% of enrollable products), averaging Tier 2.7, with prior authorization required on 0% of covering formularies.
- 48.6%
- Plan coverage
- 2,455
- Plans covering
- T2.7
- Avg tier
- 0%
- Prior auth required
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 - 48.6% 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 $2,005,409 and an average per-beneficiary annual cost of $130.42. 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
- 48.6%
- 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
- $2,005,409
- Avg per beneficiary
- $130.42
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 |
Show the next 30 plans
| 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 |
Showing top 50 of 100 plans.
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 (48.6% 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 $2,005,409, covering 15,376 beneficiaries. The average spend per beneficiary was $130.42.
Read our methodology - how this data is sourced, computed, and verified.
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.
Closest average formulary tier
- cyclosporine, modified 25 MG Oral Capsule T2.7
- insulin aspart, human 100 UNT/ML Injectable Solution [NovoLog] T2.7
- insulin glargine 100 UNT/ML Injectable Solution [Lantus] T2.7
- theophylline 450 MG Extended Release Oral Tablet T2.7
- 24 HR amphetamine aspartate 1.25 MG / amphetamine sulfate 1.25 MG / dextroamphetamine saccharate 1.25 MG / dextroamphetamine sulfate 1.25 MG Extended Release Oral Capsule T2.7
- ampicillin 1000 MG / sulbactam 500 MG Injection T2.7
Similar prior-authorization rate
- metronidazole 10 MG/ML Topical Cream [Noritate] 0% PA
- 24 HR minocycline 40 MG Extended Release Oral Capsule [Emrosi] 0% PA
- buspirone hydrochloride 10 MG Oral Capsule [Bucapsol] 0% PA
- diflunisal 375 MG Oral Tablet [Dolobid] 0% PA
- hydrocortisone 1 MG/ML Oral Solution [Khindivi] 0% PA
- indomethacin 50 MG Rectal Suppository [Indocin] 0% PA