metronidazole 10 MG/ML Topical Cream [Noritate]

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metronidazole

RxCUI: 213120

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.
12.6%
Plan Coverage
636
Plans Covering
T5
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for metronidazole 10 MG/ML Topical Cream [Noritate]

Per the CMS 2026 Part D formulary file, metronidazole 10 MG/ML Topical Cream [Noritate] (RxNorm concept RXCUI 213120, generic name metronidazole) appears on 7 distinct formulary files spanning 636 Medicare Part D plan offerings - 12.6% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 5 to Tier 5, with a cross-plan average of Tier 5.

Real-world access to metronidazole 10 MG/ML Topical Cream [Noritate] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 85.7% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 1,528,785 Part D beneficiaries filled metronidazole 10 MG/ML Topical Cream [Noritate] in 2023, with total plan-and-beneficiary spending of $70,489,119 and an average per-beneficiary annual cost of $46.11. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry metronidazole 10 MG/ML Topical Cream [Noritate] today.

Coverage Details

Formularies covering
7
Plans covering
636
Coverage rate
12.6%
Tier range
Tier 5, Specialty
Average tier
Tier 5, Specialty

Restrictions

Prior authorization required
0% of formularies
Step therapy required
0% of formularies
Quantity limits
85.7% of formularies

2023 Medicare Spending

Beneficiaries
1,528,785
Total spending
$70,489,119
Avg per beneficiary
$46.11

Tier Distribution Across Plans

100 plans
Tier 5, Specialty

Medicare Advantage Plans (MA-PD) Covering metronidazole 10 MG/ML Topical Cream [Noritate]

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

Plan Insurer Tier PA Premium States
Aetna Medicare Signature (HMO) AETNA HEALTH OF CALIFORNIA INC. T5 No $0 CA
Aetna Medicare Signature (HMO) AETNA HEALTH OF CALIFORNIA INC. T5 No $0 CA
Aetna Medicare Signature Extra (HMO-POS) AETNA HEALTH OF CALIFORNIA INC. T5 No $0 CA
Aetna Medicare Prime (HMO-POS) AETNA HEALTH OF CALIFORNIA INC. T5 No $0 CA
Aetna Medicare Prime (HMO-POS) AETNA HEALTH OF CALIFORNIA INC. T5 No $0 CA
Aetna Medicare Prime (HMO-POS) AETNA HEALTH OF CALIFORNIA INC. T5 No $0 CA
Aetna Medicare Signature Extra (HMO) AETNA HEALTH OF CALIFORNIA INC. T5 No $0 CA
Aetna Medicare Prime (HMO-POS) AETNA HEALTH OF CALIFORNIA INC. T5 No $0 CA
Aetna Medicare Signature Extra (HMO) AETNA HEALTH OF CALIFORNIA INC. T5 No $0 CA
Aetna Medicare Signature Extra (HMO) AETNA HEALTH OF CALIFORNIA INC. T5 No $0 CA
Aetna Medicare Signature Extra (HMO) AETNA HEALTH OF CALIFORNIA INC. T5 No $0 CA
Aetna Medicare Signature Care (HMO-POS) AETNA HEALTH OF OHIO INC. T5 No $0 OH
Aetna Medicare Signature Extra (HMO-POS) AETNA HEALTH OF OHIO INC. T5 No $0 OH
Aetna Medicare Signature Care (HMO-POS) AETNA HEALTH OF OHIO INC. T5 No $0 OH
Aetna Medicare Signature Extra (HMO-POS) AETNA HEALTH OF OHIO INC. T5 No $0 KY
Aetna Medicare Signature (HMO-POS) AETNA HEALTH OF OHIO INC. T5 No $0 KY
Aetna Medicare Signature (HMO-POS) AETNA HEALTH OF OHIO INC. T5 No $0 KY
Aetna Medicare HIDE (HMO D-SNP) AETNA HEALTH OF OHIO INC. T5 No $0 KY
Aetna Medicare Dual Care (HMO D-SNP) AETNA HEALTH OF OHIO INC. T5 No $0 OH
Aetna Medicare Signature Care (HMO-POS) AETNA HEALTH OF OHIO INC. T5 No $0 OH
Aetna Medicare Signature (HMO-POS) AETNA HEALTH OF OHIO INC. T5 No $0 OH
Aetna Medicare Signature (HMO-POS) AETNA HEALTH OF OHIO INC. T5 No $0 KY
Aetna Medicare Partial Dual (HMO D-SNP) AETNA HEALTH OF OHIO INC. T5 No $0 KY
Aetna Medicare Partial Dual (HMO D-SNP) AETNA HEALTH OF OHIO INC. T5 No $0 OH
Aetna Medicare Signature (HMO) AETNA HEALTH INC.(GA) T5 No $0 GA
Aetna Medicare Signature (HMO-POS) COVENTRY HEALTH CARE OF ILLINOIS, INC. T5 No $0 WI
Aetna Medicare Signature (HMO-POS) COVENTRY HEALTH CARE OF ILLINOIS, INC. T5 No $0 IL
Aetna Medicare Prime Chronic Care (HMO C-SNP) COVENTRY HEALTH CARE OF ILLINOIS, INC. T5 No $0 IL
Aetna Medicare Signature Extra (HMO-POS) COVENTRY HEALTH CARE OF ILLINOIS, INC. T5 No $0 IL
Aetna Medicare Signature (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T5 No $0 IA
Aetna Medicare Signature (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T5 No $0 NE
Aetna Medicare Signature (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T5 No $0 KS, MO
Aetna Medicare Signature Extra (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T5 No $0 KS
Aetna Medicare Signature (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T5 No $0 KS, MO
Aetna Medicare Signature Plus (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T5 No $0 AR
Aetna Medicare Signature (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T5 No $0 KS
Aetna Medicare Advantra (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T5 No $0 OH
Aetna Medicare Advantra Signature Giveback (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T5 No $0 WV
Aetna Medicare Elite (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T5 No $0 IA
Aetna Medicare Signature Extra (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T5 No $0 NE
Aetna Medicare Advantra Signature (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T5 No $0 WV
Aetna Medicare Elite (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T5 No $0 IL, MO
Aetna Medicare Signature (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T5 No $0 MO
Aetna Medicare Elite (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T5 No $0 KS, MO
Aetna Medicare Elite (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T5 No $0 AR
Aetna Medicare Dual (PPO D-SNP) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T5 No $0 SD
Aetna Medicare Signature (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T5 No $0 MO
Aetna Medicare Signature (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T5 No $0 KS
Aetna Medicare Signature (PPO) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T5 No $0 KS
Aetna Medicare Dual Extra (PPO D-SNP) COVENTRY HEALTH AND LIFE INSURANCE COMPANY T5 No $0 AR

Frequently Asked Questions

Is metronidazole 10 MG/ML Topical Cream [Noritate] covered by Medicare Part D?

Yes, metronidazole 10 MG/ML Topical Cream [Noritate] is covered by 636 Medicare Part D plans (12.6% of all Part D formularies).

What tier is metronidazole 10 MG/ML Topical Cream [Noritate] on Medicare Part D plans?

metronidazole 10 MG/ML Topical Cream [Noritate] averages Tier 5 across Part D plans, ranging from Tier 5 to Tier 5.

Does metronidazole 10 MG/ML Topical Cream [Noritate] require prior authorization?

0% of Part D formularies require prior authorization for metronidazole 10 MG/ML Topical Cream [Noritate]. Step therapy: 0%. Quantity limits: 85.7%.

How much does Medicare spend on metronidazole 10 MG/ML Topical Cream [Noritate]?

In 2023, total Medicare Part D spending on metronidazole 10 MG/ML Topical Cream [Noritate] was $70,489,119, covering 1,528,785 beneficiaries. The average spend per beneficiary was $46.11.

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