Medicare Part D coverage · mometasone furoate · RxCUI 1797865
mometasone furoate 0.05 MG/ACTUAT Metered Dose Nasal Spray
Per the CMS 2026 Part D formulary file, mometasone furoate 0.05 MG/ACTUAT Metered Dose Nasal Spray is covered by 4,180 Medicare Part D plans (82.7% of enrollable products), averaging Tier 2.8, with prior authorization required on 0.5% of covering formularies.
- 82.7%
- Plan coverage
- 4,180
- Plans covering
- T2.8
- Avg tier
- 0.5%
- Prior auth required
What the CMS Formulary Data Shows for mometasone furoate 0.05 MG/ACTUAT Metered Dose Nasal Spray
Per the CMS 2026 Part D formulary file, mometasone furoate 0.05 MG/ACTUAT Metered Dose Nasal Spray (RxNorm concept RXCUI 1797865, generic name mometasone furoate) appears on 215 distinct formulary files spanning 4,180 Medicare Part D plan offerings - 82.7% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 2.8.
Real-world access to mometasone furoate 0.05 MG/ACTUAT Metered Dose Nasal Spray depends on utilization management as much as tier placement: 0.5% of covering formularies require prior authorization. 1.4% require step therapy. 85.6% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 490,025 Part D beneficiaries filled mometasone furoate 0.05 MG/ACTUAT Metered Dose Nasal Spray in 2023, with total plan-and-beneficiary spending of $54,728,321 and an average per-beneficiary annual cost of $111.68. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry mometasone furoate 0.05 MG/ACTUAT Metered Dose Nasal Spray today.
Coverage Details
- Formularies covering
- 215
- Plans covering
- 4,180
- Coverage rate
- 82.7%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 0.5% of formularies
- Step therapy required
- 1.4% of formularies
- Quantity limits
- 85.6% of formularies
2023 Medicare Spending
- Beneficiaries
- 490,025
- Total spending
- $54,728,321
- Avg per beneficiary
- $111.68
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering mometasone furoate 0.05 MG/ACTUAT Metered Dose Nasal Spray
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Sentara Community Complete Select (HMO D-SNP) | Sentara Health Plans | T1 | No | $0 | VA |
| Sentara Community Complete (HMO D-SNP) | Sentara Health Plans | T1 | No | $0 | VA |
| Wellpoint Medicare Advantage (HMO-POS) | Wellpoint West Virginia , Inc. | T1 | No | $0 | WV |
| Anthem Medicare Advantage 3 (HMO-POS) | Healthkeepers, Inc. | T1 | No | $0 | VA |
| Anthem Medicare Advantage 3 (HMO-POS) | Healthkeepers, Inc. | T1 | No | $0 | VA |
| Anthem Medicare Advantage 3 (HMO-POS) | Healthkeepers, Inc. | T1 | No | $0 | VA |
| Wellpoint Medicare Advantage 2 (HMO-POS) | Wellpoint Tennessee, Inc. | T1 | No | $0 | TN |
| Wellpoint Medicare Advantage 2 (HMO-POS) | Wellpoint Tennessee, Inc. | T1 | No | $0 | TN |
| Wellpoint Medicare Advantage 2 (HMO-POS) | Wellpoint Tennessee, Inc. | T1 | No | $0 | TN |
| Wellpoint Medicare Advantage 2 (HMO-POS) | Wellpoint Tennessee, Inc. | T1 | No | $0 | TN |
| ElderServe MAP (HMO D-SNP) | Elderserve Health, Inc. | T1 | No | $0 | NY |
| Cooperative Advantage (HMO D-SNP) | Group Health Cooperative OF EAU Claire | T1 | No | $0 | WI |
| Longevity Health Plan (PPO I-SNP) | Longevity Health Plan OF NEW Jersey Insurance Comp | T1 | No | $0 | NJ |
| Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP) | Upper Peninsula Health Plan, LLC | T1 | No | $0 | MI |
| CareSource Dual Advantage (HMO D-SNP) | Caresource Georgia Co. | T1 | No | $0 | GA |
| HAP CareSource MI Coordinated Health (HMO D-SNP) | HAP Caresource | T1 | No | $0 | MI |
| 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 |
Show the next 30 plans
| 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 |
| Elevate Medicare Choice (HMO D-SNP) | Denver Health Medical Plan, Inc. | T1 | No | $0 | CO |
| AllCare Advantage Redwood Rx (HMO D-SNP) | Allcare Health Plan, Inc. | T1 | No | $0 | OR |
| PrimeWest Senior Health Complete (HMO D-SNP) | Primewest Rural MN Health Care Access Initiative | T1 | No | $0 | MN |
| Prime Health Complete (HMO D-SNP) | Primewest Rural MN Health Care Access Initiative | T1 | No | $0 | MN |
| DualConnect (HMO D-SNP) | Santa Clara County Health Authority | T1 | No | $0 | CA |
| VNS Health Total (HMO D-SNP) | VNS Choice | T1 | No | $0 | NY |
| Alterwood Advantage Dual Secure (HMO D-SNP) | Alterwood Advantage, Inc. | T1 | No | $0 | MD |
| Nascentia Dual Advantage (HMO D-SNP) | Visiting Nurse Association OF Central NEW York | T1 | No | $0 | NY |
| Provider Partners Pennsylvania Community Plan (HMO I-SNP) | Provider Partners Health Plan OF Pennsylvania, Inc | T1 | No | $0 | PA |
| Provider Partners North Carolina Community Plan (HMO I-SNP) | Provider Partners Health Plan OF North Carolina | T1 | No | $0 | NC |
| Provider Partners Indiana Community Plan (HMO I-SNP) | Provider Partners Health Plan OF Indiana | T1 | No | $0 | IN |
| Provider Partners Missouri Community Plan (HMO I-SNP) | Provider Partners Health Plan OF Missouri, Inc. | T1 | No | $0 | MO |
| Abilis Health Community (HMO I-SNP) | Signature Advantage, LLC | T1 | No | $0 | KY, TN |
| Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) | Arkansas Superior Select, Inc. | T1 | No | $0 | AR |
| 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 |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is mometasone furoate 0.05 MG/ACTUAT Metered Dose Nasal Spray covered by Medicare Part D?
Yes, mometasone furoate 0.05 MG/ACTUAT Metered Dose Nasal Spray is covered by 4,180 Medicare Part D plans (82.7% of all Part D formularies).
What tier is mometasone furoate 0.05 MG/ACTUAT Metered Dose Nasal Spray on Medicare Part D plans?
mometasone furoate 0.05 MG/ACTUAT Metered Dose Nasal Spray averages Tier 2.8 across Part D plans, ranging from Tier 1 to Tier 4.
Does mometasone furoate 0.05 MG/ACTUAT Metered Dose Nasal Spray require prior authorization?
0.5% of Part D formularies require prior authorization for mometasone furoate 0.05 MG/ACTUAT Metered Dose Nasal Spray. Step therapy: 1.4%. Quantity limits: 85.6%.
How much does Medicare spend on mometasone furoate 0.05 MG/ACTUAT Metered Dose Nasal Spray?
In 2023, total Medicare Part D spending on mometasone furoate 0.05 MG/ACTUAT Metered Dose Nasal Spray was $54,728,321, covering 490,025 beneficiaries. The average spend per beneficiary was $111.68.
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
Similar prior-authorization rate
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- 24 HR fesoterodine fumarate 4 MG Extended Release Oral Tablet 0.5% PA
- 1000 ML glucose 50 MG/ML / potassium chloride 0.04 MEQ/ML / sodium chloride 9 MG/ML Injection 0.5% PA