nystatin 100 UNT/MG / triamcinolone acetonide 0.001 MG/MG Topical Ointment
nystatin
RxCUI: 1053697
What the CMS Formulary Data Shows for nystatin 100 UNT/MG / triamcinolone acetonide 0.001 MG/MG Topical Ointment
Per the CMS 2026 Part D formulary file, nystatin 100 UNT/MG / triamcinolone acetonide 0.001 MG/MG Topical Ointment (RxNorm concept RXCUI 1053697, generic name nystatin) appears on 223 distinct formulary files spanning 2,430 Medicare Part D plan offerings - 48% 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 2.2.
Real-world access to nystatin 100 UNT/MG / triamcinolone acetonide 0.001 MG/MG Topical Ointment depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 33.6% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 1,571,473 Part D beneficiaries filled nystatin 100 UNT/MG / triamcinolone acetonide 0.001 MG/MG Topical Ointment in 2023, with total plan-and-beneficiary spending of $61,544,412 and an average per-beneficiary annual cost of $39.16. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry nystatin 100 UNT/MG / triamcinolone acetonide 0.001 MG/MG Topical Ointment today.
Coverage Details
- Formularies covering
- 223
- Plans covering
- 2,430
- Coverage rate
- 48%
- 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
- 33.6% of formularies
2023 Medicare Spending
- Beneficiaries
- 1,571,473
- Total spending
- $61,544,412
- Avg per beneficiary
- $39.16
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering nystatin 100 UNT/MG / triamcinolone acetonide 0.001 MG/MG Topical Ointment
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 |
| 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 |
| PruittHealth Premier D-SNP (HMO D-SNP) | PRUITTHEALTH PREMIER, INC. | T1 | No | $0 | GA |
| KeyCare Advantage Plus (HMO C-SNP) | ISNP VENTURES, LLC | T1 | No | $0 | MD |
| Premier Care (HMO-POS I-SNP) | LIFEWORKS ADVANTAGE, LLC | T1 | No | $0 | VA |
| Premier Care (HMO I-SNP) | ALIGN SENIOR CARE CALIFORNIA INC. | T1 | No | $0 | CA |
| Advantage Care (HMO) | ALIGN SENIOR CARE CALIFORNIA INC. | T1 | No | $0 | CA |
| Premier Care (HMO-POS I-SNP) | ALIGN SENIOR CARE MI, LLC | T1 | No | $0 | MI |
| Premier Care (HMO I-SNP) | ALIGN SENIOR CARE FLORIDA, INC. | T1 | No | $0 | FL |
| Perennial Advantage Freedom (HMO-POS) | PERENNIAL ADVANTAGE OF COLORADO, INC. | T1 | No | $0 | CO |
| Perennial Advantage Premier (HMO-POS I-SNP) | PERENNIAL ADVANTAGE OF COLORADO, INC. | T1 | No | $0 | CO |
| Perennial Advantage Freedom (HMO) | PERENNIAL ADVANTAGE OF COLORADO, INC. | T1 | No | $0 | PA |
| Perennial Advantage Premier (HMO I-SNP) | PERENNIAL ADVANTAGE OF COLORADO, INC. | T1 | No | $0 | PA |
| Perennial Advantage Freedom (HMO-POS) | PERENNIAL ADVANTAGE OF OHIO, INC. | T1 | No | $0 | OH |
| Perennial Advantage Premier (HMO-POS I-SNP) | PERENNIAL ADVANTAGE OF OHIO, INC. | T1 | No | $0 | OH |
| ProCare Advantage - Diabetes Care Management (HMO-POS C-SNP) | PROCARE ADVANTAGE, LLC | T1 | No | $0 | TX |
| PruittHealth Premier Advantage (HMO I-SNP) | PRUITTHEALTH PREMIER, INC. | T1 | No | $0 | GA |
| Senior Health Plan Silver Plus (HMO) | COMMUNITYCARE GOVERNMENT PROGRAMS, INC. | T1 | No | $0 | OK |
| Senior Health Plan Oklahoma Dual Complete (HMO D-SNP) | COMMUNITYCARE GOVERNMENT PROGRAMS, INC. | T1 | No | $0 | OK |
| Community First Medicare Advantage Alamo Plan (HMO) | COMMUNITY FIRST HEALTH PLANS, INC. | T1 | No | $0 | TX |
| Community First Medicare Advantage D-SNP (HMO D-SNP) | COMMUNITY FIRST HEALTH PLANS, INC. | T1 | No | $0 | TX |
| Community DualCare Aligned (HMO D-SNP) | COMMUNITY HEALTH CHOICE TEXAS, INC. | T1 | No | $0 | TX |
| Community DualCare Access (HMO D-SNP) | COMMUNITY HEALTH CHOICE TEXAS, INC. | T1 | No | $0 | TX |
| El Paso Health Medicare Advantage Dual (HMO D-SNP) | EL PASO FIRST HEALTH PLANS, INC. | T1 | No | $0 | TX |
| El Paso Health Total (HMO) | EL PASO FIRST HEALTH PLANS, INC. | T1 | No | $0 | TX |
| El Paso Health Giveback (HMO) | EL PASO FIRST HEALTH PLANS, INC. | T1 | No | $0 | TX |
| Liberty Medicare Advantage (HMO C-SNP) | LIBERTY ADVANTAGE, LLC | T1 | No | $0 | NC |
| Peak Advantage Vista (PPO) | PEAK HEALTH INSURANCE CORPORATION | T1 | No | $0 | PA, WV |
| SECUR Edge (HMO I-SNP) | SECUR INC | T1 | No | $0 | FL |
| Simpra Advantage Dual Care (PPO D-SNP) | SIMPRA ADVANTAGE, INC. | T1 | No | $0 | AL |
| CareAdvantage (HMO D-SNP) | SAN MATEO HEALTH COMMISSION | T1 | No | $0 | CA |
| 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 |
| 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 |
| Astiva Health Savings Plan (HMO) | ASTIVA HEALTH, INC. | T1 | No | $0 | CA |
| Astiva Health C-SNP Deluxe (HMO C-SNP) | ASTIVA HEALTH, INC. | T1 | No | $0 | CA |
| Astiva Health Savings Plan - NorCal (HMO) | ASTIVA HEALTH, INC. | T1 | No | $0 | CA |
Frequently Asked Questions
Is nystatin 100 UNT/MG / triamcinolone acetonide 0.001 MG/MG Topical Ointment covered by Medicare Part D?
Yes, nystatin 100 UNT/MG / triamcinolone acetonide 0.001 MG/MG Topical Ointment is covered by 2,430 Medicare Part D plans (48% of all Part D formularies).
What tier is nystatin 100 UNT/MG / triamcinolone acetonide 0.001 MG/MG Topical Ointment on Medicare Part D plans?
nystatin 100 UNT/MG / triamcinolone acetonide 0.001 MG/MG Topical Ointment averages Tier 2.2 across Part D plans, ranging from Tier 1 to Tier 4.
Does nystatin 100 UNT/MG / triamcinolone acetonide 0.001 MG/MG Topical Ointment require prior authorization?
0% of Part D formularies require prior authorization for nystatin 100 UNT/MG / triamcinolone acetonide 0.001 MG/MG Topical Ointment. Step therapy: 0%. Quantity limits: 33.6%.
How much does Medicare spend on nystatin 100 UNT/MG / triamcinolone acetonide 0.001 MG/MG Topical Ointment?
In 2023, total Medicare Part D spending on nystatin 100 UNT/MG / triamcinolone acetonide 0.001 MG/MG Topical Ointment was $61,544,412, covering 1,571,473 beneficiaries. The average spend per beneficiary was $39.16.
Read our methodology - how this data is sourced, computed, and verified.