nystatin 100000 UNT/ML / triamcinolone acetonide 1 MG/ML Topical Cream

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nystatin

RxCUI: 1053753

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.
48.7%
Plan Coverage
2,469
Plans Covering
T2.2
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for nystatin 100000 UNT/ML / triamcinolone acetonide 1 MG/ML Topical Cream

Per the CMS 2026 Part D formulary file, nystatin 100000 UNT/ML / triamcinolone acetonide 1 MG/ML Topical Cream (RxNorm concept RXCUI 1053753, generic name nystatin) appears on 225 distinct formulary files spanning 2,469 Medicare Part D plan offerings - 48.7% 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 100000 UNT/ML / triamcinolone acetonide 1 MG/ML Topical Cream depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 33.8% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 1,571,473 Part D beneficiaries filled nystatin 100000 UNT/ML / triamcinolone acetonide 1 MG/ML Topical Cream 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 100000 UNT/ML / triamcinolone acetonide 1 MG/ML Topical Cream today.

Coverage Details

Formularies covering
225
Plans covering
2,469
Coverage rate
48.7%
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
33.8% of formularies

2023 Medicare Spending

Beneficiaries
1,571,473
Total spending
$61,544,412
Avg per beneficiary
$39.16

Tier Distribution Across Plans

100 plans
Tier 1, Preferred Generic

Medicare Advantage Plans (MA-PD) Covering nystatin 100000 UNT/ML / triamcinolone acetonide 1 MG/ML Topical Cream

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
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

Frequently Asked Questions

Is nystatin 100000 UNT/ML / triamcinolone acetonide 1 MG/ML Topical Cream covered by Medicare Part D?

Yes, nystatin 100000 UNT/ML / triamcinolone acetonide 1 MG/ML Topical Cream is covered by 2,469 Medicare Part D plans (48.7% of all Part D formularies).

What tier is nystatin 100000 UNT/ML / triamcinolone acetonide 1 MG/ML Topical Cream on Medicare Part D plans?

nystatin 100000 UNT/ML / triamcinolone acetonide 1 MG/ML Topical Cream averages Tier 2.2 across Part D plans, ranging from Tier 1 to Tier 4.

Does nystatin 100000 UNT/ML / triamcinolone acetonide 1 MG/ML Topical Cream require prior authorization?

0% of Part D formularies require prior authorization for nystatin 100000 UNT/ML / triamcinolone acetonide 1 MG/ML Topical Cream. Step therapy: 0%. Quantity limits: 33.8%.

How much does Medicare spend on nystatin 100000 UNT/ML / triamcinolone acetonide 1 MG/ML Topical Cream?

In 2023, total Medicare Part D spending on nystatin 100000 UNT/ML / triamcinolone acetonide 1 MG/ML Topical Cream was $61,544,412, covering 1,571,473 beneficiaries. The average spend per beneficiary was $39.16.

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