roflumilast 1.5 MG/ML Topical Cream [Zoryve]
roflumilast
RxCUI: 2687712
What the CMS Formulary Data Shows for roflumilast 1.5 MG/ML Topical Cream [Zoryve]
Per the CMS 2026 Part D formulary file, roflumilast 1.5 MG/ML Topical Cream [Zoryve] (RxNorm concept RXCUI 2687712, generic name roflumilast) appears on 23 distinct formulary files spanning 1,944 Medicare Part D plan offerings - 38.4% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 2 to Tier 4, with a cross-plan average of Tier 3.9.
Real-world access to roflumilast 1.5 MG/ML Topical Cream [Zoryve] depends on utilization management as much as tier placement: 100% of covering formularies require prior authorization. 0% require step therapy. 73.9% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 59,491 Part D beneficiaries filled roflumilast 1.5 MG/ML Topical Cream [Zoryve] in 2023, with total plan-and-beneficiary spending of $60,127,502 and an average per-beneficiary annual cost of $1,010.70. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry roflumilast 1.5 MG/ML Topical Cream [Zoryve] today.
Coverage Details
- Formularies covering
- 23
- Plans covering
- 1,944
- Coverage rate
- 38.4%
- Tier range
- Tier 2 – Tier 4
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 100% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 73.9% of formularies
2023 Medicare Spending
- Beneficiaries
- 59,491
- Total spending
- $60,127,502
- Avg per beneficiary
- $1,010.70
Tier Distribution Across Plans
Standalone Drug Plans (PDP) Covering roflumilast 1.5 MG/ML Topical Cream [Zoryve]
5 standalone prescription drug plans include this drug.
| Plan | Insurer | Tier | PA | ST | Premium | States |
|---|---|---|---|---|---|---|
| AARP Medicare Rx Preferred from UHC (PDP) | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | T4 | Yes | No | $0 | - |
| AARP Medicare Rx Preferred from UHC (PDP) | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | T4 | Yes | No | $0 | - |
| AARP Medicare Rx Saver from UHC (PDP) | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | T4 | Yes | No | $0 | - |
| AARP Medicare Rx Saver from UHC (PDP) | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | T4 | Yes | No | $0 | - |
| AARP Medicare Rx Saver from UHC (PDP) | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | T4 | Yes | No | $0 | - |
Medicare Advantage Plans (MA-PD) Covering roflumilast 1.5 MG/ML Topical Cream [Zoryve]
95 Medicare Advantage plans with Part D drug coverage include this drug.
Frequently Asked Questions
Is roflumilast 1.5 MG/ML Topical Cream [Zoryve] covered by Medicare Part D?
Yes, roflumilast 1.5 MG/ML Topical Cream [Zoryve] is covered by 1,944 Medicare Part D plans (38.4% of all Part D formularies).
What tier is roflumilast 1.5 MG/ML Topical Cream [Zoryve] on Medicare Part D plans?
roflumilast 1.5 MG/ML Topical Cream [Zoryve] averages Tier 3.9 across Part D plans, ranging from Tier 2 to Tier 4.
Does roflumilast 1.5 MG/ML Topical Cream [Zoryve] require prior authorization?
100% of Part D formularies require prior authorization for roflumilast 1.5 MG/ML Topical Cream [Zoryve]. Step therapy: 0%. Quantity limits: 73.9%.
How much does Medicare spend on roflumilast 1.5 MG/ML Topical Cream [Zoryve]?
In 2023, total Medicare Part D spending on roflumilast 1.5 MG/ML Topical Cream [Zoryve] was $60,127,502, covering 59,491 beneficiaries. The average spend per beneficiary was $1,010.70.
Read our methodology - how this data is sourced, computed, and verified.