spinosad 9 MG/ML Medicated Shampoo
spinosad
RxCUI: 1085816
What the CMS Formulary Data Shows for spinosad 9 MG/ML Medicated Shampoo
Per the CMS 2026 Part D formulary file, spinosad 9 MG/ML Medicated Shampoo (RxNorm concept RXCUI 1085816, generic name spinosad) appears on 8 distinct formulary files spanning 55 Medicare Part D plan offerings - 1.1% 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 3.8.
Real-world access to spinosad 9 MG/ML Medicated Shampoo depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 12.5% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 638 Part D beneficiaries filled spinosad 9 MG/ML Medicated Shampoo in 2023, with total plan-and-beneficiary spending of $313,204 and an average per-beneficiary annual cost of $490.91. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry spinosad 9 MG/ML Medicated Shampoo today.
Coverage Details
- Formularies covering
- 8
- Plans covering
- 55
- Coverage rate
- 1.1%
- Tier range
- Tier 2 – Tier 4
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 12.5% of formularies
2023 Medicare Spending
- Beneficiaries
- 638
- Total spending
- $313,204
- Avg per beneficiary
- $490.91
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering spinosad 9 MG/ML Medicated Shampoo
55 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| FHCP Medicare Classic (HMO) | FLORIDA BLUE MEDICARE, INC. | T2 | No | $0 | FL |
| FHCP Medicare Rx Plus (HMO-POS) | FLORIDA BLUE MEDICARE, INC. | T2 | No | $49.00 | FL |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | UT |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | NV |
| Select Health Medicare Dual (HMO D-SNP) | SELECTHEALTH, INC. | T4 | No | $0 | UT |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | UT |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | NV |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | UT |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | CO |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | CO |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | CO |
| Select Health Medicare Flex (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | CO |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | CO |
| Select Health Medicare Active (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | CO |
| Select Health Medicare Dual (HMO D-SNP) | SELECTHEALTH, INC. | T4 | No | $0 | NV |
| Select Health Medicare Wellness (HMO) | SELECTHEALTH, INC. | T4 | No | $0 | NV |
| Network Health Select (PPO) | NETWORK HEALTH INSURANCE CORPORATION | T4 | No | $0 | WI |
| Network Health Go (PPO) | NETWORK HEALTH INSURANCE CORPORATION | T4 | No | $0 | WI |
| Network Health Anywhere (PPO) | NETWORK HEALTH INSURANCE CORPORATION | T4 | No | $0 | WI |
| Network Health Choice (PPO) | NETWORK HEALTH INSURANCE CORPORATION | T4 | No | $0 | WI |
| Network Health Zero (PPO) | NETWORK HEALTH INSURANCE CORPORATION | T4 | No | $0 | WI |
| Personal Choice 65 Achieve Rx (PPO) | QCC INSURANCE COMPANY | T4 | No | $0 | PA |
| Keystone 65 Focus Rx (HMO-POS) | KEYSTONE HEALTH PLAN EAST, INC. | T4 | No | $0 | PA |
| Keystone 65 Focus Rx (HMO-POS) | KEYSTONE HEALTH PLAN EAST, INC. | T4 | No | $0 | PA |
| Keystone 65 Basic Rx (HMO) | KEYSTONE HEALTH PLAN EAST, INC. | T4 | No | $0 | PA |
| AmeriHealth Medicare Core (PPO) | AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY | T4 | No | $0 | NJ |
| AmeriHealth Medicare Ultimate (PPO) | AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY | T4 | No | $0 | NJ |
| UPMC for Life HMO Premier Rx (HMO) | UPMC HEALTH PLAN, INC. | T4 | No | $0 | PA |
| UPMC for Life Complete Care (HMO D-SNP) | UPMC FOR YOU, INC | T4 | No | $0 | PA |
| UPMC for Life Complete Care (HMO D-SNP) | UPMC FOR YOU, INC | T4 | No | $0 | PA |
| UPMC for Life PPO Premier Rx (PPO) | UPMC HEALTH NETWORK, INC. | T4 | No | $0 | PA |
| UPMC for Life PPO Premier Rx (PPO) | UPMC HEALTH NETWORK, INC. | T4 | No | $0 | PA |
| UPMC for Life PPO Essential Care Rx (PPO) | UPMC HEALTH NETWORK, INC. | T4 | No | $0 | PA |
| UPMC for Life Complete Care (HMO D-SNP) | UPMC HEALTH COVERAGE, INC. | T4 | No | $0 | PA |
| Healthy Mississippi Premier Advantage (HMO-POS) | Healthy Mississippi, Inc. | T4 | No | $0 | MS |
| UPMC for Life HMO Rx Choice (HMO) | UPMC HEALTH PLAN, INC. | T4 | No | $3.90 | OH, PA |
| UPMC for Life HMO Deductible Rx (HMO) | UPMC HEALTH PLAN, INC. | T4 | No | $18.10 | OH, PA |
| Network Health Cares (PPO D-SNP) | NETWORK HEALTH INSURANCE CORPORATION | T4 | No | $21.10 | WI |
| UPMC for Life PPO Rx Choice (PPO) | UPMC HEALTH NETWORK, INC. | T4 | No | $25.00 | PA |
| Keystone 65 Essential Rx (HMO-POS) | KEYSTONE HEALTH PLAN EAST, INC. | T4 | No | $31.00 | PA |
| UPMC for Life PPO High Deductible Rx (PPO) | UPMC HEALTH NETWORK, INC. | T4 | No | $33.00 | PA |
| UPMC for Life HMO Rx (HMO) | UPMC HEALTH PLAN, INC. | T4 | No | $33.70 | OH, PA |
| AmeriHealth Medicare Enhanced (PPO) | AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY | T4 | No | $36.00 | NJ |
| Network Health PlusRx (PPO) | NETWORK HEALTH INSURANCE CORPORATION | T4 | No | $38.60 | WI |
| UPMC for Life PPO Rx Enhanced (PPO) | UPMC HEALTH NETWORK, INC. | T4 | No | $42.70 | PA |
| Keystone 65 Select Rx (HMO) | KEYSTONE HEALTH PLAN EAST, INC. | T4 | No | $47.00 | PA |
| Keystone 65 Preferred Rx (HMO) | KEYSTONE HEALTH PLAN EAST, INC. | T4 | No | $59.70 | PA |
| Keystone 65 Select Rx (HMO) | KEYSTONE HEALTH PLAN EAST, INC. | T4 | No | $63.50 | PA |
| Keystone 65 Preferred Rx (HMO) | KEYSTONE HEALTH PLAN EAST, INC. | T4 | No | $79.70 | PA |
| Personal Choice 65 Plus Rx (PPO) | QCC INSURANCE COMPANY | T4 | No | $81.20 | PA |
Frequently Asked Questions
Is spinosad 9 MG/ML Medicated Shampoo covered by Medicare Part D?
Yes, spinosad 9 MG/ML Medicated Shampoo is covered by 55 Medicare Part D plans (1.1% of all Part D formularies).
What tier is spinosad 9 MG/ML Medicated Shampoo on Medicare Part D plans?
spinosad 9 MG/ML Medicated Shampoo averages Tier 3.8 across Part D plans, ranging from Tier 2 to Tier 4.
Does spinosad 9 MG/ML Medicated Shampoo require prior authorization?
0% of Part D formularies require prior authorization for spinosad 9 MG/ML Medicated Shampoo. Step therapy: 0%. Quantity limits: 12.5%.
How much does Medicare spend on spinosad 9 MG/ML Medicated Shampoo?
In 2023, total Medicare Part D spending on spinosad 9 MG/ML Medicated Shampoo was $313,204, covering 638 beneficiaries. The average spend per beneficiary was $490.91.
Read our methodology - how this data is sourced, computed, and verified.