Medicare Part D coverage · tacrolimus · RxCUI 314266

tacrolimus 0.001 MG/MG Topical Ointment

Per the CMS 2026 Part D formulary file, tacrolimus 0.001 MG/MG Topical Ointment is covered by 5,052 Medicare Part D plans (100% of enrollable products), averaging Tier 2.9, with prior authorization required on 40.9% of covering formularies.

100%
Plan coverage
5,052
Plans covering
T2.9
Avg tier
40.9%
Prior auth required

Verify with CMS →

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.

What the CMS Formulary Data Shows for tacrolimus 0.001 MG/MG Topical Ointment

Per the CMS 2026 Part D formulary file, tacrolimus 0.001 MG/MG Topical Ointment (RxNorm concept RXCUI 314266, generic name tacrolimus) appears on 328 distinct formulary files spanning 5,052 Medicare Part D plan offerings - 100% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 2.9.

Real-world access to tacrolimus 0.001 MG/MG Topical Ointment depends on utilization management as much as tier placement: 40.9% of covering formularies require prior authorization. 6.4% require step therapy. 68.3% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 204,385 Part D beneficiaries filled tacrolimus 0.001 MG/MG Topical Ointment in 2023, with total plan-and-beneficiary spending of $103,294,080 and an average per-beneficiary annual cost of $505.39. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry tacrolimus 0.001 MG/MG Topical Ointment today.

Coverage Details

Formularies covering
328
Plans covering
5,052
Coverage rate
100%
Tier range
Tier 1 – Tier 4
Average tier
Tier 3, Preferred Brand

Restrictions

Prior authorization required
40.9% of formularies
Step therapy required
6.4% of formularies
Quantity limits
68.3% of formularies

2023 Medicare Spending

Beneficiaries
204,385
Total spending
$103,294,080
Avg per beneficiary
$505.39

Tier Distribution Across Plans

100 plans
Tier 1, Preferred Generic

Medicare Advantage Plans (MA-PD) Covering tacrolimus 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 Yes $0 VA
Sentara Community Complete (HMO D-SNP) Sentara Health Plans T1 Yes $0 VA
Florida Complete Care-Duals VIP (HMO-POS D-SNP) Hpmp OF Florida, Inc. T1 Yes $0 FL
ElderServe MAP (HMO D-SNP) Elderserve Health, Inc. T1 Yes $0 NY
Cooperative Advantage (HMO D-SNP) Group Health Cooperative OF EAU Claire T1 Yes $0 WI
Longevity Health Plan (PPO I-SNP) Longevity Health Plan OF NEW Jersey Insurance Comp T1 Yes $0 NJ
Mercy Care Advantage (HMO D-SNP) Mercy Care T1 Yes $0 AZ
Mercy Care Advantage (HMO D-SNP) Mercy Care T1 Yes $0 AZ
Mercy Care Advantage (HMO D-SNP) Mercy Care T1 Yes $0 AZ
Elderplan Plus Long-Term Care (HMO-POS D-SNP) Elderplan, Inc. T1 Yes $0 NY
Health Choice Pathway (HMO D-SNP) Health Choice Arizona, Inc. T1 Yes $0 AZ
Healthfirst CompleteCare (HMO D-SNP) Healthfirst Health Plan, Inc. T1 Yes $0 NY
IMCare Classic (HMO D-SNP) Itasca Medical Care T1 Yes $0 MN
Johns Hopkins Advantage MD D-SNP (HMO D-SNP) Hopkins Health Advantage, Inc. T1 Yes $0 MD
MetroPlus UltraCare (HMO D-SNP) Metroplus Health Plan, Inc. T1 Yes $0 NY
Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP) Upper Peninsula Health Plan, LLC T1 Yes $0 MI
CareSource Dual Advantage (HMO D-SNP) Caresource Georgia Co. T1 Yes $0 GA
Senior Whole Health SCO (HMO D-SNP) Senior Whole Health, LLC T1 Yes $0 MA
Senior Whole Health SCO NHC (HMO D-SNP) Senior Whole Health, LLC T1 Yes $0 MA
Molina One Care (HMO D-SNP) Senior Whole Health, LLC T1 Yes $0 MA
Show the next 30 plans
HAP CareSource MI Coordinated Health (HMO D-SNP) HAP Caresource T1 Yes $0 MI
PruittHealth Premier D-SNP (HMO D-SNP) Pruitthealth Premier, Inc. T1 No $0 GA
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 Yes $0 CA
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) Health Care Service Corporation T1 Yes $0 NM
Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) Health Care Service Corporation T1 Yes $0 NM
Horizon NJ TotalCare (HMO D-SNP) Horizon Healthcare OF NEW Jersey, Inc. T1 Yes $0 NJ
SecureBlue (HMO D-SNP) HMO Minnesota T1 Yes $0 MN
NaviCare (HMO D-SNP) Fallon Community Health Plan T1 No $0 MA
Hamaspik Medicare Choice (HMO D-SNP) Hamaspik, Inc. T1 Yes $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
CCA One Care (HMO D-SNP) Commonwealth Care Alliance, Inc. T1 Yes $0 MA
CCA Senior Care Options (HMO D-SNP) Commonwealth Care Alliance, Inc. T1 Yes $0 MA
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

Showing top 50 of 100 plans.

Frequently Asked Questions

Is tacrolimus 0.001 MG/MG Topical Ointment covered by Medicare Part D?

Yes, tacrolimus 0.001 MG/MG Topical Ointment is covered by 5,052 Medicare Part D plans (100% of all Part D formularies).

What tier is tacrolimus 0.001 MG/MG Topical Ointment on Medicare Part D plans?

tacrolimus 0.001 MG/MG Topical Ointment averages Tier 2.9 across Part D plans, ranging from Tier 1 to Tier 4.

Does tacrolimus 0.001 MG/MG Topical Ointment require prior authorization?

40.9% of Part D formularies require prior authorization for tacrolimus 0.001 MG/MG Topical Ointment. Step therapy: 6.4%. Quantity limits: 68.3%.

How much does Medicare spend on tacrolimus 0.001 MG/MG Topical Ointment?

In 2023, total Medicare Part D spending on tacrolimus 0.001 MG/MG Topical Ointment was $103,294,080, covering 204,385 beneficiaries. The average spend per beneficiary was $505.39.

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.

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