tazarotene 0.5 MG/ML Topical Cream [Tazorac]

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tazarotene

RxCUI: 284496

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.
3.9%
Plan Coverage
198
Plans Covering
T3.5
Avg Tier
66.7%
Prior Auth Required

What the CMS Formulary Data Shows for tazarotene 0.5 MG/ML Topical Cream [Tazorac]

Per the CMS 2026 Part D formulary file, tazarotene 0.5 MG/ML Topical Cream [Tazorac] (RxNorm concept RXCUI 284496, generic name tazarotene) appears on 6 distinct formulary files spanning 198 Medicare Part D plan offerings - 3.9% 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 3.5.

Real-world access to tazarotene 0.5 MG/ML Topical Cream [Tazorac] depends on utilization management as much as tier placement: 66.7% of covering formularies require prior authorization. 0% require step therapy. 50% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 4,869 Part D beneficiaries filled tazarotene 0.5 MG/ML Topical Cream [Tazorac] in 2023, with total plan-and-beneficiary spending of $2,710,202 and an average per-beneficiary annual cost of $556.62. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry tazarotene 0.5 MG/ML Topical Cream [Tazorac] today.

Coverage Details

Formularies covering
6
Plans covering
198
Coverage rate
3.9%
Tier range
Tier 1 – Tier 4
Average tier
Tier 4, Non-Preferred

Restrictions

Prior authorization required
66.7% of formularies
Step therapy required
0% of formularies
Quantity limits
50% of formularies

2023 Medicare Spending

Beneficiaries
4,869
Total spending
$2,710,202
Avg per beneficiary
$556.62

Tier Distribution Across Plans

2 plans
Tier 1, Preferred Generic
98 plans
Tier 4, Non-Preferred

Medicare Advantage Plans (MA-PD) Covering tazarotene 0.5 MG/ML Topical Cream [Tazorac]

100 Medicare Advantage plans with Part D drug coverage include this drug.

Plan Insurer Tier PA Premium States
Hamaspik Medicare Choice (HMO D-SNP) HAMASPIK, INC. T1 Yes $0 NY
Hamaspik Medicare Select (HMO D-SNP) HAMASPIK, INC. T1 Yes $34.50 NY
Alignment Health the ONE + Walgreens (HMO) ALIGNMENT HEALTH PLAN OF ARIZONA, INC. T4 Yes $0 AZ
Alignment Health the ONE + Walgreens (HMO) ALIGNMENT HEALTH PLAN OF ARIZONA, INC. T4 Yes $0 AZ
Alignment Health Heart & Diabetes (HMO C-SNP) ALIGNMENT HEALTH PLAN OF ARIZONA, INC. T4 Yes $0 AZ
Alignment Health smartHMO (HMO) ALIGNMENT HEALTH PLAN OF ARIZONA, INC. T4 Yes $0 AZ
Alignment Health My Choice (HMO) ALIGNMENT HEALTH PLAN T4 Yes $0 CA
Alignment Health Platinum + Instacart (HMO) ALIGNMENT HEALTH PLAN T4 Yes $0 CA
Alignment Health Heart & Diabetes (HMO C-SNP) ALIGNMENT HEALTH PLAN T4 Yes $0 CA
Alignment Health AllCare Preferred (HMO) ALIGNMENT HEALTH PLAN T4 Yes $0 CA
Alignment Health smartHMO (HMO) ALIGNMENT HEALTH PLAN T4 Yes $0 CA
Alignment Health Platinum + Instacart (HMO-POS) ALIGNMENT HEALTH PLAN T4 Yes $0 CA
Alignment Health My Choice (HMO) ALIGNMENT HEALTH PLAN T4 Yes $0 CA
Alignment Health Harmony (HMO) ALIGNMENT HEALTH PLAN T4 Yes $0 CA
Alignment Health Balance (HMO C-SNP) ALIGNMENT HEALTH PLAN T4 Yes $0 CA
Alignment Health the ONE (HMO) ALIGNMENT HEALTH PLAN T4 Yes $0 CA
Alignment Health the ONE + Walgreens (HMO) ALIGNMENT HEALTH PLAN T4 Yes $0 CA
Alignment Health smartHMO (HMO) ALIGNMENT HEALTH PLAN T4 Yes $0 CA
Alignment Health smartHMO (HMO) ALIGNMENT HEALTH PLAN T4 Yes $0 CA
Alignment Health CommUnity (HMO) ALIGNMENT HEALTH PLAN T4 Yes $0 CA
Alignment Health smartSavings (HMO) ALIGNMENT HEALTH PLAN T4 Yes $0 CA
Alignment Health Heart & Diabetes Care (HMO C-SNP) ALIGNMENT HEALTH PLAN T4 Yes $0 CA
Alignment Health My Choice Select (HMO) ALIGNMENT HEALTH PLAN T4 Yes $0 CA
Alignment Health My Choice CalCare (HMO) ALIGNMENT HEALTH PLAN T4 Yes $0 CA
Alignment Health Honor+ Plan (HMO) ALIGNMENT HEALTH PLAN T4 Yes $0 CA
Alignment Health ValorCare (HMO) ALIGNMENT HEALTH PLAN T4 Yes $0 CA
Alignment Health Heart & Diabetes Care (HMO C-SNP) ALIGNMENT HEALTH PLAN T4 Yes $0 CA
Alignment Health L.A. Premium Giveback (HMO) ALIGNMENT HEALTH PLAN T4 Yes $0 CA
Alignment Health S.D. Premium Giveback (HMO) ALIGNMENT HEALTH PLAN T4 Yes $0 CA
Alignment Health Platinum (HMO) ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC. T4 Yes $0 NC
Alignment Health NC Duals (HMO-POS D-SNP) ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC. T4 Yes $0 NC
Alignment Health smartHMO (HMO) ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC. T4 Yes $0 NC
Alignment Health Platinum + Instacart (HMO) ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC. T4 Yes $0 NV
Alignment Health smartHMO (HMO) ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC. T4 Yes $0 NV
Alignment Health Platinum Select (HMO) ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC. T4 Yes $0 NC
Alignment Health Heart & Diabetes Care (HMO C-SNP) ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC. T4 Yes $0 NC
Alignment Health the ONE + Walgreens (HMO-POS) ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC T4 Yes $0 TX
Alignment Health Heart & Diabetes (HMO-POS C-SNP) ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC T4 Yes $0 TX
Alignment Health smartHMO (HMO-POS) ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC T4 Yes $0 TX
Alignment Health Dual Select+ (HMO-POS D-SNP) ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC T4 Yes $0 TX
Alignment Health Total Dual+ (HMO-POS D-SNP) ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC T4 Yes $0 TX
Alignment Health smartSavings (HMO-POS) ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC T4 Yes $0 TX
Alignment Health Advantage PPO (PPO) ALIGNMENT HEALTH ADVANTAGE PLAN INC T4 Yes $0 CA
Alignment Health Heart & Diabetes (HMO C-SNP) ALIGNMENT HEALTH PLAN OF NEVADA, INC. T4 Yes $0 NV
Alignment Health the ONE (HMO D-SNP) ALIGNMENT HEALTH PLAN OF NEVADA, INC. T4 Yes $0 NV
Alignment Health Platinum + Instacart (HMO) ALIGNMENT HEALTH PLAN OF NEVADA, INC. T4 Yes $0 NV
Alignment Health smartHMO (HMO) ALIGNMENT HEALTH PLAN OF NEVADA, INC. T4 Yes $0 NV
Alignment Health + Intermountain Health (HMO) ALIGNMENT HEALTH PLAN OF NEVADA, INC. T4 Yes $0 NV
Presbyterian Senior Care Plan 2 with Rx (HMO) PRESBYTERIAN HEALTH PLAN T4 No $0 NM
Presbyterian Dual Plus (HMO D-SNP) PRESBYTERIAN HEALTH PLAN T4 No $0 NM

Frequently Asked Questions

Is tazarotene 0.5 MG/ML Topical Cream [Tazorac] covered by Medicare Part D?

Yes, tazarotene 0.5 MG/ML Topical Cream [Tazorac] is covered by 198 Medicare Part D plans (3.9% of all Part D formularies).

What tier is tazarotene 0.5 MG/ML Topical Cream [Tazorac] on Medicare Part D plans?

tazarotene 0.5 MG/ML Topical Cream [Tazorac] averages Tier 3.5 across Part D plans, ranging from Tier 1 to Tier 4.

Does tazarotene 0.5 MG/ML Topical Cream [Tazorac] require prior authorization?

66.7% of Part D formularies require prior authorization for tazarotene 0.5 MG/ML Topical Cream [Tazorac]. Step therapy: 0%. Quantity limits: 50%.

How much does Medicare spend on tazarotene 0.5 MG/ML Topical Cream [Tazorac]?

In 2023, total Medicare Part D spending on tazarotene 0.5 MG/ML Topical Cream [Tazorac] was $2,710,202, covering 4,869 beneficiaries. The average spend per beneficiary was $556.62.

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