tretinoin 0.0008 MG/MG Topical Gel

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tretinoin

RxCUI: 1488045

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.
3.3%
Plan Coverage
169
Plans Covering
T4
Avg Tier
100%
Prior Auth Required

What the CMS Formulary Data Shows for tretinoin 0.0008 MG/MG Topical Gel

Per the CMS 2026 Part D formulary file, tretinoin 0.0008 MG/MG Topical Gel (RxNorm concept RXCUI 1488045, generic name tretinoin) appears on 5 distinct formulary files spanning 169 Medicare Part D plan offerings - 3.3% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 4 to Tier 4, with a cross-plan average of Tier 4.

Real-world access to tretinoin 0.0008 MG/MG Topical Gel depends on utilization management as much as tier placement: 100% of covering formularies require prior authorization. 0% require step therapy. 0% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 91,688 Part D beneficiaries filled tretinoin 0.0008 MG/MG Topical Gel in 2023, with total plan-and-beneficiary spending of $22,953,956 and an average per-beneficiary annual cost of $250.35. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry tretinoin 0.0008 MG/MG Topical Gel today.

Coverage Details

Formularies covering
5
Plans covering
169
Coverage rate
3.3%
Tier range
Tier 4, Non-Preferred
Average tier
Tier 4, Non-Preferred

Restrictions

Prior authorization required
100% of formularies
Step therapy required
0% of formularies
Quantity limits
0% of formularies

2023 Medicare Spending

Beneficiaries
91,688
Total spending
$22,953,956
Avg per beneficiary
$250.35

Tier Distribution Across Plans

100 plans
Tier 4, Non-Preferred

Medicare Advantage Plans (MA-PD) Covering tretinoin 0.0008 MG/MG Topical Gel

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

Plan Insurer Tier PA Premium States
HealthSpring Preferred (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T4 Yes $0 AZ
HealthSpring Alliance (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T4 Yes $0 AZ
HealthSpring Preferred Savings (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T4 Yes $0 AZ
HealthSpring Preferred Full Savings (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T4 Yes $0 AZ
HealthSpring Preferred GA (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T4 Yes $0 GA
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T4 Yes $0 GA
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T4 Yes $0 GA
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T4 Yes $0 GA
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T4 Yes $0 GA
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T4 Yes $0 GA
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T4 Yes $0 GA
HealthSpring Preferred Savings (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T4 Yes $0 GA
HealthSpring Preferred Savings (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T4 Yes $0 GA
HealthSpring Preferred Savings (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T4 Yes $0 GA
HealthSpring Preferred Savings (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T4 Yes $0 GA
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T4 Yes $0 MO
HealthSpring Preferred Savings (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T4 Yes $0 MO
HealthSpring Premier (HMO-POS) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T4 Yes $0 UT
HealthSpring Preferred (HMO) CIGNA HEALTHCARE OF COLORADO, INC. T4 Yes $0 NM
HealthSpring Preferred (HMO) CIGNA HEALTHCARE OF COLORADO, INC. T4 Yes $0 OH
HealthSpring Preferred (HMO) CIGNA HEALTHCARE OF COLORADO, INC. T4 Yes $0 KY, OH
HealthSpring Preferred Savings (HMO) CIGNA HEALTHCARE OF COLORADO, INC. T4 Yes $0 OH
HealthSpring Preferred Savings (HMO) CIGNA HEALTHCARE OF COLORADO, INC. T4 Yes $0 KY, OH
HealthSpring Preferred (HMO) CIGNA HEALTHCARE OF COLORADO, INC. T4 Yes $0 CO
HealthSpring Preferred (HMO) BRAVO HEALTH MID-ATLANTIC, INC. T4 Yes $0 DC, DE
HealthSpring Preferred PA (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T4 Yes $0 PA
HealthSpring Preferred (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T4 Yes $0 PA
HealthSpring Preferred (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T4 Yes $0 PA
HealthSpring Preferred (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T4 Yes $0 PA
HealthSpring Preferred (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T4 Yes $0 PA
HealthSpring Preferred (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T4 Yes $0 PA
HealthSpring Preferred Savings (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T4 Yes $0 PA
HealthSpring Preferred (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T4 Yes $0 NJ
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T4 Yes $0 MS
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T4 Yes $0 WA
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T4 Yes $0 OR, WA
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T4 Yes $0 TX
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T4 Yes $0 GA
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T4 Yes $0 TN
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T4 Yes $0 AR
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T4 Yes $0 MS, TN
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T4 Yes $0 AR
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T4 Yes $0 AR
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T4 Yes $0 TX
HealthSpring Alliance (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T4 Yes $0 TX
HealthSpring Preferred Savings (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T4 Yes $0 GA, TN
HealthSpring Preferred Savings (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T4 Yes $0 OK
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T4 Yes $0 TX
HealthSpring Preferred Savings (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T4 Yes $0 TX
HealthSpring Premier (HMO-POS) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T4 Yes $0 IL

Frequently Asked Questions

Is tretinoin 0.0008 MG/MG Topical Gel covered by Medicare Part D?

Yes, tretinoin 0.0008 MG/MG Topical Gel is covered by 169 Medicare Part D plans (3.3% of all Part D formularies).

What tier is tretinoin 0.0008 MG/MG Topical Gel on Medicare Part D plans?

tretinoin 0.0008 MG/MG Topical Gel averages Tier 4 across Part D plans, ranging from Tier 4 to Tier 4.

Does tretinoin 0.0008 MG/MG Topical Gel require prior authorization?

100% of Part D formularies require prior authorization for tretinoin 0.0008 MG/MG Topical Gel. Step therapy: 0%. Quantity limits: 0%.

How much does Medicare spend on tretinoin 0.0008 MG/MG Topical Gel?

In 2023, total Medicare Part D spending on tretinoin 0.0008 MG/MG Topical Gel was $22,953,956, covering 91,688 beneficiaries. The average spend per beneficiary was $250.35.

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