tretinoin 0.5 MG/ML Topical Cream [Retin-A]
tretinoin
RxCUI: 208330
What the CMS Formulary Data Shows for tretinoin 0.5 MG/ML Topical Cream [Retin-A]
Per the CMS 2026 Part D formulary file, tretinoin 0.5 MG/ML Topical Cream [Retin-A] (RxNorm concept RXCUI 208330, generic name tretinoin) appears on 3 distinct formulary files spanning 117 Medicare Part D plan offerings - 2.3% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 2, with a cross-plan average of Tier 1.7.
Real-world access to tretinoin 0.5 MG/ML Topical Cream [Retin-A] depends on utilization management as much as tier placement: 66.7% of covering formularies require prior authorization. 0% require step therapy. 33.3% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 91,688 Part D beneficiaries filled tretinoin 0.5 MG/ML Topical Cream [Retin-A] 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 0.5 MG/ML Topical Cream [Retin-A] today.
Coverage Details
- Formularies covering
- 3
- Plans covering
- 117
- Coverage rate
- 2.3%
- Tier range
- Tier 1 – Tier 2
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 66.7% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 33.3% of formularies
2023 Medicare Spending
- Beneficiaries
- 91,688
- Total spending
- $22,953,956
- Avg per beneficiary
- $250.35
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering tretinoin 0.5 MG/ML Topical Cream [Retin-A]
100 Medicare Advantage plans with Part D drug coverage include this drug.
Frequently Asked Questions
Is tretinoin 0.5 MG/ML Topical Cream [Retin-A] covered by Medicare Part D?
Yes, tretinoin 0.5 MG/ML Topical Cream [Retin-A] is covered by 117 Medicare Part D plans (2.3% of all Part D formularies).
What tier is tretinoin 0.5 MG/ML Topical Cream [Retin-A] on Medicare Part D plans?
tretinoin 0.5 MG/ML Topical Cream [Retin-A] averages Tier 1.7 across Part D plans, ranging from Tier 1 to Tier 2.
Does tretinoin 0.5 MG/ML Topical Cream [Retin-A] require prior authorization?
66.7% of Part D formularies require prior authorization for tretinoin 0.5 MG/ML Topical Cream [Retin-A]. Step therapy: 0%. Quantity limits: 33.3%.
How much does Medicare spend on tretinoin 0.5 MG/ML Topical Cream [Retin-A]?
In 2023, total Medicare Part D spending on tretinoin 0.5 MG/ML Topical Cream [Retin-A] was $22,953,956, covering 91,688 beneficiaries. The average spend per beneficiary was $250.35.
Read our methodology - how this data is sourced, computed, and verified.