Medicare Part D coverage · tretinoin · RxCUI 208330

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] is covered by 117 Medicare Part D plans (2.3% of enrollable products), averaging Tier 1.7, with prior authorization required on 66.7% of covering formularies.

2.3%
Plan coverage
117
Plans covering
T1.7
Avg tier
66.7%
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 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 $22,910,407 and an average per-beneficiary annual cost of $249.87. 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
$22,910,407
Avg per beneficiary
$249.87

Tier Distribution Across Plans

2 plans
Tier 1, Preferred Generic
98 plans
Tier 2, Generic

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.

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
Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) Kaiser Foundation HP, Inc. T2 Yes $0 CA
Kaiser Permanente Senior Advantage Enhanced Solano (HMO) Kaiser Foundation HP, Inc. T2 Yes $0 CA
Kaiser Permanente Senior Advantage Inland Empire (HMO) Kaiser Foundation HP, Inc. T2 Yes $0 CA
Kaiser Permanente Sr Adv Enhanced Marin San Mateo (HMO) Kaiser Foundation HP, Inc. T2 Yes $0 CA
Kaiser Permanente Senior Advantage Ventura (HMO) Kaiser Foundation HP, Inc. T2 Yes $0 CA
Kaiser Permanente Senior Advantage Enhanced Kern (HMO) Kaiser Foundation HP, Inc. T2 Yes $0 CA
Kaiser Permanente Senior Advantage Basic Kern (HMO) Kaiser Foundation HP, Inc. T2 Yes $0 CA
Kaiser Permanente Senior Advantage San Diego (HMO) Kaiser Foundation HP, Inc. T2 Yes $0 CA
Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO) Kaiser Foundation HP, Inc. T2 Yes $0 CA
Kaiser Permanente Senior Advantage Enhanced Stanis (HMO) Kaiser Foundation HP, Inc. T2 Yes $0 CA
Kaiser Permanente Senior Advantage Basic Stanis (HMO) Kaiser Foundation HP, Inc. T2 Yes $0 CA
Kaiser Permanente Senior Advantage Basic SnJoaq (HMO) Kaiser Foundation HP, Inc. T2 Yes $0 CA
Kaiser Permanente Senior Advantage Basic Fresno (HMO) Kaiser Foundation HP, Inc. T2 Yes $0 CA
Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO) Kaiser Foundation HP, Inc. T2 Yes $0 CA
Kaiser Permanente Senior Advantage Santa Cruz (HMO) Kaiser Foundation HP, Inc. T2 Yes $0 CA
Kaiser Permanente Senior Advantage Basic Alameda (HMO) Kaiser Foundation HP, Inc. T2 Yes $0 CA
Kaiser Permanente Senior Advantage Basic SF (HMO) Kaiser Foundation HP, Inc. T2 Yes $0 CA
Kaiser Permanente Sr Adv Basic Contra Costa (HMO) Kaiser Foundation HP, Inc. T2 Yes $0 CA
Show the next 30 plans
Kaiser Permanente Sr Adv Basic Santa Clara (HMO) Kaiser Foundation HP, Inc. T2 Yes $0 CA
Kaiser Permanente Senior Advantage Basic Solano (HMO) Kaiser Foundation HP, Inc. T2 Yes $0 CA
Kaiser Permanente Senior Advantage Basic San Mateo (HMO) Kaiser Foundation HP, Inc. T2 Yes $0 CA
Kaiser Permanente Sr Advantage LA, Orange Value (HMO) Kaiser Foundation HP, Inc. T2 Yes $0 CA
Kaiser Permanente Sr Advantage Inland Empire Value (HMO) Kaiser Foundation HP, Inc. T2 Yes $0 CA
Kaiser Permanente Senior Advantage San Diego Value (HMO) Kaiser Foundation HP, Inc. T2 Yes $0 CA
Kaiser Permanente Senior Advantage Ventura Value (HMO) Kaiser Foundation HP, Inc. T2 Yes $0 CA
Kaiser Permanente Senior Advantage Core DM (HMO) Kaiser Foundation HP OF Co T2 Yes $0 CO
Kaiser Permanente Dual Essential (HMO D-SNP) Kaiser Foundation HP OF Co T2 Yes $0 CO
Kaiser Permanente Senior Advantage Silver DM (HMO-POS) Kaiser Foundation HP OF Co T2 Yes $0 CO
Kaiser Permanente Senior Advantage Core South (HMO) Kaiser Foundation HP OF Co T2 Yes $0 CO
Kaiser Permanente Senior Advantage Core North (HMO) Kaiser Foundation HP OF Co T2 Yes $0 CO
Kaiser Permanente Senior Advantage Enhanced (HMO-POS) Kaiser Foundation HP OF Co T2 Yes $0 CO
Kaiser Permanente Dual Complete Pueblo (HMO D-SNP) Kaiser Foundation HP OF Co T2 Yes $0 CO
Kaiser Permanente Senior Advantage Bronze DM (HMO-POS) Kaiser Foundation HP OF Co T2 Yes $0 CO
Kaiser Permanente Dual Complete (HMO D-SNP) Kaiser Foundation HP OF Co T2 Yes $0 CO
Kaiser Permanente Dual Essential Plan 1 (HMO D-SNP) Kaiser Foundation HP OF GA, Inc. T2 Yes $0 GA
Kaiser Permanente Senior Advantage Basic 1 (HMO) Kaiser Foundation HP OF GA, Inc. T2 Yes $0 GA
Kaiser Permanente Dual Essential Plan 2 (HMO D-SNP) Kaiser Foundation HP OF GA, Inc. T2 Yes $0 GA
Kaiser Permanente Senior Advantage Basic 2 (HMO) Kaiser Foundation HP OF GA, Inc. T2 Yes $0 GA
Kaiser Permanente Senior Advantage Care Plus (HMO-POS) Kaiser Foundation HP OF GA, Inc. T2 Yes $0 GA
Kaiser Permanente Dual Complete (HMO D-SNP) Kaiser Foundation HP OF GA, Inc. T2 Yes $0 GA
Kaiser Permanente Senior Advantage Basic (HMO) Kaiser Foundation HP, Inc. T2 Yes $0 HI
Kaiser Permanente Medicare Advantage Value 1 VA (HMO-POS) Kaiser Fdtn Hlth Plan OF THE Mid-atlantic States T2 Yes $0 VA
Kaiser Permanente Dual Complete Plan 1 MD (HMO D-SNP) Kaiser Fdtn Hlth Plan OF THE Mid-atlantic States T2 Yes $0 MD
Kaiser Permanente Dual Complete Plan 2 MD (HMO D-SNP) Kaiser Fdtn Hlth Plan OF THE Mid-atlantic States T2 Yes $0 MD
Kaiser Permanente Dual Essential Plan 1 MD (HMO D-SNP) Kaiser Fdtn Hlth Plan OF THE Mid-atlantic States T2 Yes $0 MD
Kaiser Permanente Dual Essential Plan 2 MD (HMO D-SNP) Kaiser Fdtn Hlth Plan OF THE Mid-atlantic States T2 Yes $0 MD
Kaiser Permanente Medicare Advantage Standard DC (HMO-POS) Kaiser Fdtn Hlth Plan OF THE Mid-atlantic States T2 Yes $0 DC
Kaiser Permanente Medicare Advantage Standard 2 MD (HMO-POS) Kaiser Fdtn Hlth Plan OF THE Mid-atlantic States T2 Yes $0 MD

Showing top 50 of 100 plans.

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 $22,910,407, covering 91,688 beneficiaries. The average spend per beneficiary was $249.87.

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