triamcinolone acetonide 0.0005 MG/MG Topical Ointment

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triamcinolone acetonide

RxCUI: 1090641

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.
4.3%
Plan Coverage
217
Plans Covering
T2.5
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for triamcinolone acetonide 0.0005 MG/MG Topical Ointment

Per the CMS 2026 Part D formulary file, triamcinolone acetonide 0.0005 MG/MG Topical Ointment (RxNorm concept RXCUI 1090641, generic name triamcinolone acetonide) appears on 22 distinct formulary files spanning 217 Medicare Part D plan offerings - 4.3% 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 2.5.

Real-world access to triamcinolone acetonide 0.0005 MG/MG Topical Ointment depends on utilization management as much as tier placement: 0% 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 3,621,019 Part D beneficiaries filled triamcinolone acetonide 0.0005 MG/MG Topical Ointment in 2023, with total plan-and-beneficiary spending of $75,381,353 and an average per-beneficiary annual cost of $20.82. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry triamcinolone acetonide 0.0005 MG/MG Topical Ointment today.

Coverage Details

Formularies covering
22
Plans covering
217
Coverage rate
4.3%
Tier range
Tier 1 – Tier 4
Average tier
Tier 3, Preferred Brand

Restrictions

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

2023 Medicare Spending

Beneficiaries
3,621,019
Total spending
$75,381,353
Avg per beneficiary
$20.82

Tier Distribution Across Plans

5 plans
Tier 1, Preferred Generic
20 plans
Tier 2, Generic
37 plans
Tier 3, Preferred Brand
38 plans
Tier 4, Non-Preferred

Standalone Drug Plans (PDP) Covering triamcinolone acetonide 0.0005 MG/MG Topical Ointment

1 standalone prescription drug plans include this drug.

Plan Insurer Tier PA ST Premium States
HealthSpring TotalCare Plus (HMO D-SNP) BRAVO HEALTH PENNSYLVANIA, INC. T3 No No $0 CT

Medicare Advantage Plans (MA-PD) Covering triamcinolone acetonide 0.0005 MG/MG Topical Ointment

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

Plan Insurer Tier PA Premium States
CareAdvantage (HMO D-SNP) SAN MATEO HEALTH COMMISSION T1 No $0 CA
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
CalOptima Health OneCare Complete (HMO D-SNP) ORANGE COUNTY HEALTH AUTHORITY T1 No $0 CA
Network Health Select (PPO) NETWORK HEALTH INSURANCE CORPORATION T2 No $0 WI
Network Health Go (PPO) NETWORK HEALTH INSURANCE CORPORATION T2 No $0 WI
Network Health Anywhere (PPO) NETWORK HEALTH INSURANCE CORPORATION T2 No $0 WI
Network Health Choice (PPO) NETWORK HEALTH INSURANCE CORPORATION T2 No $0 WI
Network Health Zero (PPO) NETWORK HEALTH INSURANCE CORPORATION T2 No $0 WI
Troy Medicare (HMO) TROY HEALTH, INC. T2 No $0 NC
Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) TROY HEALTH, INC. T2 No $0 NC
Contra Costa Health Care Plus (HMO D-SNP) CONTRA COSTA COUNTY MEDICAL SERVICE DBA CONTRA COSTA HEALTH T2 No $0 CA
Keystone First VIP Choice (HMO D-SNP) VISTA HEALTH PLAN, INC. T2 No $0 PA
AmeriHealth Caritas VIP Care (HMO D-SNP) VISTA HEALTH PLAN, INC. T2 No $0 PA
First Choice VIP Care (HMO D-SNP) SELECT HEALTH OF SOUTH CAROLINA, INC. T2 No $0 SC
AmeriHealth Caritas VIP Care (HMO D-SNP) AmeriHealth Caritas VIP Next, Inc. T2 No $0 DE
AmeriHealth Caritas VIP Care Choice (HMO D-SNP) AmeriHealth Caritas VIP Next, Inc. T2 No $0 DE
AmeriHealth Caritas VIP Care (HMO D-SNP) AMERIHEALTH CARITAS FLORIDA INC T2 No $0 FL
AmeriHealth Caritas VIP Care (HMO D-SNP) AMERIHEALTH CARITAS LOUISIANA, INC. T2 No $0 LA
AmeriHealth Caritas VIP Care (HMO D-SNP) AMERIHEALTH CARITAS NORTH CAROLINA, INC. T2 No $0 NC
AmeriHealth Caritas VIP Care (HMO D-SNP) AMERIHEALTH MICHIGAN, INC. T2 No $0 MI
Network Health Cares (PPO D-SNP) NETWORK HEALTH INSURANCE CORPORATION T2 No $21.10 WI
Network Health PlusRx (PPO) NETWORK HEALTH INSURANCE CORPORATION T2 No $38.60 WI
Network Health PremierRx (PPO) NETWORK HEALTH INSURANCE CORPORATION T2 No $92.80 WI
HealthSpring TotalCare Plus (HMO D-SNP) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring TotalCare Plus (HMO D-SNP) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 MO
HealthSpring TotalCare (HMO D-SNP) CIGNA HEALTHCARE OF COLORADO, INC. T3 No $0 CO
HealthSpring TotalCare Plus (HMO D-SNP) CIGNA HEALTHCARE OF COLORADO, INC. T3 No $0 CO
HealthSpring TotalCare (HMO D-SNP) CIGNA HEALTHCARE OF COLORADO, INC. T3 No $0 OH
HealthSpring TotalCare Plus (HMO D-SNP) CIGNA HEALTHCARE OF COLORADO, INC. T3 No $0 OH
HealthSpring TotalCare Plus (HMO D-SNP) BRAVO HEALTH MID-ATLANTIC, INC. T3 No $0 MD
HealthSpring TotalCare Plus (HMO D-SNP) BRAVO HEALTH PENNSYLVANIA, INC. T3 No $0 PA
HealthSpring TotalCare (HMO D-SNP) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 MS
HealthSpring TotalCare Plus (HMO D-SNP) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 MS
HealthSpring TotalCare (HMO D-SNP) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 TX
HealthSpring TotalCare Plus (HMO D-SNP) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 TN
HealthSpring TotalCare Plus (HMO D-SNP) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 AR
HealthSpring TotalCare (HMO D-SNP) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 TX
HealthSpring TotalCare Plus (HMO D-SNP) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 AL
HealthSpring TotalCare (HMO D-SNP) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 TX
HealthSpring TotalCare Plus (HMO D-SNP) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring TotalCare Plus (HMO D-SNP) HEALTHSPRING OF FLORIDA, INC. T3 No $0 FL
HealthSpring TotalCare Plus (HMO D-SNP) HEALTHSPRING OF FLORIDA, INC. T3 No $0 FL
HealthSpring TotalCare Plus (HMO D-SNP) HEALTHSPRING OF FLORIDA, INC. T3 No $0 FL
HealthSpring TotalCare Plus (HMO D-SNP) HEALTHSPRING OF FLORIDA, INC. T3 No $0 FL
HealthSpring TotalCare Plus (HMO D-SNP) HEALTHSPRING OF FLORIDA, INC. T3 No $0 FL
HealthSpring TotalCare Plus (HMO D-SNP) BRAVO HEALTH PENNSYLVANIA, INC. T3 No $0 NC
HealthSpring TotalCare (HMO D-SNP) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $2.60 MO
HealthSpring TotalCare (HMO D-SNP) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $3.30 AL

Frequently Asked Questions

Is triamcinolone acetonide 0.0005 MG/MG Topical Ointment covered by Medicare Part D?

Yes, triamcinolone acetonide 0.0005 MG/MG Topical Ointment is covered by 217 Medicare Part D plans (4.3% of all Part D formularies).

What tier is triamcinolone acetonide 0.0005 MG/MG Topical Ointment on Medicare Part D plans?

triamcinolone acetonide 0.0005 MG/MG Topical Ointment averages Tier 2.5 across Part D plans, ranging from Tier 1 to Tier 4.

Does triamcinolone acetonide 0.0005 MG/MG Topical Ointment require prior authorization?

0% of Part D formularies require prior authorization for triamcinolone acetonide 0.0005 MG/MG Topical Ointment. Step therapy: 0%. Quantity limits: 0%.

How much does Medicare spend on triamcinolone acetonide 0.0005 MG/MG Topical Ointment?

In 2023, total Medicare Part D spending on triamcinolone acetonide 0.0005 MG/MG Topical Ointment was $75,381,353, covering 3,621,019 beneficiaries. The average spend per beneficiary was $20.82.

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