Drug Coverage Lookup

See how a prescription drug is placed across Medicare Part D plan formularies — tier, prior authorization, step therapy, and quantity limits, counted per unique plan.

Duobrii (Halobetasol and Tazarotene)

Retinoid

On Part D plan formularies — with restrictions

Found on the formularies of 21 of 5499 Medicare Part D plans in this dataset · Tier 5 · prior authorization on 21 plans (100%) · quantity limits on 21 (100%), counting a plan when at least one form/strength carries the flag.

This is dataset-wide formulary placement (data current through 2026-08-31) — check your specific plan for its current coverage and restrictions.

Found on the formularies of 21 of 5499 Medicare Part D plans in this dataset, but prior authorization appears on 21 of those 21 plans (for at least one form/strength). Check your specific plan for its current rules, and learn what your prescriber needs to submit.

How prior authorization works →

Plan	Tier	Prior Auth	Step Therapy	Qty Limit
Medicare BlueEssential (PPO) (H3335-053) (NY)	Tier 5	Yes	No	200 per 28 days
Medicare BlueActive (PPO) (H3335-055) (NY)	Tier 5	Yes	No	200 per 28 days
Medicare BlueVital (PPO) (H3335-061) (NY)	Tier 5	Yes	No	200 per 28 days
Univera SeniorChoice Basic (HMO) (H3351-017) (NY)	Tier 5	Yes	No	200 per 28 days
Univera SeniorChoice Extra (HMO) (H3351-020) (NY)	Tier 5	Yes	No	200 per 28 days
Medicare Blue Choice Core (HMO) (H3351-022) (NY)	Tier 5	Yes	No	200 per 28 days
CDPHP $0 Medicare Rx (HMO) (H3388-014) (NY)	Tier 5	Yes	No	200 per 28 days
Univera Medicare Dual (HMO D-SNP) (H7524-001) (NY)	Tier 5	Yes	No	200 per 28 days
Medicare Blue Dual (HMO D-SNP) (H7524-003) (NY)	Tier 5	Yes	No	200 per 28 days
Univera SeniorChoice Core (PPO) (H3335-060) (NY)	Tier 5	Yes	No	200 per 28 days
Univera SeniorChoice Advanced (HMO-POS) (H3351-019) (NY)	Tier 5	Yes	No	200 per 28 days
Medicare BlueClassic (PPO) (H3335-038) (NY)	Tier 5	Yes	No	200 per 28 days
Univera SeniorChoice Secure (HMO-POS) (H3351-002) (NY)	Tier 5	Yes	No	200 per 28 days
Medicare BlueBalanced (PPO) (H3335-062) (NY)	Tier 5	Yes	No	200 per 28 days
Medicare Blue Choice Prime (HMO) (H3351-023) (NY)	Tier 5	Yes	No	200 per 28 days
Univera SeniorChoice Value Plus (HMO-POS) (H3351-012) (NY)	Tier 5	Yes	No	200 per 28 days
Medicare BlueEnhanced (PPO) (H3335-015) (NY)	Tier 5	Yes	No	200 per 28 days
Medicare BluePlus (PPO) (H3335-018) (NY)	Tier 5	Yes	No	200 per 28 days
CDPHP Clear Rx (HMO) (H3388-020) (NY)	Tier 5	Yes	No	200 per 28 days
CDPHP Choice Rx (HMO) (H3388-002) (NY)	Tier 5	Yes	No	200 per 28 days
Medicare Blue Choice Optimum (HMO-POS) (H3351-006) (NY)	Tier 5	Yes	No	200 per 28 days

One row per plan; a Yes means the flag applies to at least one form/strength on that plan.

For benefits professionals

Plan sponsors and advisors: formulary-placement and utilization analysis across plans.

For benefits teams: plan formulary analysis →

Source: CMS Monthly Prescription Drug Plan Formulary and Pharmacy Network Information — data current through 2026-08-31 (CMS release 2026-08-26, refreshed monthly). Dataset-wide plan-year formulary placement, not a guarantee of your individual benefit — confirm with your plan or pharmacist.

Data: CMS Monthly Part D formulary files · FDA/RxNorm drug identity · CMS NADAC pricing — CMS Part D formulary data current through 2026-08-31 · source

Machine access — this tool is available as structured data for AI assistants and agents:
GET https://insurewith.ai/tools/drug-coverage/data.json?drug=halobetasol-and-tazarotene