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.

Naftin (Naftifine)

On Part D plan formularies

Found on the formularies of 806 of 5499 Medicare Part D plans in this dataset · Tiers 1–4 · step therapy on 12 (1%) · quantity limits on 638 (79%), 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 806 of 5499 Medicare Part D plans in this dataset (Tiers 1–4). Check your specific plan for its tier and copay — a low tier does not always beat a discount card.
Compare cash & discount prices →
PlanTierPrior AuthStep TherapyQty Limit
Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP) (H3127-001) (MI) Tier 1 No No 60 per 28 days
HAP CareSource MI Coordinated Health (HMO D-SNP) (H4193-001) (MI) Tier 1 No No 60 per 28 days
Tufts Health One Care (HMO D-SNP) (H5314-001) (MA) Tier 1 No No None
Tufts Health One Care CW (HMO D-SNP) (H5314-002) (MA) Tier 1 No No None
CalOptima Health OneCare Complete (HMO D-SNP) (H5433-001) (CA) Tier 1 No No None
CareAdvantage (HMO D-SNP) (H6019-001) (CA) Tier 1 No No None
ElderServe MAP (HMO D-SNP) (H6776-002) (NY) Tier 1 No No 60 per 28 days
Cooperative Advantage (HMO D-SNP) (H7598-003) (WI) Tier 1 No No 60 per 28 days
Tufts Health Plan Senior Care Options (HMO D-SNP) (H8330-001) (MA) Tier 1 No No None
Tufts Health Plan Senior Care Options CW (HMO D-SNP) (H8330-002) (MA) Tier 1 No No None
CareSource Dual Advantage (HMO D-SNP) (H8390-015) (GA) Tier 1 No No 60 per 28 days
Longevity Health Plan (PPO I-SNP) (H9942-002) (NJ) Tier 1 No No 60 per 28 days
Longevity Health Plan (HMO I-SNP) (H1644-001) (FL) Tier 1 No No 60 per 28 days
Longevity Health Plan (HMO I-SNP) (H7557-001) (MI) Tier 1 No No 60 per 28 days
Longevity Health Plan (HMO I-SNP) (H9590-001) (IL) Tier 1 No No 60 per 28 days
WellSense Added Value (HMO) (H6851-001) (NH) Tier 1 No No 60 per 28 days
Longevity Health Plan (HMO I-SNP) (H0363-001) (CO) Tier 1 No No 60 per 28 days
Longevity Health Plan (HMO I-SNP) (H5374-001) (NC) Tier 1 No No 60 per 28 days
Longevity Health Plan (PPO I-SNP) (H9942-001) (NJ) Tier 1 No No 60 per 28 days
ElderServe Star (HMO I-SNP) (H6776-001) (NY) Tier 1 No No 60 per 28 days
Longevity Health Plan (HMO I-SNP) (H8457-001) (NY) Tier 1 No No 60 per 28 days
PacificSource Medicare Essentials Rx 27 (HMO) (H3864-027) (OR) Tiers 2–4 No No None
PacificSource Medicare MyCare Choice Rx 29 (HMO-POS) (H3864-029) (MT) Tiers 2–4 No No None
PacificSource Medicare Essentials Choice Rx 36 (HMO-POS) (H3864-036) (OR) Tiers 2–4 No No None
PacificSource Medicare MyCare Rx 40 (HMO) (H3864-040) (OR) Tiers 2–4 No No None

One row per plan — showing 25 of 806 plans; a Yes means the flag applies to at least one form/strength on that plan.

Acquisition cost (NADAC): $4.28692/unit — price effective 08/19/2026

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) · NADAC price effective 08/19/2026 (per-NDC last change, not a data-staleness date). 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=naftifine
InsureWith Assistant
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