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Desonide is a generic drug. What agents check before quoting it: how many 2027 Part D plans cover it, on which tier, with what restrictions and copays, by plan type, carrier and state.
In 2027, 4,244 of 5,492 Medicare Part D and Medicare Advantage drug plans (77.3%) list Desonide on their formulary, across 187 of 286 formularies. The most common placement is tier 4 (2,840 plans, 66.9% of those covering it). 0 of the covering plans require prior authorization (0%), 0 step therapy and 3,340 a quantity limit.
905 covering plans charge a flat copay for a 30-day supply at a preferred retail pharmacy after the deductible — median $0, 471 of them $0; 3,339 charge coinsurance instead — median 28% of the drug's cost. Once a member's out-of-pocket drug spending reaches $2,400 in 2027, covered drugs cost $0 for the rest of the year.
2026: 4,489 of 5,496 plans covered it (81.7%); 2027: 4,244 of 5,492 (77.3%).
Of 4,367 plans offered in both years, 32 added it to the formulary and 15 dropped it.
Among plans covering it both years, 37 moved it to a higher tier and 252 to a lower one; 0 added prior authorization and 0 removed it.
| Tier | Plans |
|---|---|
| Tier 1 | 356 |
| Tier 2 | 503 |
| Tier 3 | 545 |
| Tier 4 | 2,840 |
| Plan type | Plans covering | Share | Prior auth |
|---|---|---|---|
| Stand-alone Part D (PDP) | 279 of 323 | 86.4% | 0% |
| Medicare Advantage with drugs (MA-PD) | 2,506 of 3,200 | 78.3% | 0% |
| Special needs plans (SNP) | 1,459 of 1,969 | 74.1% | 0% |
| Carrier | Plans covering | Usual tier | Prior auth |
|---|---|---|---|
| Humana | 846 of 846 | Tier 4 | 0 |
| UnitedHealthcare | 830 of 830 | Tier 4 | 0 |
| Devoted Health | 0 of 728 | No tier listed | 0 |
| Aetna Medicare | 631 of 631 | Tier 4 | 0 |
| Wellcare | 268 of 268 | Tier 1 | 0 |
| HealthSpring | 191 of 226 | Tier 3 | 0 |
| Kaiser Permanente | 112 of 112 | Tier 2 | 0 |
| SCAN Health Plan | 83 of 83 | Tier 3 | 0 |
| Highmark Blue Cross Blue Shield or Highmark Blue Shield | 12 of 80 | Tier 3 | 0 |
| Alignment Health Plan | 77 of 77 | Tier 3 | 0 |
| Anthem Blue Cross and Blue Shield | 74 of 74 | Tier 4 | 0 |
| Wellpoint | 63 of 63 | Tier 4 | 0 |
| Priority Health Medicare | 40 of 40 | Tier 4 | 0 |
| CarePlus Health Plans, Inc. | 37 of 37 | Tier 4 | 0 |
| Zing Health | 0 of 36 | No tier listed | 0 |
| Capital Blue Cross | 35 of 35 | Tier 4 | 0 |
| Prominence Health Plan | 0 of 29 | No tier listed | 0 |
| Medica | 27 of 27 | Tier 4 | 0 |
| Anthem HealthKeepers | 26 of 26 | Tier 4 | 0 |
| Blue Cross Blue Shield of Michigan | 26 of 26 | Tier 2 | 0 |
| State | Plans covering | Share |
|---|---|---|
| Alabama | 72 of 114 | 63.2% |
| Alaska | 8 of 9 | 88.9% |
| American Samoa | 1 of 1 | 100% |
| Arizona | 106 of 147 | 72.1% |
| Arkansas | 69 of 85 | 81.2% |
| California | 340 of 397 | 85.6% |
| Colorado | 83 of 106 | 78.3% |
| Connecticut | 39 of 54 | 72.2% |
| Delaware | 34 of 43 | 79.1% |
| District of Columbia | 11 of 12 | 91.7% |
| Florida | 397 of 545 | 72.8% |
| Georgia | 130 of 149 | 87.2% |
| Guam | 1 of 1 | 100% |
| Hawaii | 25 of 50 | 50% |
| Idaho | 41 of 45 | 91.1% |
| Illinois | 99 of 132 | 75% |
| Indiana | 102 of 138 | 73.9% |
| Iowa | 52 of 64 | 81.3% |
| Kansas | 71 of 84 | 84.5% |
| Kentucky | 107 of 121 | 88.4% |
| Louisiana | 101 of 125 | 80.8% |
| Maine | 43 of 52 | 82.7% |
| Maryland | 31 of 49 | 63.3% |
| Massachusetts | 68 of 89 | 76.4% |
| Michigan | 151 of 182 | 83% |
| Minnesota | 59 of 63 | 93.7% |
| Mississippi | 87 of 104 | 83.7% |
| Missouri | 135 of 170 | 79.4% |
| Montana | 26 of 27 | 96.3% |
| Nebraska | 37 of 51 | 72.5% |
| Nevada | 83 of 100 | 83% |
| New Hampshire | 18 of 25 | 72% |
| New Jersey | 63 of 73 | 86.3% |
| New Mexico | 52 of 68 | 76.5% |
| New York | 146 of 215 | 67.9% |
| North Carolina | 137 of 176 | 77.8% |
| North Dakota | 25 of 26 | 96.2% |
| Northern Mariana Islands | 1 of 1 | 100% |
| Ohio | 131 of 171 | 76.6% |
| Oklahoma | 62 of 81 | 76.5% |
| Oregon | 52 of 92 | 56.5% |
| Pennsylvania | 218 of 323 | 67.5% |
| Puerto Rico | 63 of 64 | 98.4% |
| Rhode Island | 24 of 29 | 82.8% |
| South Carolina | 78 of 89 | 87.6% |
| South Dakota | 29 of 30 | 96.7% |
| Tennessee | 86 of 156 | 55.1% |
| Texas | 326 of 407 | 80.1% |
| U.S. Virgin Islands | 1 of 1 | 100% |
| Utah | 44 of 53 | 83% |
| Vermont | 11 of 14 | 78.6% |
| Virginia | 126 of 144 | 87.5% |
| Washington | 88 of 114 | 77.2% |
| West Virginia | 63 of 69 | 91.3% |
| Wisconsin | 91 of 96 | 94.8% |
| Wyoming | 12 of 13 | 92.3% |
Medicare Part D paid for 187,148 30-day fills of Desonide in 2024 for about 119,779 enrollees, at an average total cost of $50.17 per 30-day fill (CMS Part D Prescribers by Geography and Drug, national).
Price Desonide and the rest of a client's list on every plan in their county.
Estimate Desonide costs by plan
Free tools for licensed insurance agents. Data from CMS public files; verify with plan documents before advising a client.
Counts are over every Medicare Advantage drug plan and stand-alone Part D plan in the CMS monthly formulary files, excluding employer plans. A plan counts as covering a drug when any strength or form of it is on the plan’s formulary; the tier, prior authorization, step therapy and quantity limit shown are the most favorable version on that formulary. Copays are for a 30-day supply at a preferred retail pharmacy after the deductible. This is a reference for licensed agents, not a plan recommendation; verify with the plan’s formulary before advising a client. Source: CMS Part D formulary files (release 10/08/2026). CMS formulary data.