A non-government resource built from CMS public data

EUCRISA 20 mg/g Ointment

Also known as Crisaborole. Coverage in Delaware, DC and Maryland (CMS PDP Region 05).

3 of 10 stand-alone Part D plans in Delaware, DC and Maryland cover this drug on tier 4.

3 of 3 plans apply a prior authorization, step therapy or quantity limit.

Every plan that covers it

Plan	Tier	30-day preferred	90-day mail	Unit cost	Est. 30-day fill	Restrictions
Wellcare Value Script (PDP)$5.60/mo premium · $615.00 deductible	4Non-Preferred Drug	40%	40%	$12.0917	$145.1012 units	Prior authorization Quantity limit 12 per 30 days
Wellcare Classic (PDP)$5.70/mo premium · $615.00 deductible · $0 with full Extra Help	4Non-Preferred Drug	31%	31%	$12.0917	$145.1012 units	Prior authorization Quantity limit 12 per 30 days
SilverScript Choice (PDP)$97.40/mo premium · $615.00 deductible	4Non-Preferred Drug	33%	33%	$13.0119	$156.1412 units	Prior authorization Quantity limit 12 per 30 days

Cost-sharing is the initial coverage phase at a preferred pharmacy; a percentage is coinsurance of the plan’s negotiated price, and the deductible may apply first. CMS publishes a negotiated price per unit, so the 30-day fill is shown only where the plan’s own quantity limit supplies the quantity.

Medicare Advantage plans

Medicare Advantage plans carry their own formularies, separate from stand-alone Part D, and are sold county by county. Pick a county to see every Medicare Advantage drug plan there that covers this drug.

38 Medicare Advantage plans in DC, DE, MD do cover it

A patient on an MA-PD plan may have coverage even where no PDP lists the drug. DC: 3 plans · DE: 15 plans · MD: 20 plans.

See coverage in all 39 regions →