tazarotene external

0.05 % — Cream

Retinoid

Also known as: tazarotene external cream 0 .1 % tazarotene external gel Tazarotene External Cream Tazarotene External Gel
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Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: CMS QHP JSON  ·  Checked: 22 hours, 46 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals Tier 2 - Generic — — — None
AmeriHealth Caritas Next Silver Premier + No Referrals Tier 2 - Generic — — — None
AmeriHealth Caritas Next Gold Signature + No Referrals Tier 2 - Generic — — — None
AmeriHealth Caritas Next Bronze Essential + No Referrals Tier 2 - Generic — — — None
AmeriHealth Caritas Next Gold Premier + No Referrals Tier 2 - Generic — — — None
AmeriHealth Caritas Next Bronze Premier + No Referrals Tier 2 - Generic — — — None
AmeriHealth Caritas Next Silver Essential + No Referrals Tier 2 - Generic — — — None
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals Tier 2 - Generic — — — None
AmeriHealth Caritas Next Silver Signature + No Referrals Tier 2 - Generic — — — None
AmeriHealth Caritas Next Bronze Signature + No Referrals Tier 2 - Generic — — — None
Source: CMS QHP JSON  ·  Formulary date: Jun 10, 2026  ·  Checked: 22 hours, 46 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Longevity Health Plan (HMO I-SNP) Tier 1 - Preferred Generic ✓ — — PA
AmeriHealth Caritas VIP Care (HMO D-SNP) Tier 2 - Generic — — ✓ 100 per 30 days QL
Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) Tier 2 - Generic — — — None
Troy Medicare (HMO) Tier 2 - Generic — — — None
Aetna Medicare Signature (HMO) Tier 3 - Preferred Brand ✓ — ✓ 100 per 30 days PA | QL
Aetna Medicare Signature (PPO) Tier 3 - Preferred Brand ✓ — ✓ 100 per 30 days PA | QL
Aetna Medicare Chronic Care (HMO C-SNP) Tier 3 - Preferred Brand ✓ — ✓ 100 per 30 days PA | QL
Aetna Medicare Chronic Care Value (HMO C-SNP) Tier 3 - Preferred Brand ✓ — ✓ 100 per 30 days PA | QL
Aetna Medicare Signature Giveback (PPO) Tier 3 - Preferred Brand ✓ — ✓ 100 per 30 days PA | QL
Aetna Medicare Dual (HMO D-SNP) Tier 3 - Preferred Brand ✓ — ✓ 100 per 30 days PA | QL
Aetna Medicare Signature (HMO) Tier 3 - Preferred Brand ✓ — ✓ 100 per 30 days PA | QL
Aetna Medicare Value Plus (HMO) Tier 3 - Preferred Brand ✓ — ✓ 100 per 30 days PA | QL
Aetna Medicare Prime (HMO) Tier 3 - Preferred Brand ✓ — ✓ 100 per 30 days PA | QL
Aetna Medicare Signature Care (HMO) Tier 3 - Preferred Brand ✓ — ✓ 100 per 30 days PA | QL
Aetna Medicare Full Dual Care (HMO D-SNP) Tier 3 - Preferred Brand ✓ — ✓ 100 per 30 days PA | QL
Aetna Medicare Enhanced (HMO) Tier 3 - Preferred Brand ✓ — ✓ 100 per 30 days PA | QL
Aetna Medicare Signature (PPO) Tier 3 - Preferred Brand ✓ — ✓ 100 per 30 days PA | QL
Aetna Medicare Enhanced (PPO) Tier 3 - Preferred Brand ✓ — ✓ 100 per 30 days PA | QL
Aetna Medicare Enhanced (PPO) Tier 3 - Preferred Brand ✓ — ✓ 100 per 30 days PA | QL
Aetna Medicare Signature Extra (PPO) Tier 3 - Preferred Brand ✓ — ✓ 100 per 30 days PA | QL
Aetna Medicare Signature (PPO) Tier 3 - Preferred Brand ✓ — ✓ 100 per 30 days PA | QL
Aetna Medicare Signature (PPO) Tier 3 - Preferred Brand ✓ — ✓ 100 per 30 days PA | QL
Blue Medicare Choice (HMO) Tier 4 - Non-Preferred ✓ — ✓ 100 per 30 days PA | QL
Blue Medicare Essential (HMO) Tier 4 - Non-Preferred ✓ — ✓ 100 per 30 days PA | QL
Experience Health Medicare Advantage (HMO) Tier 4 - Non-Preferred ✓ — ✓ 100 per 30 days PA | QL
Healthy Blue + Medicare (HMO-POS D-SNP) Tier 4 - Non-Preferred ✓ — ✓ 100 per 30 days PA | QL
Alignment Health Platinum (HMO) Tier 4 - Non-Preferred ✓ — ✓ 100 per 30 days PA | QL
Alignment Health NC Duals (HMO-POS D-SNP) Tier 4 - Non-Preferred ✓ — ✓ 100 per 30 days PA | QL
Alignment Health smartHMO (HMO) Tier 4 - Non-Preferred ✓ — ✓ 100 per 30 days PA | QL
Alignment Health Heart & Diabetes NCPlus (HMO-POS C-SNP) Tier 4 - Non-Preferred ✓ — ✓ 100 per 30 days PA | QL
Alignment Health Platinum Select (HMO) Tier 4 - Non-Preferred ✓ — ✓ 100 per 30 days PA | QL
Alignment Health Heart & Diabetes Care (HMO C-SNP) Tier 4 - Non-Preferred ✓ — ✓ 100 per 30 days PA | QL
Alignment Health AVA (PPO) Tier 4 - Non-Preferred ✓ — ✓ 100 per 30 days PA | QL
Blue Medicare Enhanced (HMO-POS) Tier 4 - Non-Preferred ✓ — ✓ 100 per 30 days PA | QL
Blue Medicare Essential Plus (HMO-POS) Tier 4 - Non-Preferred ✓ — ✓ 100 per 30 days PA | QL
Blue Medicare PPO Enhanced (PPO) Tier 4 - Non-Preferred ✓ — ✓ 100 per 30 days PA | QL
Wellcare Dual Liberty Open (PPO D-SNP) Tier 4 - Non-Preferred ✓ — ✓ 100 per 30 days PA | QL
Wellcare Assist Open (PPO) Tier 4 - Non-Preferred ✓ — ✓ 100 per 30 days PA | QL
Wellcare Dual Access (HMO-POS D-SNP) Tier 4 - Non-Preferred ✓ — ✓ 100 per 30 days PA | QL
Wellcare Dual Liberty (HMO-POS D-SNP) Tier 4 - Non-Preferred ✓ — ✓ 100 per 30 days PA | QL
Wellcare Dual Reserve (HMO-POS D-SNP) Tier 4 - Non-Preferred ✓ — ✓ 100 per 30 days PA | QL
Wellcare Giveback Open (PPO) Tier 4 - Non-Preferred ✓ — ✓ 100 per 30 days PA | QL
Wellcare Simple (HMO-POS) Tier 4 - Non-Preferred ✓ — ✓ 100 per 30 days PA | QL
Wellcare Simple Open (PPO) Tier 4 - Non-Preferred ✓ — ✓ 100 per 30 days PA | QL
HealthSpring Preferred Plus (HMO) Tier 4 - Non-Preferred ✓ — — PA
HealthSpring Preferred Savings (HMO) Tier 4 - Non-Preferred ✓ — — PA
HealthSpring Preferred Select (HMO) Tier 4 - Non-Preferred ✓ — — PA
HealthSpring Preferred (HMO) Tier 4 - Non-Preferred ✓ — — PA
HealthSpring TotalCare Plus (HMO D-SNP) Tier 4 - Non-Preferred ✓ — — PA
HealthSpring TotalCare (HMO D-SNP) Tier 4 - Non-Preferred ✓ — — PA
HealthSpring True Choice (PPO) Tier 4 - Non-Preferred ✓ — — PA
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