FillMapSimply Extra Platinum (HMO)

Does Simply Extra Platinum (HMO) cover hydrocortisone?

Simply Extra Platinum (HMO)
H5471-123-0 · MA_LOCAL · Medicare Part D
hydrocortisone
Do you get help with your Medicare drug costs?None of these

Optional. Some plans charge less at a preferred pharmacy. Enter your ZIP to see which pharmacies near you take this plan — pick yours and the price above is re-worked for it. Until you do, we show what a standard pharmacy costs. Nothing here is saved.

hydrocortisoneunder Simply Extra Platinum (HMO)
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
$0per 30-day fill

Part D caps what you pay out of pocket at $2,100 for 2026. From the first fill — no deductible on this drug.

This plan charges the same at every pharmacy in its network — where you fill it will not change this figure.

Tier
Tier 1
Approval first
Not needed
Try another first
No
Amount limit
None
Talk to your pharmacist or doctor before acting on anything here. They can see your full history and this page cannot. Never start, stop, or switch a medication based on it. Coverage rules change and plans make exceptions — your pharmacy can check your exact benefit in seconds.As of Sep 16, 2026 · CMS Part D monthly PUF. Reference information, not medical advice and not a price.

Covered forms and strengths (17)

  • hydrocortisone 0.01 MG/MG Topical OintmentTier 1
  • hydrocortisone 0.025 MG/MG Topical OintmentTier 1
  • hydrocortisone 10 MG Oral TabletTier 1
  • hydrocortisone 10 MG/ML Topical CreamTier 1
  • hydrocortisone 10 MG/ML Topical Cream [Ala-Cort]Tier 1
  • hydrocortisone 20 MG Oral TabletTier 1
  • hydrocortisone 25 MG/ML Topical CreamTier 1
  • hydrocortisone 25 MG/ML Topical Cream [Procto-Med]Tier 2
  • hydrocortisone 25 MG/ML Topical Cream [Proctosol]Tier 2
  • hydrocortisone 25 MG/ML Topical Cream [Proctozone HC]Tier 2
  • hydrocortisone 25 MG/ML Topical LotionTier 1
  • hydrocortisone 5 MG Oral TabletTier 1
  • hydrocortisone butyrate 0.001 MG/MG Topical OintmentTier 2
  • hydrocortisone butyrate 1 MG/ML Topical LotionTier 2
  • hydrocortisone butyrate 1 MG/ML Topical SolutionTier 2
  • hydrocortisone valerate 0.002 MG/MG Topical OintmentTier 2
  • hydrocortisone valerate 2 MG/ML Topical CreamTier 2

← All coverage for hydrocortisone