Is Lexette​ Covered by Medicare?

Health Line

18 hours ago

Halobetasol (Lexette, Ultravate, and Bryhali) is a topical corticosteroid used to treat plaque psoriasis. Lexette is an aerosol foam, while Ultravate and Bryhali are lotions.
Lexette is available for anyone above 12 years old. You may be a Medicare enrollee, and your doctor may prescribe this drug. In this case, your coverage depends on whether you're a Medicare Part D or Medicare Advantage prescription drug (MAPD) plan enrollee and whether your plan covers this drug.
When does Medicare cover Lexette​?
Medicare drug plans may cover a psoriasis prescription medication when a doctor deems the treatment medically necessary. To get coverage from Medicare, your medication needs Food and Drug Administration (FDA) approval to treat this skin condition.
When it comes to Lexette, whether Medicare covers it depends on your plan. Private insurance companies run Part D and MAPD plans, each with a list of covered medications called a formulary.
Some plans might include Lexette in the formulary, while others might not. If your plan doesn't include Lexette, it might still include generic halobetasol, one of the other brand-name versions, or a different corticosteroid.
You can check whether Medicare drug plans in your area cover Lexette on Medicare.gov. You can request a formulary exception if you're an enrollee in a drug plan that doesn't cover Lexette.
How much does Lexette foam cost?
A single can of Lexette can cost between $972 and $1,000 without insurance. But if you have a Medicare drug plan that covers Lexette, your out-of-pocket cost depends on the drug's tier placement within the plan's formulary.
Typically, brand-name drugs are in higher tiers than generics, meaning you must generally pay a higher copay for Lexette than for generic halobetasol after meeting your deductible. As of 2025, Medicare limits your annual out-of-pocket drug expenses to $2,000.
Remember to consider your plan's premium and deductible when planning your budget. With Medicare drug plans, these costs vary depending on the plan.
If your plan doesn't cover Lexette and you prefer the brand over other options, you might want to explore using a manufacturer coupon instead of your Medicare plan. This can significantly reduce your expenses, potentially lowering them to as little as $0 and no more than $65 in many cases.