Medicare Part D coverage · 24 · RxCUI 1992299

24 HR timolol 5 MG/ML Ophthalmic Solution

Per the CMS 2026 Part D formulary file, 24 HR timolol 5 MG/ML Ophthalmic Solution is covered by 1,902 Medicare Part D plans (37.6% of enrollable products), averaging Tier 3.2, with prior authorization required on 0% of covering formularies.

37.6%
Plan coverage
1,902
Plans covering
T3.2
Avg tier
0%
Prior auth required

Verify with CMS →

Important: Drug coverage and costs vary by plan and location. Verify coverage directly with your Medicare plan before filling a prescription. This is informational data only and should not replace advice from your healthcare provider or pharmacist.

What the CMS Formulary Data Shows for 24 HR timolol 5 MG/ML Ophthalmic Solution

Per the CMS 2026 Part D formulary file, 24 HR timolol 5 MG/ML Ophthalmic Solution (RxNorm concept RXCUI 1992299, generic name 24) appears on 61 distinct formulary files spanning 1,902 Medicare Part D plan offerings - 37.6% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 3.2.

Real-world access to 24 HR timolol 5 MG/ML Ophthalmic Solution depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 0% apply quantity limits.

Medicare Part D spending dashboard figures are not published for this drug. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry 24 HR timolol 5 MG/ML Ophthalmic Solution today.

Coverage Details

Formularies covering
61
Plans covering
1,902
Coverage rate
37.6%
Tier range
Tier 1 – Tier 4
Average tier
Tier 3, Preferred Brand

Restrictions

Prior authorization required
0% of formularies
Step therapy required
0% of formularies
Quantity limits
0% of formularies

Tier Distribution Across Plans

78 plans
Tier 1, Preferred Generic
22 plans
Tier 2, Generic

Medicare Advantage Plans (MA-PD) Covering 24 HR timolol 5 MG/ML Ophthalmic Solution

100 Medicare Advantage plans with Part D drug coverage include this drug.

Plan Insurer Tier PA Premium States
HealthSun HealthAdvantage Plan (HMO) Healthsun Health Plans, Inc. T1 No $0 FL
HealthSun MediMax (HMO) Healthsun Health Plans, Inc. T1 No $0 FL
HealthSun HealthAdvantage Plan (HMO) Healthsun Health Plans, Inc. T1 No $0 FL
HealthSun HealthAdvantage Plan (HMO) Healthsun Health Plans, Inc. T1 No $0 FL
HealthSun MediSun Plus (HMO D-SNP) Healthsun Health Plans, Inc. T1 No $0 FL
HealthSun HealthAdvantage Plus (HMO) Healthsun Health Plans, Inc. T1 No $0 FL
HealthSun HealthAdvantage Plus (HMO) Healthsun Health Plans, Inc. T1 No $0 FL
HealthSun MediSun Extra (HMO D-SNP) Healthsun Health Plans, Inc. T1 No $0 FL
HealthSun HealthAdvantage Plus (HMO) Healthsun Health Plans, Inc. T1 No $0 FL
HealthSun VitalCare (HMO C-SNP) Healthsun Health Plans, Inc. T1 No $0 FL
HealthSun VitalCare (HMO C-SNP) Healthsun Health Plans, Inc. T1 No $0 FL
HealthSun MediSun Full Dual Plus (HMO D-SNP) Healthsun Health Plans, Inc. T1 No $0 FL
HealthSun MediSun Full Dual Extra (HMO D-SNP) Healthsun Health Plans, Inc. T1 No $0 FL
Simply Complete (HMO D-SNP) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply More (HMO) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply Complete (HMO D-SNP) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply Level (HMO C-SNP) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply Level (HMO C-SNP) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply More (HMO) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply Level (HMO C-SNP) Simply Healthcare Plans, Inc. T1 No $0 FL
Show the next 30 plans
Simply More (HMO) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply Level (HMO C-SNP) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply Complete (HMO D-SNP) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply More (HMO) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply More (HMO) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply Level (HMO C-SNP) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply Complete (HMO D-SNP) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply More (HMO) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply Extra (HMO) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply Extra Platinum (HMO) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply More Platinum (HMO) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply Complete Platinum (HMO D-SNP) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply Level Platinum (HMO C-SNP) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply Extra Platinum (HMO) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply Level Platinum (HMO C-SNP) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply Extra Platinum (HMO) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply Level Platinum (HMO C-SNP) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply Extra Platinum (HMO) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply More Platinum (HMO) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply Complete Platinum (HMO D-SNP) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply Level Platinum (HMO C-SNP) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply Integrated (HMO D-SNP) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply Integrated (HMO D-SNP) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply Integrated (HMO D-SNP) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply Integrated (HMO D-SNP) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply Integrated (HMO D-SNP) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply Integrated (HMO D-SNP) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply Integrated (HMO D-SNP) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply Integrated Platinum (HMO D-SNP) Simply Healthcare Plans, Inc. T1 No $0 FL
Simply Integrated Platinum (HMO D-SNP) Simply Healthcare Plans, Inc. T1 No $0 FL

Showing top 50 of 100 plans.

Frequently Asked Questions

Is 24 HR timolol 5 MG/ML Ophthalmic Solution covered by Medicare Part D?

Yes, 24 HR timolol 5 MG/ML Ophthalmic Solution is covered by 1,902 Medicare Part D plans (37.6% of all Part D formularies).

What tier is 24 HR timolol 5 MG/ML Ophthalmic Solution on Medicare Part D plans?

24 HR timolol 5 MG/ML Ophthalmic Solution averages Tier 3.2 across Part D plans, ranging from Tier 1 to Tier 4.

Does 24 HR timolol 5 MG/ML Ophthalmic Solution require prior authorization?

0% of Part D formularies require prior authorization for 24 HR timolol 5 MG/ML Ophthalmic Solution. Step therapy: 0%. Quantity limits: 0%.

Nationwide similar Part D drugs

Data-derived peers across the CMS Part D formulary extract: nearest average tier placement and nearest prior-authorization rate. Not therapeutic alternatives or same-generic strengths.

Data sourced from the Centers for Medicare & Medicaid Services (CMS). See our methodology for details. Retrieved and formatted by PlainMedicare