apraclonidine 10 MG/ML Ophthalmic Solution [Iopidine]

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apraclonidine

RxCUI: 211020

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.
2.1%
Plan Coverage
104
Plans Covering
T3.5
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for apraclonidine 10 MG/ML Ophthalmic Solution [Iopidine]

Per the CMS 2026 Part D formulary file, apraclonidine 10 MG/ML Ophthalmic Solution [Iopidine] (RxNorm concept RXCUI 211020, generic name apraclonidine) appears on 16 distinct formulary files spanning 104 Medicare Part D plan offerings - 2.1% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 2 to Tier 4, with a cross-plan average of Tier 3.5.

Real-world access to apraclonidine 10 MG/ML Ophthalmic Solution [Iopidine] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 0% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 1,543 Part D beneficiaries filled apraclonidine 10 MG/ML Ophthalmic Solution [Iopidine] in 2023, with total plan-and-beneficiary spending of $320,356 and an average per-beneficiary annual cost of $207.62. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry apraclonidine 10 MG/ML Ophthalmic Solution [Iopidine] today.

Coverage Details

Formularies covering
16
Plans covering
104
Coverage rate
2.1%
Tier range
Tier 2 – Tier 4
Average tier
Tier 4, Non-Preferred

Restrictions

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

2023 Medicare Spending

Beneficiaries
1,543
Total spending
$320,356
Avg per beneficiary
$207.62

Tier Distribution Across Plans

2 plans
Tier 2, Generic
51 plans
Tier 3, Preferred Brand
47 plans
Tier 4, Non-Preferred

Medicare Advantage Plans (MA-PD) Covering apraclonidine 10 MG/ML Ophthalmic Solution [Iopidine]

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

Plan Insurer Tier PA Premium States
CareAdvantage (HMO D-SNP) SAN MATEO HEALTH COMMISSION T2 No $0 CA
CalOptima Health OneCare Complete (HMO D-SNP) ORANGE COUNTY HEALTH AUTHORITY T2 No $0 CA
Freedom VIP Care (HMO C-SNP) FREEDOM HEALTH, INC. T3 No $0 FL
Freedom VIP Savings (HMO C-SNP) FREEDOM HEALTH, INC. T3 No $0 FL
Freedom VIP Savings (HMO C-SNP) FREEDOM HEALTH, INC. T3 No $0 FL
Freedom VIP Rewards (HMO C-SNP) FREEDOM HEALTH, INC. T3 No $0 FL
Freedom VIP Rewards (HMO C-SNP) FREEDOM HEALTH, INC. T3 No $0 FL
Optimum Diamond Rewards (HMO C-SNP) OPTIMUM HEALTHCARE, INC. T3 No $0 FL
Optimum Diamond Savings (HMO C-SNP) OPTIMUM HEALTHCARE, INC. T3 No $0 FL
Optimum Diamond Rewards (HMO C-SNP) OPTIMUM HEALTHCARE, INC. T3 No $0 FL
Optimum Diamond (HMO C-SNP) OPTIMUM HEALTHCARE, INC. T3 No $0 FL
Freedom Medi-Medi Partial (HMO D-SNP) FREEDOM HEALTH, INC. T3 No $0 FL
Freedom Medi-Medi Full (HMO D-SNP) FREEDOM HEALTH, INC. T3 No $0 FL
Optimum Emerald Partial (HMO D-SNP) OPTIMUM HEALTHCARE, INC. T3 No $0 FL
Optimum Emerald Full (HMO D-SNP) OPTIMUM HEALTHCARE, INC. T3 No $0 FL
Freedom Medicare Plan Rx (HMO) FREEDOM HEALTH, INC. T3 No $0 FL
Freedom Medicare Plan Rx (HMO) FREEDOM HEALTH, INC. T3 No $0 FL
Freedom VIP Savings COPD (HMO C-SNP) FREEDOM HEALTH, INC. T3 No $0 FL
Freedom VIP Savings COPD (HMO C-SNP) FREEDOM HEALTH, INC. T3 No $0 FL
Freedom Platinum Plan Rx (HMO) FREEDOM HEALTH, INC. T3 No $0 FL
Freedom Platinum Plan Rx (HMO) FREEDOM HEALTH, INC. T3 No $0 FL
Freedom Platinum Plan Rx (HMO) FREEDOM HEALTH, INC. T3 No $0 FL
Freedom Platinum Plan Rx (HMO) FREEDOM HEALTH, INC. T3 No $0 FL
Freedom Platinum Plan Rx (HMO) FREEDOM HEALTH, INC. T3 No $0 FL
Freedom Platinum Rewards Plan Rx (HMO) FREEDOM HEALTH, INC. T3 No $0 FL
Freedom Platinum Rewards Plan Rx (HMO) FREEDOM HEALTH, INC. T3 No $0 FL
Freedom Platinum Rewards Plan Rx (HMO) FREEDOM HEALTH, INC. T3 No $0 FL
Freedom Platinum Rewards Plan Rx (HMO) FREEDOM HEALTH, INC. T3 No $0 FL
Freedom Platinum Rewards Plan Rx (HMO) FREEDOM HEALTH, INC. T3 No $0 FL
Freedom Platinum Rewards Plan Rx (HMO) FREEDOM HEALTH, INC. T3 No $0 FL
Freedom Máximo (HMO-POS) FREEDOM HEALTH, INC. T3 No $0 FL
Freedom Máximo (HMO-POS) FREEDOM HEALTH, INC. T3 No $0 FL
Optimum Gold Rewards Plan (HMO) OPTIMUM HEALTHCARE, INC. T3 No $0 FL
Optimum Platinum Plan (HMO) OPTIMUM HEALTHCARE, INC. T3 No $0 FL
Optimum Gold Plan (HMO) OPTIMUM HEALTHCARE, INC. T3 No $0 FL
Optimum Gold Rewards Plan (HMO) OPTIMUM HEALTHCARE, INC. T3 No $0 FL
Optimum Gold Rewards Plan (HMO) OPTIMUM HEALTHCARE, INC. T3 No $0 FL
Optimum Diamond Rewards COPD (HMO C-SNP) OPTIMUM HEALTHCARE, INC. T3 No $0 FL
Optimum Diamond Savings COPD (HMO C-SNP) OPTIMUM HEALTHCARE, INC. T3 No $0 FL
Optimum Gold Plus Plan (HMO) OPTIMUM HEALTHCARE, INC. T3 No $0 FL
Optimum Diamond Rewards COPD (HMO C-SNP) OPTIMUM HEALTHCARE, INC. T3 No $0 FL
HAP Medicare Explore (PPO) ALLIANCE HEALTH AND LIFE INSURANCE COMPANY T3 No $0 MI
HAP Medicare Prime (PPO) ALLIANCE HEALTH AND LIFE INSURANCE COMPANY T3 No $0 MI
HAP Medicare Connect (HMO) HEALTH ALLIANCE PLAN OF MICHIGAN T3 No $0 MI
HAP Medicare Complete Duals (HMO D-SNP) HEALTH ALLIANCE PLAN OF MICHIGAN T3 No $0 MI
HAP Medicare Superior (HMO) HEALTH ALLIANCE PLAN OF MICHIGAN T3 No $0 MI
Henry Ford Select (HMO) HEALTH ALLIANCE PLAN OF MICHIGAN T3 No $0 MI
HAP Member Assist (PPO) ALLIANCE HEALTH AND LIFE INSURANCE COMPANY T3 No $8.80 MI
HAP Medicare Complete Assist (PPO D-SNP) ALLIANCE HEALTH AND LIFE INSURANCE COMPANY T3 No $8.80 MI
HAP Medicare Diabetes and Heart (HMO C-SNP) HEALTH ALLIANCE PLAN OF MICHIGAN T3 No $8.80 MI

Frequently Asked Questions

Is apraclonidine 10 MG/ML Ophthalmic Solution [Iopidine] covered by Medicare Part D?

Yes, apraclonidine 10 MG/ML Ophthalmic Solution [Iopidine] is covered by 104 Medicare Part D plans (2.1% of all Part D formularies).

What tier is apraclonidine 10 MG/ML Ophthalmic Solution [Iopidine] on Medicare Part D plans?

apraclonidine 10 MG/ML Ophthalmic Solution [Iopidine] averages Tier 3.5 across Part D plans, ranging from Tier 2 to Tier 4.

Does apraclonidine 10 MG/ML Ophthalmic Solution [Iopidine] require prior authorization?

0% of Part D formularies require prior authorization for apraclonidine 10 MG/ML Ophthalmic Solution [Iopidine]. Step therapy: 0%. Quantity limits: 0%.

How much does Medicare spend on apraclonidine 10 MG/ML Ophthalmic Solution [Iopidine]?

In 2023, total Medicare Part D spending on apraclonidine 10 MG/ML Ophthalmic Solution [Iopidine] was $320,356, covering 1,543 beneficiaries. The average spend per beneficiary was $207.62.

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