Medicare Part D coverage · brimonidine tartrate · RxCUI 861637

brimonidine tartrate 2 MG/ML / timolol 5 MG/ML Ophthalmic Solution [Combigan]

Per the CMS 2026 Part D formulary file, brimonidine tartrate 2 MG/ML / timolol 5 MG/ML Ophthalmic Solution [Combigan] is covered by 3,409 Medicare Part D plans (67.5% of enrollable products), averaging Tier 2.8, with prior authorization required on 0% of covering formularies.

67.5%
Plan coverage
3,409
Plans covering
T2.8
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 brimonidine tartrate 2 MG/ML / timolol 5 MG/ML Ophthalmic Solution [Combigan]

Per the CMS 2026 Part D formulary file, brimonidine tartrate 2 MG/ML / timolol 5 MG/ML Ophthalmic Solution [Combigan] (RxNorm concept RXCUI 861637, generic name brimonidine tartrate) appears on 112 distinct formulary files spanning 3,409 Medicare Part D plan offerings - 67.5% of enrollable Part D products, mid-range placement; shopping across contracts changes access. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 2.8.

Real-world access to brimonidine tartrate 2 MG/ML / timolol 5 MG/ML Ophthalmic Solution [Combigan] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 1.8% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 573,214 Part D beneficiaries filled brimonidine tartrate 2 MG/ML / timolol 5 MG/ML Ophthalmic Solution [Combigan] in 2023, with total plan-and-beneficiary spending of $88,900,177 and an average per-beneficiary annual cost of $155.09. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry brimonidine tartrate 2 MG/ML / timolol 5 MG/ML Ophthalmic Solution [Combigan] today.

Coverage Details

Formularies covering
112
Plans covering
3,409
Coverage rate
67.5%
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
1.8% of formularies

2023 Medicare Spending

Beneficiaries
573,214
Total spending
$88,900,177
Avg per beneficiary
$155.09

Tier Distribution Across Plans

46 plans
Tier 1, Preferred Generic
3 plans
Tier 2, Generic
51 plans
Tier 3, Preferred Brand

Standalone Drug Plans (PDP) Covering brimonidine tartrate 2 MG/ML / timolol 5 MG/ML Ophthalmic Solution [Combigan]

2 standalone prescription drug plans include this drug.

Plan Insurer Tier PA ST Premium States
AARP Medicare Rx Preferred from UHC (PDP) Unitedhealthcare INS. Co. & UHC INS. Co. OF NY T3 No No $0 -
AARP Medicare Rx Preferred from UHC (PDP) Unitedhealthcare INS. Co. & UHC INS. Co. OF NY T3 No No $0 -

Medicare Advantage Plans (MA-PD) Covering brimonidine tartrate 2 MG/ML / timolol 5 MG/ML Ophthalmic Solution [Combigan]

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

Plan Insurer Tier PA Premium States
Florida Complete Care-Duals VIP (HMO-POS D-SNP) Hpmp OF Florida, Inc. T1 No $0 FL
Mercy Care Advantage (HMO D-SNP) Mercy Care T1 No $0 AZ
Mercy Care Advantage (HMO D-SNP) Mercy Care T1 No $0 AZ
Mercy Care Advantage (HMO D-SNP) Mercy Care T1 No $0 AZ
Elderplan Plus Long-Term Care (HMO-POS D-SNP) Elderplan, Inc. T1 No $0 NY
Health Choice Pathway (HMO D-SNP) Health Choice Arizona, Inc. T1 No $0 AZ
Healthfirst CompleteCare (HMO D-SNP) Healthfirst Health Plan, Inc. T1 No $0 NY
IMCare Classic (HMO D-SNP) Itasca Medical Care T1 No $0 MN
Johns Hopkins Advantage MD D-SNP (HMO D-SNP) Hopkins Health Advantage, Inc. T1 No $0 MD
MetroPlus UltraCare (HMO D-SNP) Metroplus Health Plan, Inc. T1 No $0 NY
Senior Whole Health SCO (HMO D-SNP) Senior Whole Health, LLC T1 No $0 MA
Senior Whole Health SCO NHC (HMO D-SNP) Senior Whole Health, LLC T1 No $0 MA
Molina One Care (HMO D-SNP) Senior Whole Health, LLC T1 No $0 MA
Hamaspik Medicare Choice (HMO D-SNP) Hamaspik, Inc. T1 No $0 NY
CCA One Care (HMO D-SNP) Commonwealth Care Alliance, Inc. T1 No $0 MA
CCA Senior Care Options (HMO D-SNP) Commonwealth Care Alliance, Inc. T1 No $0 MA
Provider Partners Pennsylvania Community Plan (HMO I-SNP) Provider Partners Health Plan OF Pennsylvania, Inc T1 No $0 PA
Provider Partners North Carolina Community Plan (HMO I-SNP) Provider Partners Health Plan OF North Carolina T1 No $0 NC
Provider Partners Indiana Community Plan (HMO I-SNP) Provider Partners Health Plan OF Indiana T1 No $0 IN
Provider Partners Missouri Community Plan (HMO I-SNP) Provider Partners Health Plan OF Missouri, Inc. T1 No $0 MO
Show the next 30 plans
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) Gateway Health Plan, Inc. T1 No $0 PA
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) Gateway Health Plan, Inc. T1 No $0 PA
Highmark Health Options Duals (HMO D-SNP) Highmark Health Options West Virginia Inc. T1 No $0 WV
Highmark Health Options Duals (HMO D-SNP) Highmark Bcbsd, Inc. T1 No $0 DE
Florida Complete Care (HMO I-SNP) Hpmp OF Florida, Inc. T1 No $4.80 FL
Florida Complete Care- In The Community (HMO-POS I-SNP) Hpmp OF Florida, Inc. T1 No $4.80 FL
Provider Partners Texas Advantage Plan (HMO I-SNP) Provider Partners Health Plan OF Texas, Inc. T1 No $4.80 TX
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) Gateway Health Plan, Inc. T1 No $13.10 PA
Provider Partners Illinois Advantage Plan (HMO I-SNP) Provider Partners Health Plan OF Illinois T1 No $15.20 IL
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) Gateway Health Plan, Inc. T1 No $17.60 PA
Elderplan For Medicaid Beneficiaries (HMO-POS D-SNP) Elderplan, Inc. T1 No $22.70 NY
VIVA Medicare Extra Value (HMO D-SNP) Viva Health, Inc. T1 No $27.70 AL
VIVA Medicare Extra Care (HMO D-SNP) Viva Health, Inc. T1 No $27.70 AL
Highmark Health Options Duals Select (HMO D-SNP) Highmark Bcbsd, Inc. T1 No $31.20 DE
Provider Partners Pennsylvania Advantage Plan (HMO I-SNP) Provider Partners Health Plan OF Pennsylvania, Inc T1 No $32.70 PA
Provider Partners Pennsylvania Essential Plan (HMO I-SNP) Provider Partners Health Plan OF Pennsylvania, Inc T1 No $32.70 PA
Hamaspik Medicare Select (HMO D-SNP) Hamaspik, Inc. T1 No $34.50 NY
Provider Partners North Carolina Advantage Plan (HMO I-SNP) Provider Partners Health Plan OF North Carolina T1 No $36.20 NC
Provider Partners North Carolina Essential Plan (HMO I-SNP) Provider Partners Health Plan OF North Carolina T1 No $36.20 NC
Provider Partners Indiana Advantage Plan (HMO I-SNP) Provider Partners Health Plan OF Indiana T1 No $38.40 IN
Provider Partners Indiana Essential Plan (HMO I-SNP) Provider Partners Health Plan OF Indiana T1 No $38.40 IN
Provider Partners Kentucky Advantage Plan (HMO I-SNP) Provider Partners Health Plan OF Kentucky T1 No $38.40 KY
Provider Partners Missouri Advantage Plan (HMO I-SNP) Provider Partners Health Plan OF Missouri, Inc. T1 No $43.00 MO
Provider Partners Missouri Essential Plan (HMO I-SNP) Provider Partners Health Plan OF Missouri, Inc. T1 No $43.00 MO
Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP) Elderplan, Inc. T1 No $44.80 NY
MetroPlus Platinum Plan (HMO) Metroplus Health Plan, Inc. T1 No $58.80 NY
BlueCare Plus (HMO D-SNP) Volunteer State Health Plan T2 No $0 TN
BlueCare Plus Choice (HMO D-SNP) Volunteer State Health Plan T2 No $0 TN
BlueCare Plus Select (HMO D-SNP) Volunteer State Health Plan T2 No $0 TN
UHC Dual Complete IA-S001 (HMO-POS D-SNP) Unitedhealthcare OF Wisconsin, Inc. T3 No $0 IA

Showing top 50 of 98 plans.

Frequently Asked Questions

Is brimonidine tartrate 2 MG/ML / timolol 5 MG/ML Ophthalmic Solution [Combigan] covered by Medicare Part D?

Yes, brimonidine tartrate 2 MG/ML / timolol 5 MG/ML Ophthalmic Solution [Combigan] is covered by 3,409 Medicare Part D plans (67.5% of all Part D formularies).

What tier is brimonidine tartrate 2 MG/ML / timolol 5 MG/ML Ophthalmic Solution [Combigan] on Medicare Part D plans?

brimonidine tartrate 2 MG/ML / timolol 5 MG/ML Ophthalmic Solution [Combigan] averages Tier 2.8 across Part D plans, ranging from Tier 1 to Tier 4.

Does brimonidine tartrate 2 MG/ML / timolol 5 MG/ML Ophthalmic Solution [Combigan] require prior authorization?

0% of Part D formularies require prior authorization for brimonidine tartrate 2 MG/ML / timolol 5 MG/ML Ophthalmic Solution [Combigan]. Step therapy: 0%. Quantity limits: 1.8%.

How much does Medicare spend on brimonidine tartrate 2 MG/ML / timolol 5 MG/ML Ophthalmic Solution [Combigan]?

In 2023, total Medicare Part D spending on brimonidine tartrate 2 MG/ML / timolol 5 MG/ML Ophthalmic Solution [Combigan] was $88,900,177, covering 573,214 beneficiaries. The average spend per beneficiary was $155.09.

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