brinzolamide 10 MG/ML Ophthalmic Suspension [Azopt]

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brinzolamide

RxCUI: 213272

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.
0.9%
Plan Coverage
44
Plans Covering
T2.8
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for brinzolamide 10 MG/ML Ophthalmic Suspension [Azopt]

Per the CMS 2026 Part D formulary file, brinzolamide 10 MG/ML Ophthalmic Suspension [Azopt] (RxNorm concept RXCUI 213272, generic name brinzolamide) appears on 4 distinct formulary files spanning 44 Medicare Part D plan offerings - 0.9% 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 2.8.

Real-world access to brinzolamide 10 MG/ML Ophthalmic Suspension [Azopt] 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 43,939 Part D beneficiaries filled brinzolamide 10 MG/ML Ophthalmic Suspension [Azopt] in 2023, with total plan-and-beneficiary spending of $52,752,444 and an average per-beneficiary annual cost of $1,200.58. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry brinzolamide 10 MG/ML Ophthalmic Suspension [Azopt] today.

Coverage Details

Formularies covering
4
Plans covering
44
Coverage rate
0.9%
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

2023 Medicare Spending

Beneficiaries
43,939
Total spending
$52,752,444
Avg per beneficiary
$1,200.58

Tier Distribution Across Plans

2 plans
Tier 1, Preferred Generic
17 plans
Tier 3, Preferred Brand
25 plans
Tier 4, Non-Preferred

Standalone Drug Plans (PDP) Covering brinzolamide 10 MG/ML Ophthalmic Suspension [Azopt]

25 standalone prescription drug plans include this drug.

Plan Insurer Tier PA ST Premium States
SilverScript Choice (PDP) SILVERSCRIPT INSURANCE COMPANY T4 No No $73.50 -
SilverScript Choice (PDP) SILVERSCRIPT INSURANCE COMPANY T4 No No $78.20 -
SilverScript Choice (PDP) SILVERSCRIPT INSURANCE COMPANY T4 No No $78.30 -
SilverScript Choice (PDP) SILVERSCRIPT INSURANCE COMPANY T4 No No $85.90 -
SilverScript Choice (PDP) SILVERSCRIPT INSURANCE COMPANY T4 No No $88.30 -
SilverScript Choice (PDP) SILVERSCRIPT INSURANCE COMPANY T4 No No $90.20 -
SilverScript Choice (PDP) SILVERSCRIPT INSURANCE COMPANY T4 No No $90.30 -
SilverScript Choice (PDP) SILVERSCRIPT INSURANCE COMPANY T4 No No $94.80 -
SilverScript Choice (PDP) SILVERSCRIPT INSURANCE COMPANY T4 No No $94.90 -
SilverScript Choice (PDP) SILVERSCRIPT INSURANCE COMPANY T4 No No $94.90 -
SilverScript Choice (PDP) SILVERSCRIPT INSURANCE COMPANY T4 No No $94.90 -
SilverScript Choice (PDP) SILVERSCRIPT INSURANCE COMPANY T4 No No $94.90 -
SilverScript Choice (PDP) SILVERSCRIPT INSURANCE COMPANY T4 No No $94.90 -
SilverScript Choice (PDP) SILVERSCRIPT INSURANCE COMPANY T4 No No $97.30 -
SilverScript Choice (PDP) SILVERSCRIPT INSURANCE COMPANY T4 No No $97.40 -
SilverScript Choice (PDP) SILVERSCRIPT INSURANCE COMPANY T4 No No $97.40 -
SilverScript Choice (PDP) SILVERSCRIPT INSURANCE COMPANY T4 No No $97.40 -
SilverScript Choice (PDP) SILVERSCRIPT INSURANCE COMPANY T4 No No $98.30 -
SilverScript Choice (PDP) SILVERSCRIPT INSURANCE COMPANY T4 No No $98.30 -
SilverScript Choice (PDP) SILVERSCRIPT INSURANCE COMPANY T4 No No $98.40 -
SilverScript Choice (PDP) SILVERSCRIPT INSURANCE COMPANY T4 No No $100.70 -
SilverScript Choice (PDP) SILVERSCRIPT INSURANCE COMPANY T4 No No $103.60 -
SilverScript Choice (PDP) SILVERSCRIPT INSURANCE COMPANY T4 No No $104.00 -
SilverScript Choice (PDP) SILVERSCRIPT INSURANCE COMPANY T4 No No $105.10 -
SilverScript Choice (PDP) SILVERSCRIPT INSURANCE COMPANY T4 No No $116.00 -

Medicare Advantage Plans (MA-PD) Covering brinzolamide 10 MG/ML Ophthalmic Suspension [Azopt]

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

Plan Insurer Tier PA Premium States
Hamaspik Medicare Choice (HMO D-SNP) HAMASPIK, INC. T1 No $0 NY
Hamaspik Medicare Select (HMO D-SNP) HAMASPIK, INC. T1 No $34.50 NY
MCS Classicare RxMax (HMO) MCS ADVANTAGE, INC. T3 No $0 PR
MMM Supremo (HMO C-SNP) MMM HEALTHCARE, LLC T3 No $0 PR
MMM Diamante Platino (HMO D-SNP) MMM HEALTHCARE, LLC T3 No $0 PR
MMM Unico (HMO-POS) MMM HEALTHCARE, LLC T3 No $0 PR
MMM Elite (HMO-POS) MMM HEALTHCARE, LLC T3 No $0 PR
MMM Deluxe (HMO-POS) MMM HEALTHCARE, LLC T3 No $0 PR
MMM Dorado Platino (HMO D-SNP) MMM HEALTHCARE, LLC T3 No $0 PR
PMC Premier Platino (HMO D-SNP) MMM HEALTHCARE, LLC T3 No $0 PR
PMC Max (HMO-POS) MMM HEALTHCARE, LLC T3 No $0 PR
MMM Plenitud (HMO-POS) MMM HEALTHCARE, LLC T3 No $0 PR
MMM Valioso (HMO-POS) MMM HEALTHCARE, LLC T3 No $0 PR
MMM Combo Platino (HMO D-SNP) MMM HEALTHCARE, LLC T3 No $0 PR
MMM Flexi Platino (HMO D-SNP) MMM HEALTHCARE, LLC T3 No $0 PR
MMM Grandioso (HMO-POS) MMM HEALTHCARE, LLC T3 No $0 PR
MMM Mega Flex (HMO-POS) MMM HEALTHCARE, LLC T3 No $0 PR
MMM Relax Platino (HMO D-SNP) MMM HEALTHCARE, LLC T3 No $0 PR
MMM Balance (HMO-POS) MMM HEALTHCARE, LLC T3 No $0 PR

Frequently Asked Questions

Is brinzolamide 10 MG/ML Ophthalmic Suspension [Azopt] covered by Medicare Part D?

Yes, brinzolamide 10 MG/ML Ophthalmic Suspension [Azopt] is covered by 44 Medicare Part D plans (0.9% of all Part D formularies).

What tier is brinzolamide 10 MG/ML Ophthalmic Suspension [Azopt] on Medicare Part D plans?

brinzolamide 10 MG/ML Ophthalmic Suspension [Azopt] averages Tier 2.8 across Part D plans, ranging from Tier 1 to Tier 4.

Does brinzolamide 10 MG/ML Ophthalmic Suspension [Azopt] require prior authorization?

0% of Part D formularies require prior authorization for brinzolamide 10 MG/ML Ophthalmic Suspension [Azopt]. Step therapy: 0%. Quantity limits: 0%.

How much does Medicare spend on brinzolamide 10 MG/ML Ophthalmic Suspension [Azopt]?

In 2023, total Medicare Part D spending on brinzolamide 10 MG/ML Ophthalmic Suspension [Azopt] was $52,752,444, covering 43,939 beneficiaries. The average spend per beneficiary was $1,200.58.

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