Medicare Part D coverage · polymyxin B · RxCUI 244967
polymyxin B 10000 UNT/ML / trimethoprim 1 MG/ML Ophthalmic Solution
Per the CMS 2026 Part D formulary file, polymyxin B 10000 UNT/ML / trimethoprim 1 MG/ML Ophthalmic Solution is covered by 5,052 Medicare Part D plans (100% of enrollable products), averaging Tier 1.4, with prior authorization required on 0% of covering formularies.
- 100%
- Plan coverage
- 5,052
- Plans covering
- T1.4
- Avg tier
- 0%
- Prior auth required
What the CMS Formulary Data Shows for polymyxin B 10000 UNT/ML / trimethoprim 1 MG/ML Ophthalmic Solution
Per the CMS 2026 Part D formulary file, polymyxin B 10000 UNT/ML / trimethoprim 1 MG/ML Ophthalmic Solution (RxNorm concept RXCUI 244967, generic name polymyxin B) appears on 328 distinct formulary files spanning 5,052 Medicare Part D plan offerings - 100% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 1.4.
Real-world access to polymyxin B 10000 UNT/ML / trimethoprim 1 MG/ML Ophthalmic Solution depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 9.5% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 334,644 Part D beneficiaries filled polymyxin B 10000 UNT/ML / trimethoprim 1 MG/ML Ophthalmic Solution in 2023, with total plan-and-beneficiary spending of $3,745,764 and an average per-beneficiary annual cost of $11.19. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry polymyxin B 10000 UNT/ML / trimethoprim 1 MG/ML Ophthalmic Solution today.
Coverage Details
- Formularies covering
- 328
- Plans covering
- 5,052
- Coverage rate
- 100%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 1, Preferred Generic
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 9.5% of formularies
2023 Medicare Spending
- Beneficiaries
- 334,644
- Total spending
- $3,745,764
- Avg per beneficiary
- $11.19
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering polymyxin B 10000 UNT/ML / trimethoprim 1 MG/ML Ophthalmic Solution
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Community Blue Medicare HMO Signature (HMO) | Highmark Western and Northeastern New York Inc. | T1 | No | $0 | NY |
| Community Blue Medicare HMO Merit (HMO) | Highmark Western and Northeastern New York Inc. | T1 | No | $0 | NY |
| Community Blue Medicare PPO Signature (PPO) | Highmark Senior Health Company | T1 | No | $0 | PA |
| Complete Blue PPO Signature (PPO) | Highmark Senior Health Company | T1 | No | $0 | PA |
| Community Blue Medicare Plus PPO Signature (PPO) | Highmark Senior Health Company | T1 | No | $0 | PA |
| Complete Blue PPO Signature (PPO) | Highmark Senior Health Company | T1 | No | $0 | PA |
| Complete Blue PPO Merit (PPO) | Highmark Senior Health Company | T1 | No | $0 | PA |
| Complete Blue PPO Signature (PPO) | Highmark Senior Health Company | T1 | No | $0 | PA |
| Complete Blue PPO Distinct (PPO) | Highmark Senior Health Company | T1 | No | $0 | PA |
| Community Blue Medicare Plus PPO Signature (PPO) | Highmark Senior Health Company | T1 | No | $0 | PA |
| Complete Blue Plus PPO Merit (PPO) | Highmark Senior Health Company | T1 | No | $0 | PA |
| Community Blue Medicare PPO Signature (PPO) | Highmark Senior Health Company | T1 | No | $0 | PA |
| Complete Blue PPO Merit (PPO) | Highmark Senior Health Company | T1 | No | $0 | PA |
| Community Blue Medicare HMO Signature (HMO) | Highmark Choice Company | T1 | No | $0 | PA |
| Security Blue HMO-POS ValueRx (HMO-POS) | Highmark Choice Company | T1 | No | $0 | PA |
| Community Blue Medicare HMO Signature (HMO) | Highmark Choice Company | T1 | No | $0 | PA |
| Together Blue Medicare HMO Signature (HMO) | Highmark Choice Company | T1 | No | $0 | PA |
| Community Blue Medicare HMO Distinct (HMO) | Highmark Choice Company | T1 | No | $0 | PA |
| Complete Blue HMO Distinct (HMO) | Highmark Choice Company | T1 | No | $0 | PA |
| Complete Blue PPO Distinct (PPO) | Highmark Senior Solutions Company | T1 | No | $0 | WV |
Show the next 30 plans
Showing top 50 of 100 plans.
Frequently Asked Questions
Is polymyxin B 10000 UNT/ML / trimethoprim 1 MG/ML Ophthalmic Solution covered by Medicare Part D?
Yes, polymyxin B 10000 UNT/ML / trimethoprim 1 MG/ML Ophthalmic Solution is covered by 5,052 Medicare Part D plans (100% of all Part D formularies).
What tier is polymyxin B 10000 UNT/ML / trimethoprim 1 MG/ML Ophthalmic Solution on Medicare Part D plans?
polymyxin B 10000 UNT/ML / trimethoprim 1 MG/ML Ophthalmic Solution averages Tier 1.4 across Part D plans, ranging from Tier 1 to Tier 4.
Does polymyxin B 10000 UNT/ML / trimethoprim 1 MG/ML Ophthalmic Solution require prior authorization?
0% of Part D formularies require prior authorization for polymyxin B 10000 UNT/ML / trimethoprim 1 MG/ML Ophthalmic Solution. Step therapy: 0%. Quantity limits: 9.5%.
How much does Medicare spend on polymyxin B 10000 UNT/ML / trimethoprim 1 MG/ML Ophthalmic Solution?
In 2023, total Medicare Part D spending on polymyxin B 10000 UNT/ML / trimethoprim 1 MG/ML Ophthalmic Solution was $3,745,764, covering 334,644 beneficiaries. The average spend per beneficiary was $11.19.
Read our methodology - how this data is sourced, computed, and verified.
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.
Closest average formulary tier
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