Medicare Part D coverage · Preservative-Free timolol · RxCUI 1922894

Preservative-Free timolol 5 MG/ML Ophthalmic Solution

Per the CMS 2026 Part D formulary file, Preservative-Free timolol 5 MG/ML Ophthalmic Solution is covered by 893 Medicare Part D plans (17.7% of enrollable products), averaging Tier 3.3, with prior authorization required on 6.7% of covering formularies.

17.7%
Plan coverage
893
Plans covering
T3.3
Avg tier
6.7%
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 Preservative-Free timolol 5 MG/ML Ophthalmic Solution

Per the CMS 2026 Part D formulary file, Preservative-Free timolol 5 MG/ML Ophthalmic Solution (RxNorm concept RXCUI 1922894, generic name Preservative-Free timolol) appears on 15 distinct formulary files spanning 893 Medicare Part D plan offerings - 17.7% 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 3.3.

Real-world access to Preservative-Free timolol 5 MG/ML Ophthalmic Solution depends on utilization management as much as tier placement: 6.7% 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 Preservative-Free timolol 5 MG/ML Ophthalmic Solution today.

Coverage Details

Formularies covering
15
Plans covering
893
Coverage rate
17.7%
Tier range
Tier 1 – Tier 4
Average tier
Tier 3, Preferred Brand

Restrictions

Prior authorization required
6.7% of formularies
Step therapy required
0% of formularies
Quantity limits
0% of formularies

Tier Distribution Across Plans

3 plans
Tier 1, Preferred Generic
15 plans
Tier 2, Generic
82 plans
Tier 4, Non-Preferred

Standalone Drug Plans (PDP) Covering Preservative-Free timolol 5 MG/ML Ophthalmic Solution

26 standalone prescription drug plans include this drug.

Plan Insurer Tier PA ST Premium States
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Show the next 6 plans
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Value Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Value Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Value Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Value Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Value Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -

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

74 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
Community Care's Partnership Program (HMO D-SNP) Community Care Health Plan, Inc. T1 No $0 WI
Hamaspik Medicare Select (HMO D-SNP) Hamaspik, Inc. T1 No $34.50 NY
Select Health Medicare Essential (HMO) Selecthealth, Inc. T2 No $0 UT
Select Health Medicare Essential (HMO) Selecthealth, Inc. T2 No $0 NV
Select Health Medicare Dual (HMO D-SNP) Selecthealth, Inc. T2 No $0 UT
Select Health Medicare Essential (HMO) Selecthealth, Inc. T2 No $0 UT
Select Health Medicare + Kroger (HMO) Selecthealth, Inc. T2 No $0 NV
Select Health Medicare + Kroger (HMO) Selecthealth, Inc. T2 No $0 UT
Select Health Medicare Essential (HMO) Selecthealth, Inc. T2 No $0 CO
Select Health Medicare Essential (HMO) Selecthealth, Inc. T2 No $0 CO
Select Health Medicare + Kroger (HMO) Selecthealth, Inc. T2 No $0 CO
Select Health Medicare Flex (HMO) Selecthealth, Inc. T2 No $0 CO
Select Health Medicare + Kroger (HMO) Selecthealth, Inc. T2 No $0 CO
Select Health Medicare Active (HMO) Selecthealth, Inc. T2 No $0 CO
Select Health Medicare Dual (HMO D-SNP) Selecthealth, Inc. T2 No $0 NV
Select Health Medicare Wellness (HMO) Selecthealth, Inc. T2 No $0 NV
Healthy Mississippi Premier Advantage (HMO-POS) Healthy Mississippi, Inc. T2 No $0 MS
Network Health Select (PPO) Network Health Insurance Corporation T4 Yes $0 WI
Network Health Go (PPO) Network Health Insurance Corporation T4 Yes $0 WI
Show the next 30 plans
Network Health Anywhere (PPO) Network Health Insurance Corporation T4 Yes $0 WI
Network Health Choice (PPO) Network Health Insurance Corporation T4 Yes $0 WI
Network Health Zero (PPO) Network Health Insurance Corporation T4 Yes $0 WI
Humana Gold Plus H0028-014 (HMO) CHA HMO, Inc. T4 No $0 IL, MO
Humana Gold Plus H0028-019 (HMO) CHA HMO, Inc. T4 No $0 NM
Humana Gold Plus H0028-021 (HMO) CHA HMO, Inc. T4 No $0 AZ
Humana Gold Plus H0028-024 (HMO) CHA HMO, Inc. T4 No $0 AZ
Humana Gold Plus H0028-028 (HMO) CHA HMO, Inc. T4 No $0 AZ
Humana Gold Plus H0028-029 (HMO) CHA HMO, Inc. T4 No $0 TX
Humana Gold Plus H0028-030 (HMO) CHA HMO, Inc. T4 No $0 TX
Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP) CHA HMO, Inc. T4 No $0 TX
Humana Gold Plus H0028-035 (HMO) CHA HMO, Inc. T4 No $0 TX
Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP) CHA HMO, Inc. T4 No $0 TX
Humana Gold Plus H0028-037 (HMO) CHA HMO, Inc. T4 No $0 TX
Humana Gold Plus H0028-041 (HMO) CHA HMO, Inc. T4 No $0 TX
Humana Gold Plus H0028-042 (HMO) CHA HMO, Inc. T4 No $0 TX
Humana Gold Plus H0028-043 (HMO) CHA HMO, Inc. T4 No $0 TX
Humana Gold Plus H0028-046 (HMO) CHA HMO, Inc. T4 No $0 TX
Humana Gold Plus H0028-053 (HMO) CHA HMO, Inc. T4 No $0 IA, NE
Humana Gold Plus H0028-054 (HMO-POS) CHA HMO, Inc. T4 No $0 KS, MO
Humana Gold Plus H0028-059 (HMO) CHA HMO, Inc. T4 No $0 TX
Humana Gold Plus H0028-062 (HMO) CHA HMO, Inc. T4 No $0 AZ
Humana Essentials Plus Giveback H0028-063 (HMO) CHA HMO, Inc. T4 No $0 CO
Humana Gold Plus Giveback H0028-065 (HMO) CHA HMO, Inc. T4 No $0 IL, MO
Humana Gold Plus Giveback H0028-066 (HMO-POS) CHA HMO, Inc. T4 No $0 KS, MO
Humana Gold Plus H0028-072 (HMO) CHA HMO, Inc. T4 No $0 TX
Humana Gold Plus H0028-074 (HMO) CHA HMO, Inc. T4 No $0 AZ
Humana Dual Select H0028-078 (HMO D-SNP) CHA HMO, Inc. T4 No $0 CO
Humana Dual Select H0028-079 (HMO D-SNP) CHA HMO, Inc. T4 No $0 CO
Humana Gold Plus SNP-DE H0028-080 (HMO D-SNP) CHA HMO, Inc. T4 No $0 NE

Showing top 50 of 74 plans.

Frequently Asked Questions

Is Preservative-Free timolol 5 MG/ML Ophthalmic Solution covered by Medicare Part D?

Yes, Preservative-Free timolol 5 MG/ML Ophthalmic Solution is covered by 893 Medicare Part D plans (17.7% of all Part D formularies).

What tier is Preservative-Free timolol 5 MG/ML Ophthalmic Solution on Medicare Part D plans?

Preservative-Free timolol 5 MG/ML Ophthalmic Solution averages Tier 3.3 across Part D plans, ranging from Tier 1 to Tier 4.

Does Preservative-Free timolol 5 MG/ML Ophthalmic Solution require prior authorization?

6.7% of Part D formularies require prior authorization for Preservative-Free 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