Preservative-Free timolol 5 MG/ML Ophthalmic Solution

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Preservative-Free timolol

RxCUI: 1922894

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.
0.8%
Plan Coverage
41
Plans Covering
T2.8
Avg Tier
12.5%
Prior Auth Required

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 8 distinct formulary files spanning 41 Medicare Part D plan offerings - 0.8% 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 Preservative-Free timolol 5 MG/ML Ophthalmic Solution depends on utilization management as much as tier placement: 12.5% 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
8
Plans covering
41
Coverage rate
0.8%
Tier range
Tier 1 – Tier 4
Average tier
Tier 3, Preferred Brand

Restrictions

Prior authorization required
12.5% 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
23 plans
Tier 4, Non-Preferred

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

41 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
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
PacificSource Medicare Essentials Rx 27 (HMO) PACIFICSOURCE COMMUNITY HEALTH PLANS T4 No $0 OR
PacificSource Medicare MyCare Choice Rx 29 (HMO-POS) PACIFICSOURCE COMMUNITY HEALTH PLANS T4 No $0 MT
PacificSource Medicare Essentials Choice Rx 36 (HMO-POS) PACIFICSOURCE COMMUNITY HEALTH PLANS T4 No $0 OR
PacificSource Medicare MyCare Rx 40 (HMO) PACIFICSOURCE COMMUNITY HEALTH PLANS T4 No $0 OR
PacificSource Dual Care (HMO D-SNP) PACIFICSOURCE COMMUNITY HEALTH PLANS T4 No $0 OR
PacificSource Dual Care Alliance (HMO D-SNP) PACIFICSOURCE COMMUNITY HEALTH PLANS T4 No $0 OR
PacificSource Medicare MyCare Choice Rx 34 (HMO-POS) PACIFICSOURCE COMMUNITY HEALTH PLANS T4 No $19.00 ID
Network Health Cares (PPO D-SNP) NETWORK HEALTH INSURANCE CORPORATION T4 Yes $21.10 WI
PacificSource Medicare Essentials Choice Rx 14 (HMO-POS) PACIFICSOURCE COMMUNITY HEALTH PLANS T4 No $29.10 OR
Network Health PlusRx (PPO) NETWORK HEALTH INSURANCE CORPORATION T4 Yes $38.60 WI
Independent Health's Assure Advantage (HMO C-SNP) INDEPENDENT HEALTH ASSOCIATION, INC. T4 No $46.50 NY
PacificSource Medicare MyCare Choice Rx 24 (HMO-POS) PACIFICSOURCE COMMUNITY HEALTH PLANS T4 No $52.00 ID
Independent Health's Medicare Family Choice (HMO I-SNP) INDEPENDENT HEALTH ASSOCIATION, INC. T4 No $58.80 NY
PacificSource Medicare Essentials Rx 41 (HMO) PACIFICSOURCE COMMUNITY HEALTH PLANS T4 No $69.30 OR
PacificSource Medicare Explorer Rx 4 (PPO) PACIFICSOURCE COMMUNITY HEALTH PLANS T4 No $88.70 OR
Network Health PremierRx (PPO) NETWORK HEALTH INSURANCE CORPORATION T4 Yes $92.80 WI
PacificSource Medicare Essentials Rx 6 (HMO) PACIFICSOURCE COMMUNITY HEALTH PLANS T4 No $105.90 OR
Independent Health's Encompass 65 RED 043 (HMO) INDEPENDENT HEALTH ASSOCIATION, INC. T4 No $190.00 NY

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 41 Medicare Part D plans (0.8% 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 2.8 across Part D plans, ranging from Tier 1 to Tier 4.

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

12.5% of Part D formularies require prior authorization for Preservative-Free timolol 5 MG/ML Ophthalmic Solution. Step therapy: 0%. Quantity limits: 0%.

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