Preservative-Free timolol 2.5 MG/ML Ophthalmic Solution

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Preservative-Free timolol

RxCUI: 1922876

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.
4%
Plan Coverage
202
Plans Covering
T2.8
Avg Tier
8.3%
Prior Auth Required

What the CMS Formulary Data Shows for Preservative-Free timolol 2.5 MG/ML Ophthalmic Solution

Per the CMS 2026 Part D formulary file, Preservative-Free timolol 2.5 MG/ML Ophthalmic Solution (RxNorm concept RXCUI 1922876, generic name Preservative-Free timolol) appears on 12 distinct formulary files spanning 202 Medicare Part D plan offerings - 4% 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 2.5 MG/ML Ophthalmic Solution depends on utilization management as much as tier placement: 8.3% 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 2.5 MG/ML Ophthalmic Solution today.

Coverage Details

Formularies covering
12
Plans covering
202
Coverage rate
4%
Tier range
Tier 1 – Tier 4
Average tier
Tier 3, Preferred Brand

Restrictions

Prior authorization required
8.3% 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 3, Preferred Brand

Medicare Advantage Plans (MA-PD) Covering Preservative-Free timolol 2.5 MG/ML Ophthalmic Solution

100 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
HealthSpring Preferred (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T3 No $0 AZ
HealthSpring Alliance (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T3 No $0 AZ
HealthSpring Preferred Savings (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T3 No $0 AZ
HealthSpring Preferred Full Savings (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T3 No $0 AZ
HealthSpring Preferred GA (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring Preferred Savings (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring Preferred Savings (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring Preferred Savings (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring Preferred Savings (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 MO
HealthSpring Preferred Savings (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 MO
HealthSpring Premier (HMO-POS) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 UT
HealthSpring Preferred (HMO) CIGNA HEALTHCARE OF COLORADO, INC. T3 No $0 NM
HealthSpring Preferred (HMO) CIGNA HEALTHCARE OF COLORADO, INC. T3 No $0 OH
HealthSpring Preferred (HMO) CIGNA HEALTHCARE OF COLORADO, INC. T3 No $0 KY, OH
HealthSpring Preferred Savings (HMO) CIGNA HEALTHCARE OF COLORADO, INC. T3 No $0 OH
HealthSpring Preferred Savings (HMO) CIGNA HEALTHCARE OF COLORADO, INC. T3 No $0 KY, OH
HealthSpring Preferred (HMO) CIGNA HEALTHCARE OF COLORADO, INC. T3 No $0 CO
HealthSpring Preferred (HMO) BRAVO HEALTH MID-ATLANTIC, INC. T3 No $0 DC, DE
HealthSpring Preferred PA (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T3 No $0 PA
HealthSpring Preferred (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T3 No $0 PA
HealthSpring Preferred (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T3 No $0 PA
HealthSpring Preferred (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T3 No $0 PA
HealthSpring Preferred (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T3 No $0 PA
HealthSpring Preferred (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T3 No $0 PA
HealthSpring Preferred Savings (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T3 No $0 PA

Frequently Asked Questions

Is Preservative-Free timolol 2.5 MG/ML Ophthalmic Solution covered by Medicare Part D?

Yes, Preservative-Free timolol 2.5 MG/ML Ophthalmic Solution is covered by 202 Medicare Part D plans (4% of all Part D formularies).

What tier is Preservative-Free timolol 2.5 MG/ML Ophthalmic Solution on Medicare Part D plans?

Preservative-Free timolol 2.5 MG/ML Ophthalmic Solution averages Tier 2.8 across Part D plans, ranging from Tier 1 to Tier 4.

Does Preservative-Free timolol 2.5 MG/ML Ophthalmic Solution require prior authorization?

8.3% of Part D formularies require prior authorization for Preservative-Free timolol 2.5 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