timolol 2.5 MG/ML Ophthalmic Solution
timolol
RxCUI: 1923428
What the CMS Formulary Data Shows for timolol 2.5 MG/ML Ophthalmic Solution
Per the CMS 2026 Part D formulary file, timolol 2.5 MG/ML Ophthalmic Solution (RxNorm concept RXCUI 1923428, generic name timolol) appears on 330 distinct formulary files spanning 5,067 Medicare Part D plan offerings - 100% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 2, with a cross-plan average of Tier 1.
Real-world access to timolol 2.5 MG/ML Ophthalmic Solution depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 0.6% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 6,978 Part D beneficiaries filled timolol 2.5 MG/ML Ophthalmic Solution in 2023, with total plan-and-beneficiary spending of $4,906,851 and an average per-beneficiary annual cost of $703.19. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry timolol 2.5 MG/ML Ophthalmic Solution today.
Coverage Details
- Formularies covering
- 330
- Plans covering
- 5,067
- Coverage rate
- 100%
- Tier range
- Tier 1 – Tier 2
- Average tier
- Tier 1, Preferred Generic
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0.6% of formularies
2023 Medicare Spending
- Beneficiaries
- 6,978
- Total spending
- $4,906,851
- Avg per beneficiary
- $703.19
Tier Distribution Across Plans
Standalone Drug Plans (PDP) Covering timolol 2.5 MG/ML Ophthalmic Solution
2 standalone prescription drug plans include this drug.
| Plan | Insurer | Tier | PA | ST | Premium | States |
|---|---|---|---|---|---|---|
| AARP Medicare Rx Preferred from UHC (PDP) | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | T1 | No | No | $0 | - |
| AARP Medicare Rx Preferred from UHC (PDP) | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | T1 | No | No | $0 | - |
Medicare Advantage Plans (MA-PD) Covering timolol 2.5 MG/ML Ophthalmic Solution
98 Medicare Advantage plans with Part D drug coverage include this drug.
Frequently Asked Questions
Is timolol 2.5 MG/ML Ophthalmic Solution covered by Medicare Part D?
Yes, timolol 2.5 MG/ML Ophthalmic Solution is covered by 5,067 Medicare Part D plans (100% of all Part D formularies).
What tier is timolol 2.5 MG/ML Ophthalmic Solution on Medicare Part D plans?
timolol 2.5 MG/ML Ophthalmic Solution averages Tier 1 across Part D plans, ranging from Tier 1 to Tier 2.
Does timolol 2.5 MG/ML Ophthalmic Solution require prior authorization?
0% of Part D formularies require prior authorization for timolol 2.5 MG/ML Ophthalmic Solution. Step therapy: 0%. Quantity limits: 0.6%.
How much does Medicare spend on timolol 2.5 MG/ML Ophthalmic Solution?
In 2023, total Medicare Part D spending on timolol 2.5 MG/ML Ophthalmic Solution was $4,906,851, covering 6,978 beneficiaries. The average spend per beneficiary was $703.19.
Read our methodology - how this data is sourced, computed, and verified.