Medicare Part D coverage · tobramycin · RxCUI 1596030

tobramycin 60 MG/ML Inhalation Solution [Kitabis]

Per the CMS 2026 Part D formulary file, tobramycin 60 MG/ML Inhalation Solution [Kitabis] is covered by 103 Medicare Part D plans (2% of enrollable products), averaging Tier 3.7, with prior authorization required on 100% of covering formularies.

2%
Plan coverage
103
Plans covering
T3.7
Avg tier
100%
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 tobramycin 60 MG/ML Inhalation Solution [Kitabis]

Per the CMS 2026 Part D formulary file, tobramycin 60 MG/ML Inhalation Solution [Kitabis] (RxNorm concept RXCUI 1596030, generic name tobramycin) appears on 6 distinct formulary files spanning 103 Medicare Part D plan offerings - 2% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 5, with a cross-plan average of Tier 3.7.

Real-world access to tobramycin 60 MG/ML Inhalation Solution [Kitabis] depends on utilization management as much as tier placement: 100% of covering formularies require prior authorization. 0% require step therapy. 16.7% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 195,319 Part D beneficiaries filled tobramycin 60 MG/ML Inhalation Solution [Kitabis] in 2023, with total plan-and-beneficiary spending of $2,165,446 and an average per-beneficiary annual cost of $11.09. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry tobramycin 60 MG/ML Inhalation Solution [Kitabis] today.

Coverage Details

Formularies covering
6
Plans covering
103
Coverage rate
2%
Tier range
Tier 1 – Tier 5
Average tier
Tier 4, Non-Preferred

Restrictions

Prior authorization required
100% of formularies
Step therapy required
0% of formularies
Quantity limits
16.7% of formularies

2023 Medicare Spending

Beneficiaries
195,319
Total spending
$2,165,446
Avg per beneficiary
$11.09

Tier Distribution Across Plans

8 plans
Tier 1, Preferred Generic
92 plans
Tier 5, Specialty

Medicare Advantage Plans (MA-PD) Covering tobramycin 60 MG/ML Inhalation Solution [Kitabis]

100 Medicare Advantage plans with Part D drug coverage include this drug.

Plan Insurer Tier PA Premium States
Horizon NJ TotalCare (HMO D-SNP) Horizon Healthcare OF NEW Jersey, Inc. T1 Yes $0 NJ
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) Gateway Health Plan, Inc. T1 Yes $0 PA
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) Gateway Health Plan, Inc. T1 Yes $0 PA
Highmark Health Options Duals (HMO D-SNP) Highmark Health Options West Virginia Inc. T1 Yes $0 WV
Highmark Health Options Duals (HMO D-SNP) Highmark Bcbsd, Inc. T1 Yes $0 DE
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) Gateway Health Plan, Inc. T1 Yes $13.10 PA
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) Gateway Health Plan, Inc. T1 Yes $17.60 PA
Highmark Health Options Duals Select (HMO D-SNP) Highmark Bcbsd, Inc. T1 Yes $31.20 DE
Medicare BlueEssential (PPO) Excellus Health Plan, Inc. T5 Yes $0 NY
Medicare BlueActive (PPO) Excellus Health Plan, Inc. T5 Yes $0 NY
Medicare BlueVital (PPO) Excellus Health Plan, Inc. T5 Yes $0 NY
Univera SeniorChoice Basic (HMO) Excellus Health Plan, Inc. T5 Yes $0 NY
Univera SeniorChoice Extra (HMO) Excellus Health Plan, Inc. T5 Yes $0 NY
Medicare Blue Choice Core (HMO) Excellus Health Plan, Inc. T5 Yes $0 NY
Univera Medicare Dual (HMO D-SNP) Excellus Health Plan Community Care LLC T5 Yes $0 NY
Medicare Blue Dual (HMO D-SNP) Excellus Health Plan Community Care LLC T5 Yes $0 NY
CDPHP $0 Medicare Rx (HMO) Capital District Physicians' Health Plan, Inc. T5 Yes $0 NY
SCAN Connections (HMO D-SNP) Scan Health Plan T5 Yes $0 CA
SCAN Connections at Home (HMO D-SNP) Scan Health Plan T5 Yes $0 CA
SCAN Classic (HMO) Scan Health Plan Nevada, Inc. T5 Yes $0 NV
Show the next 30 plans
SCAN Balance (HMO C-SNP) Scan Health Plan Nevada, Inc. T5 Yes $0 NV
SCAN Strive (HMO C-SNP) Scan Health Plan Nevada, Inc. T5 Yes $0 NV
SCAN MyChoice (HMO) Scan Health Plan Nevada, Inc. T5 Yes $0 NV
SCAN Classic (HMO) Scan Desert Health Plan, Inc. T5 Yes $0 AZ
SCAN Balance (HMO C-SNP) Scan Desert Health Plan, Inc. T5 Yes $0 AZ
SCAN Embrace (HMO-POS I-SNP) Scan Desert Health Plan, Inc. T5 Yes $0 AZ
SCAN Strive (HMO C-SNP) Scan Desert Health Plan, Inc. T5 Yes $0 AZ
SCAN MyChoice (HMO) Scan Desert Health Plan, Inc. T5 Yes $0 AZ
SCAN Classic WA (HMO) Scan Health Plan (WA) T5 Yes $0 WA
SCAN MyChoice WA (HMO) Scan Health Plan (WA) T5 Yes $0 WA
SCAN Classic (HMO) Scan Health Plan (NM) T5 Yes $0 NM
SCAN Balance (HMO C-SNP) Scan Health Plan (NM) T5 Yes $0 NM
SCAN Strive (HMO C-SNP) Scan Health Plan (NM) T5 Yes $0 NM
SCAN MyChoice (HMO) Scan Health Plan (NM) T5 Yes $0 NM
SCAN Classic (HMO) Scan Health Plan T5 Yes $0 CA
SCAN Classic (HMO) Scan Health Plan T5 Yes $0 CA
SCAN Classic (HMO) Scan Health Plan T5 Yes $0 CA
SCAN Classic (HMO) Scan Health Plan T5 Yes $0 CA
SCAN Classic (HMO) Scan Health Plan T5 Yes $0 CA
SCAN Classic (HMO) Scan Health Plan T5 Yes $0 CA
SCAN Classic (HMO) Scan Health Plan T5 Yes $0 CA
SCAN Balance (HMO C-SNP) Scan Health Plan T5 Yes $0 CA
SCAN Prime (HMO) Scan Health Plan T5 Yes $0 CA
SCAN Classic (HMO) Scan Health Plan T5 Yes $0 CA
SCAN Balance (HMO C-SNP) Scan Health Plan T5 Yes $0 CA
SCAN Classic (HMO) Scan Health Plan T5 Yes $0 CA
SCAN Balance (HMO C-SNP) Scan Health Plan T5 Yes $0 CA
SCAN Alta (HMO) Scan Health Plan T5 Yes $0 CA
SCAN Venture (HMO) Scan Health Plan T5 Yes $0 CA
SCAN Venture (HMO) Scan Health Plan T5 Yes $0 CA

Showing top 50 of 100 plans.

Frequently Asked Questions

Is tobramycin 60 MG/ML Inhalation Solution [Kitabis] covered by Medicare Part D?

Yes, tobramycin 60 MG/ML Inhalation Solution [Kitabis] is covered by 103 Medicare Part D plans (2% of all Part D formularies).

What tier is tobramycin 60 MG/ML Inhalation Solution [Kitabis] on Medicare Part D plans?

tobramycin 60 MG/ML Inhalation Solution [Kitabis] averages Tier 3.7 across Part D plans, ranging from Tier 1 to Tier 5.

Does tobramycin 60 MG/ML Inhalation Solution [Kitabis] require prior authorization?

100% of Part D formularies require prior authorization for tobramycin 60 MG/ML Inhalation Solution [Kitabis]. Step therapy: 0%. Quantity limits: 16.7%.

How much does Medicare spend on tobramycin 60 MG/ML Inhalation Solution [Kitabis]?

In 2023, total Medicare Part D spending on tobramycin 60 MG/ML Inhalation Solution [Kitabis] was $2,165,446, covering 195,319 beneficiaries. The average spend per beneficiary was $11.09.

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