Medicare Part D coverage · tobramycin · RxCUI 213194
tobramycin 60 MG/ML Inhalation Solution [Tobi]
Per the CMS 2026 Part D formulary file, tobramycin 60 MG/ML Inhalation Solution [Tobi] is covered by 75 Medicare Part D plans (1.5% of enrollable products), averaging Tier 3, with prior authorization required on 100% of covering formularies.
- 1.5%
- Plan coverage
- 75
- Plans covering
- T3
- Avg tier
- 100%
- Prior auth required
What the CMS Formulary Data Shows for tobramycin 60 MG/ML Inhalation Solution [Tobi]
Per the CMS 2026 Part D formulary file, tobramycin 60 MG/ML Inhalation Solution [Tobi] (RxNorm concept RXCUI 213194, generic name tobramycin) appears on 2 distinct formulary files spanning 75 Medicare Part D plan offerings - 1.5% 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.
Real-world access to tobramycin 60 MG/ML Inhalation Solution [Tobi] depends on utilization management as much as tier placement: 100% of covering formularies require prior authorization. 0% require step therapy. 0% 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 [Tobi] 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 [Tobi] today.
Coverage Details
- Formularies covering
- 2
- Plans covering
- 75
- Coverage rate
- 1.5%
- Tier range
- Tier 1 – Tier 5
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 100% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 195,319
- Total spending
- $2,165,446
- Avg per beneficiary
- $11.09
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering tobramycin 60 MG/ML Inhalation Solution [Tobi]
75 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 |
| 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 |
| 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 |
Show the next 30 plans
| 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 |
| SCAN Embrace (HMO I-SNP) | Scan Health Plan | T5 | Yes | $0 | CA |
| SCAN Embrace (HMO I-SNP) | Scan Health Plan | T5 | Yes | $0 | CA |
| SCAN Embrace (HMO-POS I-SNP) | Scan Health Plan | T5 | Yes | $0 | CA |
| SCAN Affirm partnered with Included LGBTQ+ Health (HMO) | Scan Health Plan | T5 | Yes | $0 | CA |
| SCAN Affirm partnered with Included LGBTQ+ Health (HMO) | Scan Health Plan | T5 | Yes | $0 | CA |
| SCAN Strive (HMO C-SNP) | Scan Health Plan | T5 | Yes | $0 | CA |
| SCAN Strive (HMO C-SNP) | Scan Health Plan | T5 | Yes | $0 | CA |
| SCAN Inspired by women for women (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 Balance (HMO C-SNP) | Scan Health Plan | T5 | Yes | $0 | CA |
| SCAN Balance (HMO C-SNP) | Scan Health Plan | T5 | Yes | $0 | CA |
| SCAN Balance (HMO C-SNP) | Scan Health Plan | T5 | Yes | $0 | CA |
| SCAN Affirm partnered with Included LGBTQ+ Health (HMO) | Scan Health Plan | T5 | Yes | $0 | CA |
| SCAN MyChoice (HMO) | Scan Health Plan | T5 | Yes | $0 | CA |
| SCAN MyChoice (HMO) | Scan Health Plan | T5 | Yes | $0 | CA |
Showing top 50 of 75 plans.
Frequently Asked Questions
Is tobramycin 60 MG/ML Inhalation Solution [Tobi] covered by Medicare Part D?
Yes, tobramycin 60 MG/ML Inhalation Solution [Tobi] is covered by 75 Medicare Part D plans (1.5% of all Part D formularies).
What tier is tobramycin 60 MG/ML Inhalation Solution [Tobi] on Medicare Part D plans?
tobramycin 60 MG/ML Inhalation Solution [Tobi] averages Tier 3 across Part D plans, ranging from Tier 1 to Tier 5.
Does tobramycin 60 MG/ML Inhalation Solution [Tobi] require prior authorization?
100% of Part D formularies require prior authorization for tobramycin 60 MG/ML Inhalation Solution [Tobi]. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on tobramycin 60 MG/ML Inhalation Solution [Tobi]?
In 2023, total Medicare Part D spending on tobramycin 60 MG/ML Inhalation Solution [Tobi] was $2,165,446, covering 195,319 beneficiaries. The average spend per beneficiary was $11.09.
Read our methodology - how this data is sourced, computed, and verified.
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.
Closest average formulary tier
Similar prior-authorization rate
- sodium phenylbutyrate 0.483 MG/MG Oral Pellet [Pheburane] 100% PA
- formoterol fumarate 0.01 MG/ML Inhalation Solution [Perforomist] 100% PA
- lusutrombopag 3 MG Oral Tablet [Mulpleta] 100% PA
- 12 HR tapentadol 100 MG Extended Release Oral Tablet [Nucynta] 100% PA
- {14 (24 HR lamotrigine 100 MG Extended Release Oral Tablet [Lamictal]) / 7 (24 HR lamotrigine 200 MG Extended Release Oral Tablet [Lamictal]) / 14 (24 HR lamotrigine 50 MG Extended Release Oral Tablet [Lamictal]) } Pack [Lamictal XR Green Patient Titration Kit (for Patients Taking Carbamazepine, Phenytoin, Phenobarbital, or Primidone, and Not Taking Valproate)] 100% PA
- eltrombopag 25 MG Oral Tablet [Promacta] 100% PA