Medicare Part D coverage · tobramycin · RxCUI 207850

tobramycin 0.003 MG/MG Ophthalmic Ointment [Tobrex]

Per the CMS 2026 Part D formulary file, tobramycin 0.003 MG/MG Ophthalmic Ointment [Tobrex] is covered by 489 Medicare Part D plans (9.7% of enrollable products), averaging Tier 3.5, with prior authorization required on 0% of covering formularies.

9.7%
Plan coverage
489
Plans covering
T3.5
Avg tier
0%
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 0.003 MG/MG Ophthalmic Ointment [Tobrex]

Per the CMS 2026 Part D formulary file, tobramycin 0.003 MG/MG Ophthalmic Ointment [Tobrex] (RxNorm concept RXCUI 207850, generic name tobramycin) appears on 26 distinct formulary files spanning 489 Medicare Part D plan offerings - 9.7% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 2 to Tier 4, with a cross-plan average of Tier 3.5.

Real-world access to tobramycin 0.003 MG/MG Ophthalmic Ointment [Tobrex] depends on utilization management as much as tier placement: 0% 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 0.003 MG/MG Ophthalmic Ointment [Tobrex] 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 0.003 MG/MG Ophthalmic Ointment [Tobrex] today.

Coverage Details

Formularies covering
26
Plans covering
489
Coverage rate
9.7%
Tier range
Tier 2 – Tier 4
Average tier
Tier 4, Non-Preferred

Restrictions

Prior authorization required
0% 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

2 plans
Tier 2, Generic
98 plans
Tier 3, Preferred Brand

Medicare Advantage Plans (MA-PD) Covering tobramycin 0.003 MG/MG Ophthalmic Ointment [Tobrex]

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

Plan Insurer Tier PA Premium States
CareAdvantage (HMO D-SNP) SAN Mateo Health Commission T2 No $0 CA
CalOptima Health OneCare Complete (HMO D-SNP) Orange County Health Authority T2 No $0 CA
Freedom VIP Care (HMO C-SNP) Freedom Health, Inc. T3 No $0 FL
Freedom VIP Savings (HMO C-SNP) Freedom Health, Inc. T3 No $0 FL
Freedom VIP Savings (HMO C-SNP) Freedom Health, Inc. T3 No $0 FL
Freedom VIP Rewards (HMO C-SNP) Freedom Health, Inc. T3 No $0 FL
Freedom VIP Rewards (HMO C-SNP) Freedom Health, Inc. T3 No $0 FL
Optimum Diamond Rewards (HMO C-SNP) Optimum Healthcare, Inc. T3 No $0 FL
Optimum Diamond Savings (HMO C-SNP) Optimum Healthcare, Inc. T3 No $0 FL
Optimum Diamond Rewards (HMO C-SNP) Optimum Healthcare, Inc. T3 No $0 FL
Optimum Diamond (HMO C-SNP) Optimum Healthcare, Inc. T3 No $0 FL
Freedom Medi-Medi Partial (HMO D-SNP) Freedom Health, Inc. T3 No $0 FL
Freedom Medi-Medi Full (HMO D-SNP) Freedom Health, Inc. T3 No $0 FL
Optimum Emerald Partial (HMO D-SNP) Optimum Healthcare, Inc. T3 No $0 FL
Optimum Emerald Full (HMO D-SNP) Optimum Healthcare, Inc. T3 No $0 FL
Freedom Medicare Plan Rx (HMO) Freedom Health, Inc. T3 No $0 FL
Freedom Medicare Plan Rx (HMO) Freedom Health, Inc. T3 No $0 FL
Freedom VIP Savings COPD (HMO C-SNP) Freedom Health, Inc. T3 No $0 FL
Freedom VIP Savings COPD (HMO C-SNP) Freedom Health, Inc. T3 No $0 FL
Freedom Platinum Plan Rx (HMO) Freedom Health, Inc. T3 No $0 FL
Show the next 30 plans
Freedom Platinum Plan Rx (HMO) Freedom Health, Inc. T3 No $0 FL
Freedom Platinum Plan Rx (HMO) Freedom Health, Inc. T3 No $0 FL
Freedom Platinum Plan Rx (HMO) Freedom Health, Inc. T3 No $0 FL
Freedom Platinum Plan Rx (HMO) Freedom Health, Inc. T3 No $0 FL
Freedom Platinum Rewards Plan Rx (HMO) Freedom Health, Inc. T3 No $0 FL
Freedom Platinum Rewards Plan Rx (HMO) Freedom Health, Inc. T3 No $0 FL
Freedom Platinum Rewards Plan Rx (HMO) Freedom Health, Inc. T3 No $0 FL
Freedom Platinum Rewards Plan Rx (HMO) Freedom Health, Inc. T3 No $0 FL
Freedom Platinum Rewards Plan Rx (HMO) Freedom Health, Inc. T3 No $0 FL
Freedom Platinum Rewards Plan Rx (HMO) Freedom Health, Inc. T3 No $0 FL
Freedom Máximo (HMO-POS) Freedom Health, Inc. T3 No $0 FL
Freedom Máximo (HMO-POS) Freedom Health, Inc. T3 No $0 FL
Optimum Gold Rewards Plan (HMO) Optimum Healthcare, Inc. T3 No $0 FL
Optimum Platinum Plan (HMO) Optimum Healthcare, Inc. T3 No $0 FL
Optimum Gold Plan (HMO) Optimum Healthcare, Inc. T3 No $0 FL
Optimum Gold Rewards Plan (HMO) Optimum Healthcare, Inc. T3 No $0 FL
Optimum Gold Rewards Plan (HMO) Optimum Healthcare, Inc. T3 No $0 FL
Optimum Diamond Rewards COPD (HMO C-SNP) Optimum Healthcare, Inc. T3 No $0 FL
Optimum Diamond Savings COPD (HMO C-SNP) Optimum Healthcare, Inc. T3 No $0 FL
Optimum Gold Plus Plan (HMO) Optimum Healthcare, Inc. T3 No $0 FL
Optimum Diamond Rewards COPD (HMO C-SNP) Optimum Healthcare, Inc. T3 No $0 FL
HAP Medicare Explore (PPO) Alliance Health AND Life Insurance Company T3 No $0 MI
HAP Medicare Prime (PPO) Alliance Health AND Life Insurance Company T3 No $0 MI
HAP Medicare Connect (HMO) Health Alliance Plan OF Michigan T3 No $0 MI
HAP Medicare Complete Duals (HMO D-SNP) Health Alliance Plan OF Michigan T3 No $0 MI
HAP Medicare Superior (HMO) Health Alliance Plan OF Michigan T3 No $0 MI
Henry Ford Select (HMO) Health Alliance Plan OF Michigan T3 No $0 MI
Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) Kaiser Foundation HP, Inc. T3 No $0 CA
Kaiser Permanente Senior Advantage Enhanced Solano (HMO) Kaiser Foundation HP, Inc. T3 No $0 CA
Kaiser Permanente Senior Advantage Inland Empire (HMO) Kaiser Foundation HP, Inc. T3 No $0 CA

Showing top 50 of 100 plans.

Frequently Asked Questions

Is tobramycin 0.003 MG/MG Ophthalmic Ointment [Tobrex] covered by Medicare Part D?

Yes, tobramycin 0.003 MG/MG Ophthalmic Ointment [Tobrex] is covered by 489 Medicare Part D plans (9.7% of all Part D formularies).

What tier is tobramycin 0.003 MG/MG Ophthalmic Ointment [Tobrex] on Medicare Part D plans?

tobramycin 0.003 MG/MG Ophthalmic Ointment [Tobrex] averages Tier 3.5 across Part D plans, ranging from Tier 2 to Tier 4.

Does tobramycin 0.003 MG/MG Ophthalmic Ointment [Tobrex] require prior authorization?

0% of Part D formularies require prior authorization for tobramycin 0.003 MG/MG Ophthalmic Ointment [Tobrex]. Step therapy: 0%. Quantity limits: 0%.

How much does Medicare spend on tobramycin 0.003 MG/MG Ophthalmic Ointment [Tobrex]?

In 2023, total Medicare Part D spending on tobramycin 0.003 MG/MG Ophthalmic Ointment [Tobrex] 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