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brimonidine tartrate, timolol maleate 2 mg/mL / 5 mg/mL Medicare Part D Coverage

Brand name: COMBIGAN
Dosage form
SOLUTION/ DROPS
Route
OPHTHALMIC
66%
of Medicare Part D plans
cover brimonidine tartrate, timolol maleate
3,648 of 5,530 plans
3.0
Avg. formulary tier
$0.00
Median 30-day copay
$0.00–$0.00
Copay range

Formulary Tier Distribution

How Medicare Part D plans classify brimonidine tartrate, timolol maleate. Lower tiers = lower copays.

Tier 1 - Preferred Generic 1%
51 plans • avg $0.00/mo
Tier 2 - Generic 0%
3 plans • avg $0.00/mo
Tier 3 - Preferred Brand 98%
3,592 plans • avg $1.07/mo
Tier 4 - Non-Preferred Drug 0%
2 plans

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brimonidine tartrate, timolol maleate Medicare Coverage by State

Coverage rates and average costs vary significantly by state. Click a state to see the specific plans available there.

Frequently Asked Questions about brimonidine tartrate, timolol maleate

66% of Medicare Part D plans cover brimonidine tartrate, timolol maleate. It is most commonly placed on Tier 3. Coverage varies by plan and geographic area.

The median 30-day copay for brimonidine tartrate, timolol maleate on Medicare Part D is $0.00 at a preferred pharmacy. Costs range from $0.00 to $0.00 depending on the plan.

brimonidine tartrate, timolol maleate is placed on Tier 3 by most Medicare Part D plans. Lower tier numbers generally mean lower copays.

0% of plans require prior authorization for brimonidine tartrate, timolol maleate. Prior authorization means your doctor must confirm the drug is medically necessary before the plan will cover it.

Coverage statistics based on CMS formulary data for plan year 2026. Data updated regularly. Methodology →