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cyclosporine .5 mg/mL Medicare Part D Coverage

Brand name: RESTASIS
Dosage form
EMULSION
Route
OPHTHALMIC
60%
of Medicare Part D plans
cover cyclosporine
3,313 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 cyclosporine. Lower tiers = lower copays.

Tier 1 - Preferred Generic 2%
77 plans • avg $0.00/mo
Tier 2 - Generic 0%
3 plans • avg $0.00/mo
Tier 3 - Preferred Brand 98%
3,233 plans • avg $2.40/mo

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cyclosporine 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 cyclosporine

60% of Medicare Part D plans cover cyclosporine. It is most commonly placed on Tier 3. Coverage varies by plan and geographic area.

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

cyclosporine 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 cyclosporine. 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 →