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Brinzolamide is a generic drug. What agents check before quoting it: how many 2027 Part D plans cover it, on which tier, with what restrictions and copays, by plan type, carrier and state.
In 2027, 3,954 of 5,492 Medicare Part D and Medicare Advantage drug plans (72%) list Brinzolamide on their formulary, across 187 of 286 formularies. The most common placement is tier 4 (2,093 plans, 52.9% of those covering it). 0 of the covering plans require prior authorization (0%), 916 step therapy and 29 a quantity limit.
608 covering plans charge a flat copay for a 30-day supply at a preferred retail pharmacy after the deductible — median $0, 409 of them $0; 3,346 charge coinsurance instead — median 25% of the drug's cost. Once a member's out-of-pocket drug spending reaches $2,400 in 2027, covered drugs cost $0 for the rest of the year.
2026: 3,944 of 5,496 plans covered it (71.8%); 2027: 3,954 of 5,492 (72%).
Of 4,367 plans offered in both years, 22 added it to the formulary and 19 dropped it.
Among plans covering it both years, 81 moved it to a higher tier and 368 to a lower one; 0 added prior authorization and 0 removed it.
| Tier | Plans |
|---|---|
| Tier 1 | 317 |
| Tier 2 | 256 |
| Tier 3 | 1,288 |
| Tier 4 | 2,093 |
| Plan type | Plans covering | Share | Prior auth |
|---|---|---|---|
| Stand-alone Part D (PDP) | 139 of 323 | 43% | 0% |
| Medicare Advantage with drugs (MA-PD) | 2,300 of 3,200 | 71.9% | 0% |
| Special needs plans (SNP) | 1,515 of 1,969 | 76.9% | 0% |
| Carrier | Plans covering | Usual tier | Prior auth |
|---|---|---|---|
| Humana | 0 of 846 | No tier listed | 0 |
| UnitedHealthcare | 796 of 830 | Tier 3 | 0 |
| Devoted Health | 728 of 728 | Tier 4 | 0 |
| Aetna Medicare | 631 of 631 | Tier 4 | 0 |
| Wellcare | 268 of 268 | Tier 1 | 0 |
| HealthSpring | 191 of 226 | Tier 3 | 0 |
| Kaiser Permanente | 0 of 112 | No tier listed | 0 |
| SCAN Health Plan | 0 of 83 | No tier listed | 0 |
| Highmark Blue Cross Blue Shield or Highmark Blue Shield | 80 of 80 | Tier 4 | 0 |
| Alignment Health Plan | 77 of 77 | Tier 4 | 0 |
| Anthem Blue Cross and Blue Shield | 74 of 74 | Tier 3 | 0 |
| Wellpoint | 63 of 63 | Tier 3 | 0 |
| Priority Health Medicare | 40 of 40 | Tier 4 | 0 |
| CarePlus Health Plans, Inc. | 0 of 37 | No tier listed | 0 |
| Zing Health | 36 of 36 | Tier 2 | 0 |
| Capital Blue Cross | 35 of 35 | Tier 4 | 0 |
| Prominence Health Plan | 29 of 29 | Tier 2 | 0 |
| Medica | 0 of 27 | No tier listed | 0 |
| Anthem HealthKeepers | 26 of 26 | Tier 3 | 0 |
| Blue Cross Blue Shield of Michigan | 26 of 26 | Tier 4 | 0 |
| State | Plans covering | Share |
|---|---|---|
| Alabama | 87 of 114 | 76.3% |
| Alaska | 4 of 9 | 44.4% |
| American Samoa | 1 of 1 | 100% |
| Arizona | 109 of 147 | 74.1% |
| Arkansas | 56 of 85 | 65.9% |
| California | 246 of 397 | 62% |
| Colorado | 70 of 106 | 66% |
| Connecticut | 44 of 54 | 81.5% |
| Delaware | 34 of 43 | 79.1% |
| District of Columbia | 8 of 12 | 66.7% |
| Florida | 370 of 545 | 67.9% |
| Georgia | 97 of 149 | 65.1% |
| Guam | 1 of 1 | 100% |
| Hawaii | 34 of 50 | 68% |
| Idaho | 28 of 45 | 62.2% |
| Illinois | 91 of 132 | 68.9% |
| Indiana | 100 of 138 | 72.5% |
| Iowa | 48 of 64 | 75% |
| Kansas | 59 of 84 | 70.2% |
| Kentucky | 74 of 121 | 61.2% |
| Louisiana | 72 of 125 | 57.6% |
| Maine | 35 of 52 | 67.3% |
| Maryland | 28 of 49 | 57.1% |
| Massachusetts | 79 of 89 | 88.8% |
| Michigan | 158 of 182 | 86.8% |
| Minnesota | 34 of 63 | 54% |
| Mississippi | 73 of 104 | 70.2% |
| Missouri | 119 of 170 | 70% |
| Montana | 7 of 27 | 25.9% |
| Nebraska | 34 of 51 | 66.7% |
| Nevada | 72 of 100 | 72% |
| New Hampshire | 14 of 25 | 56% |
| New Jersey | 52 of 73 | 71.2% |
| New Mexico | 52 of 68 | 76.5% |
| New York | 185 of 215 | 86% |
| North Carolina | 128 of 176 | 72.7% |
| North Dakota | 14 of 26 | 53.8% |
| Northern Mariana Islands | 1 of 1 | 100% |
| Ohio | 118 of 171 | 69% |
| Oklahoma | 50 of 81 | 61.7% |
| Oregon | 67 of 92 | 72.8% |
| Pennsylvania | 249 of 323 | 77.1% |
| Puerto Rico | 63 of 64 | 98.4% |
| Rhode Island | 18 of 29 | 62.1% |
| South Carolina | 61 of 89 | 68.5% |
| South Dakota | 16 of 30 | 53.3% |
| Tennessee | 106 of 156 | 67.9% |
| Texas | 316 of 407 | 77.6% |
| U.S. Virgin Islands | 1 of 1 | 100% |
| Utah | 35 of 53 | 66% |
| Vermont | 4 of 14 | 28.6% |
| Virginia | 88 of 144 | 61.1% |
| Washington | 70 of 114 | 61.4% |
| West Virginia | 39 of 69 | 56.5% |
| Wisconsin | 66 of 96 | 68.8% |
| Wyoming | 5 of 13 | 38.5% |
Medicare Part D paid for 361,097 30-day fills of Brinzolamide in 2024 for about 57,281 enrollees, at an average total cost of $104.29 per 30-day fill (CMS Part D Prescribers by Geography and Drug, national).
Price Brinzolamide and the rest of a client's list on every plan in their county.
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Free tools for licensed insurance agents. Data from CMS public files; verify with plan documents before advising a client.
Counts are over every Medicare Advantage drug plan and stand-alone Part D plan in the CMS monthly formulary files, excluding employer plans. A plan counts as covering a drug when any strength or form of it is on the plan’s formulary; the tier, prior authorization, step therapy and quantity limit shown are the most favorable version on that formulary. Copays are for a 30-day supply at a preferred retail pharmacy after the deductible. This is a reference for licensed agents, not a plan recommendation; verify with the plan’s formulary before advising a client. Source: CMS Part D formulary files (release 10/08/2026). CMS formulary data.