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Travoprost 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, 5,163 of 5,492 Medicare Part D and Medicare Advantage drug plans (94%) list Travoprost on their formulary, across 236 of 286 formularies. The most common placement is tier 3 (2,910 plans, 56.4% of those covering it). 7 of the covering plans require prior authorization (0.1%), 47 step therapy and 1,610 a quantity limit.
1,934 covering plans charge a flat copay for a 30-day supply at a preferred retail pharmacy after the deductible — median $0, 1,044 of them $0; 3,229 charge coinsurance instead — median 22% 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: 4,968 of 5,496 plans covered it (90.4%); 2027: 5,163 of 5,492 (94%).
Of 4,367 plans offered in both years, 210 added it to the formulary and 62 dropped it.
Among plans covering it both years, 84 moved it to a higher tier and 575 to a lower one; 0 added prior authorization and 0 removed it.
| Tier | Plans |
|---|---|
| Tier 1 | 355 |
| Tier 2 | 1,417 |
| Tier 3 | 2,910 |
| Tier 4 | 481 |
| Plan type | Plans covering | Share | Prior auth |
|---|---|---|---|
| Stand-alone Part D (PDP) | 177 of 323 | 54.8% | 0% |
| Medicare Advantage with drugs (MA-PD) | 3,100 of 3,200 | 96.9% | 0.2% |
| Special needs plans (SNP) | 1,886 of 1,969 | 95.8% | <0.1% |
| Carrier | Plans covering | Usual tier | Prior auth |
|---|---|---|---|
| Humana | 846 of 846 | Tier 3 | 0 |
| UnitedHealthcare | 757 of 830 | Tier 3 | 0 |
| Devoted Health | 728 of 728 | Tier 2 | 0 |
| Aetna Medicare | 631 of 631 | Tier 2 | 0 |
| Wellcare | 234 of 268 | Tier 1 | 0 |
| HealthSpring | 191 of 226 | Tier 3 | 0 |
| Kaiser Permanente | 112 of 112 | Tier 2 | 0 |
| SCAN Health Plan | 83 of 83 | Tier 3 | 0 |
| Highmark Blue Cross Blue Shield or Highmark Blue Shield | 80 of 80 | Tier 3 | 0 |
| Alignment Health Plan | 77 of 77 | Tier 3 | 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. | 37 of 37 | Tier 3 | 0 |
| Zing Health | 6 of 36 | Tier 4 | 0 |
| Capital Blue Cross | 35 of 35 | Tier 4 | 0 |
| Prominence Health Plan | 29 of 29 | Tier 4 | 0 |
| Medica | 27 of 27 | Tier 3 | 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 | 108 of 114 | 94.7% |
| Alaska | 5 of 9 | 55.6% |
| American Samoa | 0 of 1 | 0% |
| Arizona | 138 of 147 | 93.9% |
| Arkansas | 75 of 85 | 88.2% |
| California | 383 of 397 | 96.5% |
| Colorado | 97 of 106 | 91.5% |
| Connecticut | 48 of 54 | 88.9% |
| Delaware | 37 of 43 | 86% |
| District of Columbia | 11 of 12 | 91.7% |
| Florida | 539 of 545 | 98.9% |
| Georgia | 145 of 149 | 97.3% |
| Guam | 0 of 1 | 0% |
| Hawaii | 40 of 50 | 80% |
| Idaho | 40 of 45 | 88.9% |
| Illinois | 121 of 132 | 91.7% |
| Indiana | 127 of 138 | 92% |
| Iowa | 60 of 64 | 93.8% |
| Kansas | 80 of 84 | 95.2% |
| Kentucky | 117 of 121 | 96.7% |
| Louisiana | 121 of 125 | 96.8% |
| Maine | 46 of 52 | 88.5% |
| Maryland | 34 of 49 | 69.4% |
| Massachusetts | 68 of 89 | 76.4% |
| Michigan | 171 of 182 | 94% |
| Minnesota | 58 of 63 | 92.1% |
| Mississippi | 94 of 104 | 90.4% |
| Missouri | 166 of 170 | 97.6% |
| Montana | 23 of 27 | 85.2% |
| Nebraska | 47 of 51 | 92.2% |
| Nevada | 93 of 100 | 93% |
| New Hampshire | 21 of 25 | 84% |
| New Jersey | 69 of 73 | 94.5% |
| New Mexico | 61 of 68 | 89.7% |
| New York | 195 of 215 | 90.7% |
| North Carolina | 171 of 176 | 97.2% |
| North Dakota | 22 of 26 | 84.6% |
| Northern Mariana Islands | 0 of 1 | 0% |
| Ohio | 157 of 171 | 91.8% |
| Oklahoma | 71 of 81 | 87.7% |
| Oregon | 83 of 92 | 90.2% |
| Pennsylvania | 285 of 323 | 88.2% |
| Puerto Rico | 53 of 64 | 82.8% |
| Rhode Island | 21 of 29 | 72.4% |
| South Carolina | 85 of 89 | 95.5% |
| South Dakota | 26 of 30 | 86.7% |
| Tennessee | 143 of 156 | 91.7% |
| Texas | 403 of 407 | 99% |
| U.S. Virgin Islands | 0 of 1 | 0% |
| Utah | 46 of 53 | 86.8% |
| Vermont | 8 of 14 | 57.1% |
| Virginia | 139 of 144 | 96.5% |
| Washington | 110 of 114 | 96.5% |
| West Virginia | 64 of 69 | 92.8% |
| Wisconsin | 92 of 96 | 95.8% |
| Wyoming | 9 of 13 | 69.2% |
Medicare Part D paid for 838,981 30-day fills of Travoprost in 2024 for about 117,030 enrollees, at an average total cost of $89.75 per 30-day fill (CMS Part D Prescribers by Geography and Drug, national).
Price Travoprost and the rest of a client's list on every plan in their county.
Estimate Travoprost costs by plan
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.