Glaucoma eye drops on every 2026 Connecticut Part D plan
Pick a drug class, or type the drugs you want to check, and see which of the 11 stand-alone Part D plans in Connecticut cover each one, on what tier, and with what restrictions.
- Covered
- Covered, needs prior authorization (PA) or step therapy (ST)
- Not on the formulary
- QL 60/30d = quantity limit, 60 units per 30 days
11 plans, cheapest premium first. Scroll sideways for all of them →
| Drug | Humana Basic Rx Plan$8.40/moS5884-102 | Wellcare Value Script$16.40/moS4802-137 | Blue MedicareRx Value Plus$20.70/moS2893-001 | Wellcare Classic$21.70/moS4802-076 | SilverScript Choice$32.70/moS5601-004 | AARP Medicare Rx Saver from UHC$38.70/moS5921-348 | Humana Value Rx Plan$73.60/moS5884-182 | Humana Premier Rx Plan$138.60/moS5884-149 | HealthSpring Assurance Rx$139.30/moS5617-008 | AARP Medicare Rx Preferred from UHC$155.10/moS5921-385 | Blue MedicareRx Premier$238.60/moS2893-003 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| latanoprostgeneric Xalatan | Tier 2$1.00QL 5/25d | Tier 1$0.00 | Tier 1$0.00 | Tier 1$0.00 | Tier 1$2.00 | Tier 2$8.00 | Tier 1$0.00QL 5/25d | Tier 1$0.00QL 5/25d | Tier 1$0.00 | Tier 1$5.00 | Tier 1$1.00 |
| timololgeneric Timoptic | Tier 1$0.00 | Tier 1$0.00 | Tier 1$0.00 | Tier 1$0.00 | Tier 1$2.00 | Tier 2$8.00 | Tier 1$0.00 | Tier 1$0.00 | Tier 1$0.00 | Tier 1$5.00 | Tier 1$1.00 |
| dorzolamide-timololgeneric Cosopt | Tier 2$1.00 | Tier 2$3.00 | Tier 2$3.00 | Tier 2$10.00 | Tier 1$2.00 | Tier 2$8.00 | Tier 2$0.00 | Tier 2$4.00 | Tier 2$2.00 | Tier 2$10.00 | Tier 2$7.00 |
| brimonidinegeneric Alphagan | Tier 1$0.00 | Tier 1$0.00 | Tier 1$0.00 | Tier 2$10.00 | Tier 1$2.00 | Tier 2$8.00 | Tier 1$0.00 | Tier 1$0.00 | Tier 2$2.00 | Tier 2$10.00 | Tier 1$1.00 |
| Lumiganbimatoprost | Tier 325%QL 2.5/25d | Not covered | Not covered | Not covered | Tier 319% | Not covered | Tier 318%QL 2.5/25d | Tier 3$45.00QL 2.5/25d | Tier 321% | Tier 315% | Tier 3$30.00 |
| Combiganbrimonidine and timolol | Not covered | Tier 325% | Tier 317% | Tier 325% | Tier 319% | Not covered | Not covered | Not covered | Not covered | Tier 315% | Tier 3$30.00 |
| Rhopressanetarsudil | Not covered | Not covered | Tier 432% | Not covered | Tier 435% | Not covered | Not covered | Not covered | Tier 321% | Tier 3ST15% | Tier 435% |
| Vyzultalatanoprostene bunod | Tier 432%QL 2.5/25d | Tier 440% | Tier 432% | Tier 429% | Tier 435% | Tier 435% | Tier 431%QL 2.5/25d | Tier 450%QL 2.5/25d | Not covered | Tier 430% | Tier 435% |
Where a plan covers several strengths or forms of a drug, the cell shows the least restricted one. Costs are the 30-day preferred-pharmacy cost-sharing in the initial coverage phase, from the CMS 2026 formulary files. Click a plan for its full drug list.