TOBI PODHALER 28 mg Capsule

Also known as Tobramycin. Coverage in North Carolina (CMS PDP Region 08).

3 of 12 stand-alone Part D plans in North Carolina cover this drug on tier 5.

3 of 3 plans apply a prior authorization, step therapy or quantity limit.

73 Medicare Advantage plans in NC do cover it

Medicare Advantage plans carry their own formularies, separate from stand-alone Part D. A patient on an MA-PD plan may have coverage even where no PDP lists the drug. NC: 73 plans.

Every plan that covers it

Plan	Tier	30-day preferred	90-day mail	Unit cost	Est. 30-day fill	Restrictions
AARP Medicare Rx Saver from UHC (PDP)$56.90/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$52.6115	$12,626.76240 units	Prior authorization Quantity limit 224 per 28 days
SilverScript Choice (PDP)$90.20/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$51.4794	$6,177.53120 units	Prior authorization Quantity limit 224 per 56 days
AARP Medicare Rx Preferred from UHC (PDP)$119.80/mo premium · $130.00 deductible	5Specialty Tier	31%	—	$52.6115	$12,626.76240 units	Prior authorization Quantity limit 224 per 28 days

Cost-sharing is the initial coverage phase at a preferred pharmacy; a percentage is coinsurance of the plan’s negotiated price, and the deductible may apply first. CMS publishes a negotiated price per unit, so the 30-day fill is shown only where the plan’s own quantity limit supplies the quantity.

See coverage in all 39 regions →