MedicarePartD.guide

A non-government resource built from CMS public data

BROMFENAC OPHTHALMIC SOLUTION 0.09% 1.035 mg/mL Solution/ Drops

Coverage in Oregon and Washington (CMS PDP Region 30).

2 of 10 stand-alone Part D plans in Oregon and Washington cover this drug on tier 4.

No plan applies a prior authorization, step therapy or quantity limit.

94 Medicare Advantage plans in OR, WA 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. OR: 42 plans · WA: 52 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Wellcare Value Script (PDP)$0.00/mo premium · $615.00 deductible4Non-Preferred Drug40%40%$63.1855—None
SilverScript Choice (PDP)$85.90/mo premium · $615.00 deductible4Non-Preferred Drug33%33%$75.8581—None

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 →