Timoptic (Timolol) Medicare Coverage

Timoptic
Chemical name: Timolol

Brand name: Timoptic

Typical dosage: 5ml of 0.5%

Typical type: Eye drop1

Timpotic is a medication used to treat eye pressure. Timoptic is available as a brand name drug or as a generic and comes as an eye gel and an eye drop.

Timoptic is a medication that contains the active ingredient Timolol. It is used to treat increased pressure within the eye.

Timoptic works in the eye to reduce fluid production and decrease pressure. It is typically used once daily in the morning.

Common side effects of Timoptic include burning, stinging, eye irritation, headache, dizziness and signs of a common cold.

Does Medicare cover Timoptic or Timolol?

While some Medicare plans may not cover Timoptic, some Medicare Advantage plans and Medicare Part D plans may cover generic Timolol.

  • Medicare Advantage plans that offer prescription drug coverage are called Medicare Advantage Prescription Drug Plans (MA-PD). Most Medicare Advantage beneficiaries (88 percent) are enrolled in MA-PDs.1

  • Medicare prescription drugs plans each have their own formulary, or drug list, that details what prescription drugs are covered by the plan and how they are covered.

Drug coverage may vary based on plan availability. You may be able to find Medicare Advantage plan options in your area that cover Timolol.

Find Medicare Advantage plans with drug coverage

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Or call TTY Users: 711 24/7 to speak with a licensed insurance agent.

 

You can also compare Part D prescription drug plans available where you live and enroll in a Medicare prescription drug plan online when you visit MyRxPlans.com.

Average costs for Timolol with Medicare drug coverage

Your copay and deductible costs for any prescription drug can vary depending on what coverage stage you’re in and the Medicare drug plan you have.

Deductible stage Typical copay stage
Your deductible is the amount of money you must spend on covered drugs before your Medicare drug coverage starts paying its share of costs.

In the deductible stage, you’re responsible for the full cost of your prescription drugs.

Some Medicare prescription drug plans have a $0 deductible. Medicare drug plans cannot have a deductible more than $415 in 2019.
After you meet your Part D deductible, you enter the initial coverage period.

During this phase (the typical copay stage), you pay a copayment (flat fee) or coinsurance (percentage) for your covered medications.

Additional information

Elevated eye pressure (intraocular pressure) is typically due to an excess of fluid in the eye. This can cause permanent vision loss and glaucoma.

Use Timoptic in the eye only. Keep using Timoptic as directed by your doctor, even if your eye pressure returns to normal. Try using this medication at the same time every day.

Take out contact lenses before using. Contact lenses can be put back in 15 minutes after using the medication. Tilt your head back and drop Timoptic into the eye. Keep eyes closed after using.

If you use other eye drops, separate them by at least 5 minutes apart. Tell your doctor if you have an eye infection, eye injury or if you plan on having eye surgery in the future.

 

 

This article is for informational purposes only. It is not healthcare advice, treatment, or diagnosis. It is not an endorsement of or recommendation for this medication. Speak to your doctor or healthcare provider about your specific healthcare needs, including your prescription medications. Only take medication as directed by your doctor.

Coverage and costs of prescription medications will vary by Medicare plan. Not all plans are available in all areas.

 

Written by Hayden Gharibyar, Pharm.D.