Prolensa Coupon - Prolensa 3ml of 0.07% eye dropper
BROMFENAC is a non-steroidal anti-inflammatory drug (NSAID). The eye drops are used to treat pain and swelling after eye surgery. Compare NSAIDs.
Prolensa Coupon - Prolensa 3ml of 0.07% eye dropper

Prolensa Medicare Coverage

Overview

Does Medicare cover Prolensa?

Maybe.
54% of Medicare Part D and Medicare Advantage plans cover this drug, so it's pretty much a toss-up.

How much is my Prolensa co-pay with Medicare?

It depends. Which coverage stage are you in? Click on a tab below…

Deductible
Typical
Donut Hole
Post-Donut Hole
Co-Pay Range
$229 – $265
In the Deductible co-pay stage, you are responsible for the full cost of your prescriptions. Your Medicare deductible cannot exceed $360 in 2016.
Co-Pay Range
$23 – $265
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$69 – $265
In the Donut Hole (also called the Coverage Gap) stage, you’ll pay more for your prescriptions. In 2016, the Donut Hole begins once you’ve spent $3,310 in one year.
Co-Pay Range
$11 – $265
In the Post-Donut Hole (also called Catastrophic Coverage) stage, Medicare will cover most of your drug costs. In 2016, this stage begins once you have spent $4,850.
Want an exact price for your co-pay?

Ways to Save on Prolensa

Here are some ways that may lower the cost of your Prolensa prescription.

Fill a 90-Day Supply to Save
You may be able to lower your total cost by filling a greater quantity at one time.
Lower Cost Alternative
Less expensive drugs that work the same way may be available.

Find Your Prolensa Medicare Co-Pay

Here are average co-pays for some of the most popular Medicare plans. Be sure to add your plan to see your specific co-pay. If a price is shown in red, GoodRx has found discount prices that are lower than your Medicare co-pay.

Average Co-Pay for 1 eye dropper (3ml) of Prolensa 0.07%

Medicare Plan Name Average Co-Pay
AARP MedicareRx Preferred (PDP) $107
AARP MedicareRx Saver Plus (PDP) $69
AARP MedicareRx Walgreens (PDP) $74
Aetna Medicare Rx Saver (PDP) $85
Anthem Blue Cross MedicareRx Plus (PDP)Lower price available $265
Anthem MediBlue Essential (HMO)Lower price available $265
CareMore Value Plus (HMO)Lower price available $265
Cigna-HealthSpring Preferred (HMO) $86
EnvisionRxPlus (PDP) $138
Express Scripts Medicare - Choice (PDP) $53
Express Scripts Medicare - Value (PDP) $40
First Health Part D Value Plus (PDP) $118
Humana Enhanced (PDP)Lower price available $265
Humana Preferred Rx Plan (PDP)Lower price available $265
Humana Walmart Rx Plan (PDP)Lower price available $265
Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost) $95
MedicareBlue Rx Standard (PDP) $43
SilverScript Plus (PDP) $28
Symphonix Value Rx (PDP) $80
TexanPlus Classic (HMO) $184
Don't see your Medicare plan above?

Find and configure your plan to see exact co-pay prices for your meds.

Prolensa Medicare Formulary Information & Restrictions

What drug tier is Prolensa typically on?

Tier 3

Medicare plans typically list Prolensa in Tier 3 of their formulary. Tier 3 drugs are usually preferred brand-name drugs. Tier 3 drugs cost more than Tier 1 and 2 drugs.

Does your plan have restrictions?

See discount prices that can save you money when your Medicare plan doesn't work for you.

Medicare prices are provided by the Centers for Medicare and Medicaid Services (CMS). They are accurate as-of January 2017 and the information may be updated. If you encounter any issues, please let us know.
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