Medicare drug coverage
Lumigan in Ohio: 2027 Part D coverage
120 of 173 Part D plans offered in Ohio (69%) list Lumigan on their 2027 formulary, the plan's list of covered drugs (down 18 points from 2026). 17% of those require prior authorization, step therapy, or a quantity limit. Plan counts include both Medicare Advantage plans with drug coverage (164 MA-PD) and stand-alone drug plans (9 PDP).
License: a US government work, in the public domain (Public Domain Mark 1.0).
For pharmacies and agencies: check a whole drug list against 2027 formularies.
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Every 2027 plan in Ohio
Each Part D plan offered in Ohio, with Lumigan's 2026 and 2027 tier and its 2027 limits. A tier is the cost level a plan puts a drug on; a lower tier usually costs less. Enter a ZIP to see only the plans offered in that county.
PA is prior authorization (the plan must approve it first), ST is step therapy (try another drug first), and QL is a quantity limit. D-SNP, C-SNP, and I-SNP are Special Needs Plans: for people with both Medicare and Medicaid, with certain chronic conditions, or who live in a nursing home or need that level of care. Plans are listed by plan ID.
| Plan | Plan ID | Type | 2026 tier | 2027 tier | 2027 PA / ST / QL | Change |
|---|---|---|---|---|---|---|
| Humana Gold Plus H0292-004 (HMO-POS) | H0292-004-000 | MA-PD (HMO-POS) | New plan ID | Tier 4 | PA, QL | New plan ID in 2027 |
| Aetna Medicare Signature Care (HMO-POS) | H0628-001-000 | MA-PD (HMO-POS) | Tier 3 | Tier 3 | None | No change |
| Aetna Medicare Signature Extra (HMO-POS) | H0628-003-000 | MA-PD (HMO-POS) | Tier 3 | Tier 3 | None | No change |
| Aetna Medicare Signature Care (HMO-POS) | H0628-005-000 | MA-PD (HMO-POS) | Tier 3 | Tier 3 | None | No change |
| Aetna Medicare Signature Care (HMO-POS) | H0628-017-000 | MA-PD (HMO-POS) | Tier 3 | Tier 3 | None | No change |
| Aetna Medicare Longevity (HMO I-SNP) | H0628-018-000 | MA-PD (HMO I-SNP) | Tier 3 | Tier 3 | None | No change |
| Aetna Medicare Signature (HMO-POS) | H0628-021-000 | MA-PD (HMO-POS) | Tier 3 | Tier 3 | None | No change |
| Aetna Medicare Chronic Care Total (HMO C-SNP) | H0628-031-000 | MA-PD (HMO C-SNP) | Tier 3 | Tier 3 | None | No change |
| Aetna Medicare Chronic Care Total (HMO C-SNP) | H0628-032-000 | MA-PD (HMO C-SNP) | Tier 3 | Tier 3 | None | No change |
| Aetna Medicare Chronic Care Total (HMO C-SNP) | H0628-033-000 | MA-PD (HMO C-SNP) | Tier 3 | Tier 3 | None | No change |
| Aetna Medicare Chronic Care Total (HMO C-SNP) | H0628-034-000 | MA-PD (HMO C-SNP) | Tier 3 | Tier 3 | None | No change |
| Aetna Medicare Chronic Care (HMO C-SNP) | H0628-036-000 | MA-PD (HMO C-SNP) | Tier 3 | Tier 3 | None | No change |
| Aetna Medicare Chronic Care (HMO C-SNP) | H0628-037-000 | MA-PD (HMO C-SNP) | Tier 3 | Tier 3 | None | No change |
| Aetna Medicare Chronic Care (HMO C-SNP) | H0628-038-000 | MA-PD (HMO C-SNP) | Tier 3 | Tier 3 | None | No change |
| Aetna Medicare Chronic Care (HMO C-SNP) | H0628-039-000 | MA-PD (HMO C-SNP) | Tier 3 | Tier 3 | None | No change |
| Aetna Medicare Prime Care (HMO-POS) | H0628-045-000 | MA-PD (HMO-POS) | New plan ID | Tier 3 | None | New plan ID in 2027 |
| HealthSpring Preferred (HMO) | H0672-006-000 | MA-PD (HMO) | Tier 3 | Not listed | Not listed | No longer listed |
| HealthSpring Preferred (HMO) | H0672-013-000 | MA-PD (HMO) | Tier 3 | Not listed | Not listed | No longer listed |
| HealthSpring Preferred Savings (HMO) | H0672-016-000 | MA-PD (HMO) | Tier 3 | Not listed | Not listed | No longer listed |
| HealthSpring Preferred Savings (HMO) | H0672-017-000 | MA-PD (HMO) | Tier 3 | Not listed | Not listed | No longer listed |
| UHC Nursing Home Plan OH-F001 (PPO I-SNP) | H0710-027-000 | MA-PD (PPO I-SNP) | Tier 3 | Tier 3 | None | No change |
| UHC Care Advantage OH-E001 (PPO I-SNP) | H0710-057-000 | MA-PD (PPO I-SNP) | Tier 3 | Tier 3 | None | No change |
| Valor Health Plan (HMO I-SNP) | H1119-001-000 | MA-PD (HMO I-SNP) | Tier 1 | Not listed | Not listed | No longer listed |
| Aetna Medicare Advantra Signature Classic (PPO) | H1608-029-000 | MA-PD (PPO) | Tier 3 | Tier 3 | None | No change |
| DEVOTED CHOICE 001 OH (PPO) | H2526-001-000 | MA-PD (PPO) | Tier 3 | Tier 3 | None | No change |
Data only, not plan advice. Confirm on Medicare.gov Plan Finder or 1-800-MEDICARE.
Ohio compared with the nation
42% of the 173 Part D plans offered in Ohio leave Lumigan off the 2027 formulary or restrict it, against 49% nationally (7 points lower). Ohio ranks 42 of 51 states from most to least restrictive; it shares its 42% with 1 other state, and the prior authorization or step therapy share sets the order among them. A plan offered in several states counts in each.
2027 compared with 2026
| Measure | 2026 | 2027 | Change |
|---|---|---|---|
| Part D plans in the file | 206 | 173 | -33 |
| Plans that list it | 180 (87%) | 120 (69%) | -18 points |
| Prior authorization (of plans that list it) | 0 (0%) | 20 (17%) | +17 points |
| Step therapy (of plans that list it) | 0 (0%) | 0 (0%) | no change |
| Quantity limit (of plans that list it) | 39 (22%) | 20 (17%) | -5 points |
| Any of the three (of plans that list it) | 39 (22%) | 20 (17%) | -5 points |
| Not listed or restricted (of all plans) | 65 (32%) | 73 (42%) | +10 points |
Formulary tier
| Tier | 2026 plans | 2027 plans |
|---|---|---|
| Tier 1 | 2 (1%) | 0 (0%) |
| Tier 3 | 178 (99%) | 100 (83%) |
| Tier 4 | 0 (0%) | 20 (17%) |
Plan by plan, 2026 to 2027
| Plan by plan | Plans |
|---|---|
| Same plan ID in both years | 143 |
| Listed it in 2026, not in 2027 | 21 (15%) |
| Listed it in 2027, not in 2026 | 0 (0%) |
| Moved it to a higher tier | 15 (10%) |
| Moved it to a lower tier | 0 (0%) |
| Added prior authorization | 15 (10%) |
| Added step therapy | 0 (0%) |
| Added a quantity limit | 0 (0%) |
| Added at least one of the three | 15 (10%) |
| Removed at least one of the three | 0 (0%) |
| Plan IDs new in 2027 | 30 |
| 2026 plan IDs not in the 2027 file | 62 |
The CMS summary has no count of tier moves down, so "Moved it to a lower tier" is counted from the plan rows on this page: plans with the same plan ID in both years that list Lumigan both years.
Plans that list Lumigan fell from 180 to 120; 21 of the 143 plans offered in both years stopped listing it. The rest of the fall comes from the plan list. 62 plan IDs offered here in 2026 are not in the 2027 file, and 58 of them listed it. 30 plan IDs are new in 2027, and 20 of them list it. 1 plan ID offered here in 2026 is offered only in other states in 2027, and it listed it.
Same plan ID in both years (143) plus 2026 plan IDs not in the 2027 file (62) add up to 205, not the 206 plans offered in Ohio in 2026, because some plans are offered in different states in 2026 and 2027. 1 plan ID offered here in 2026 is offered only in other states in 2027, so it counts in neither row.
Lumigan in other states
- Alabama43% restrict or leave off, +11 pointsAL
- Alaska78% restrict or leave off, +11 pointsAK
- Arizona49% restrict or leave off, +17 pointsAZ
- Arkansas53% restrict or leave off, +22 pointsAR
- California71% restrict or leave off, +26 pointsCA
- Colorado48% restrict or leave off, +3 pointsCO
- Connecticut30% restrict or leave off, +11 pointsCT
- Delaware56% restrict or leave off, +20 pointsDE
- District of Columbia52% restrict or leave off, +8 pointsDC
- Florida49% restrict or leave off, +13 pointsFL
- Georgia58% restrict or leave off, +26 pointsGA
- Hawaii38% restrict or leave off, -2 pointsHI
- Idaho42% restrict or leave off, +8 pointsID
- Illinois45% restrict or leave off, +14 pointsIL
- Indiana34% restrict or leave off, no changeIN
- Iowa47% restrict or leave off, +9 pointsIA
- Kansas40% restrict or leave off, +5 pointsKS
- Kentucky50% restrict or leave off, +5 pointsKY
- Louisiana53% restrict or leave off, +16 pointsLA
- Maine44% restrict or leave off, +14 pointsME
- Maryland53% restrict or leave off, -6 pointsMD
- Massachusetts36% restrict or leave off, +6 pointsMA
- Michigan49% restrict or leave off, +4 pointsMI
- Minnesota75% restrict or leave off, +21 pointsMN
- Mississippi55% restrict or leave off, +21 pointsMS
- Missouri39% restrict or leave off, +8 pointsMO
- Montana81% restrict or leave off, +9 pointsMT
- Nebraska51% restrict or leave off, +11 pointsNE
- Nevada59% restrict or leave off, +11 pointsNV
- New Hampshire52% restrict or leave off, +12 pointsNH
- New Jersey49% restrict or leave off, +20 pointsNJ
- New Mexico34% restrict or leave off, -8 pointsNM
- New York37% restrict or leave off, +1 pointNY
- North Carolina52% restrict or leave off, +12 pointsNC
- North Dakota69% restrict or leave off, +33 pointsND
- Oklahoma53% restrict or leave off, -4 pointsOK
- Oregon59% restrict or leave off, +12 pointsOR
- Pennsylvania63% restrict or leave off, +8 pointsPA
- Rhode Island45% restrict or leave off, +6 pointsRI
- South Carolina62% restrict or leave off, +23 pointsSC
- South Dakota67% restrict or leave off, +30 pointsSD
- Tennessee31% restrict or leave off, +7 pointsTN
- Texas47% restrict or leave off, +11 pointsTX
- Utah47% restrict or leave off, +4 pointsUT
- Vermont86% restrict or leave off, +17 pointsVT
- Virginia43% restrict or leave off, +4 pointsVA
- Washington49% restrict or leave off, +2 pointsWA
- West Virginia63% restrict or leave off, no changeWV
- Wisconsin61% restrict or leave off, +9 pointsWI
- Wyoming77% restrict or leave off, +30 pointsWY
About this data
A plan here is one Part D plan as the CMS formulary files list it: contract, plan, and segment. That covers Medicare Advantage plans with drug coverage and stand-alone drug plans. A plan lists a drug when its formulary has a row for any RxNorm product of that name. When it has several, the row with the lowest tier is the one counted, and restricted means that row has prior authorization, step therapy, or a quantity limit.
A plan with no row for the drug counts as not listing it. That can be a product the file codes another way, so read a low count as a lookup result, not a coverage decision. A state counts every plan the CMS landscape file offers there. Parent organizations are named as CMS names them. The drug list is the top 200 by total Part D spending.
Source: CMS 2027 Part D formulary file (basic drugs and plan information), as of October 8, 2026. Publisher page
Source: CMS 2026 Part D formulary file (basic drugs and plan information), as of September 30, 2026. Publisher page
Source: CMS CY2027 landscape file (states and parent organizations), as of September 30, 2026. Publisher page
Source: CMS CY2026 landscape file, as of September 25, 2025. Publisher page
Source: CMS Medicare Part D Spending by Drug, 2024 data, as of June 25, 2026. Publisher page
Source: US Census Bureau 2020 ZCTA to county relationship file (ZIP lookup), as of December 9, 2021. Publisher page