How much does Bacitracin Zinc and Polymyxin B Sulfate cost?

Pricing for Bacitracin Zinc and Polymyxin B Sulfate varies by insurance plan, dose, and pharmacy. Our database does not show a fixed cost because prices change faster than we can verify. For current pharmacy prices, check your insurance's formulary tier (in the prior-authorization section), use the GoodRx or Cost Plus Drugs deep links on this page, or ask your pharmacist to run a test claim. If a copay card is listed, it usually drops the out-of-pocket significantly for commercial insurance.

Does Bacitracin Zinc and Polymyxin B Sulfate need prior authorization?

Bacitracin Zinc and Polymyxin B Sulfate appears on 1 payer formulary in our database. PA requirements vary by payer — see the prior-authorization table on this page for specifics. In general, specialty and brand-name drugs are more likely to require PA than generic equivalents.

Is there a copay card or patient assistance program for Bacitracin Zinc and Polymyxin B Sulfate?

We haven't verified an active copay card or PAP for Bacitracin Zinc and Polymyxin B Sulfate in our current data. Check NeedyMeds or RxAssist for independent directories, or submit what you find via our "Report a broken link" form.

What is Bacitracin Zinc and Polymyxin B Sulfate used to treat?

Bacitracin Zinc and Polymyxin B Sulfate (generic: Bacitracin Zinc and Polymyxin B Sulfate) is indicated for Pink Eye. Click any condition name on this page for more detail.

Bacitracin Zinc and Polymyxin B Sulfate

Generic: Bacitracin Zinc and Polymyxin B Sulfate

Verified·Apr 23, 2026

Manufacturer: Bausch Lomb
NDC: 24208-555
RxCUI: 308512
Route: TOPICAL
ICD-10 indication: H10.0

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About Bacitracin Zinc and Polymyxin B Sulfate

Bacitracin Zinc and Polymyxin B Sulfate Ophthalmic Ointment is a sterile antibiotic combination indicated for the treatment of superficial ocular infections involving the conjunctiva and/or cornea caused by susceptible bacteria. It combines the antibacterial action of bacitracin and polymyxin B to stop bacterial growth. This medication is strictly for ophthalmic use and should be applied to the affected eye(s) as directed by a healthcare professional.

Copay & patient assistance

Detailed copay and financial assistance information is not publicly available for this medication at this time. Please consult your pharmacist or the manufacturer's official patient support program for more details.

External links go directly to the manufacturer's portal. RxCopays does not receive compensation for referrals.

Compare pricing elsewhere

RxCopays doesn't sell drugs or take referral fees. Here are the transparent-pricing directories we recommend checking alongside your insurance formulary.

Cost Plus Drug Company

Mark Cuban's transparent-pricing pharmacy — manufacturer cost + 15% markup + $5 dispensing fee. No insurance needed. Search alphabetically for Bacitracin Zinc and Polymyxin B Sulfate.

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GoodRx

Compare local pharmacy prices with GoodRx coupons. Use the price with your insurance or without — whichever is cheaper.

Lookup Bacitracin Zinc and Polymyxin B Sulfate →

NeedyMeds

Independent nonprofit directory of patient assistance programs, copay cards, and charity co-pay foundations.

Search for Bacitracin Zinc and Polymyxin B Sulfate →

RxAssist

PAP directory maintained by Volunteers in Health Care at Brown University. Free, no ads.

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We deep-link because transparency helps patients. None of these partners pay RxCopays.

Prescribing information

From the FDA-approved label for Bacitracin Zinc and Polymyxin B Sulfate. Official source: DailyMed (NLM) · Label effective Oct 18, 2024

Indications and usage

INDICATIONS AND USAGE For the treatment of superficial ocular infections involving the conjunctiva and/or cornea caused by organisms susceptible to bacitracin zinc and polymyxin B sulfate.

Dosage and administration

DOSAGE AND ADMINISTRATION Apply the ointment every 3 or 4 hours for 7 to 10 days, depending on the severity of the infection. FOR OPHTHALMIC USE ONLY

Contraindications

CONTRAINDICATIONS This product is contraindicated in those individuals who have shown hypersensitivity to any of its components.

Warnings

WARNINGS Ophthalmic ointments may retard corneal healing.

Adverse reactions

ADVERSE REACTIONS To report SUSPECTED ADVERSE REACTIONS, contact Bausch & Lomb Incorporated at 1-800-553-5340 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Label text is reproduced as-is from the FDA-approved label. We do not paraphrase, summarize, or omit. Content above is for informational purposes only and is not medical advice. Always consult your prescribing clinician or pharmacist before making decisions about your medication.

Conditions we've indexed resources for

Click a condition to see copay cards, grants, and PA rules specific to it. For the full list of FDA-approved indications, see Prescribing information above.

Pink Eye

Medicare Part D coverage

How Bacitracin Zinc and Polymyxin B Sulfate appears across Medicare Part D plan formularies nationally. Source: CMS monthly Prescription Drug Plan file (2026-04-30).

Covered by plans

49%

2,700 of 5,509 plans

Most common tier

Tier 2

On 63% of covering formularies

Prior authorization required

of covering formularies

Tier	Formularies on this tier	Share
Tier 1 (preferred generic)	113	34%
Tier 2 (generic)	208	63%
Tier 3 (preferred brand)	4	1%
Tier 4 (non-preferred brand)	3	1%

Step therapy: 0% of formularies

Quantity limits: 10% of formularies

Coverage breadth: 328 of 65 formularies

How to read this:plans on the same formulary share tier + PA rules. Your specific plan's copay depends on (a) the tier above, (b) your plan's cost-share for that tier, (c) whether you're in the initial coverage phase or past the 2026 $2,000 out-of-pocket cap. For your exact plan, check its Summary of Benefits or log in to your Medicare.gov account. Copay cards don't apply to Medicare (federal law).

Prior authorization & coverage

Payer	PA	Step therapy	Copay tier
— Medicare Part D	—	—	—

Payer

Step therapy

Copay tier

—

Medicare Part D

—

Related drugs

How this page is sourced

Drug identity verified against openFDA NDC Directory.
Label text (when shown) originates from NLM DailyMed.
Copay and assistance URLs verified periodically; if you hit a broken link, tell us.