`Formulary Placement for Medicare Plans 2017-2018
`
`Branded Drugs
`Generic Drugs
`
`Plan
`TRAVATAN Z°
`LUMIGAN®0.01%
`ZIOPTAN®
`XALATAN®
`Latanoprost
`Travoprost
`Bimatoprost 0.03%
`Silverscript Choice
`Tier 3 Preferred
`Tier 3 Preferred
`Not Covered
`Not Covered
`Tier 2 Non-Preferred
`Not Available
`Not Covered
`AARP MedicareRx Preferred
`Tier 3 Preferred
`Tier 3 Preferred
`Not Covered
`Not Covered
`Tier 2 Non-Preferred
`Not Available
`Not Covered
`Humana Walmart Rx PDP
`Tier 3 Preferred*
`Tier 3 Preferred*
`Not Covered
`Not Covered
`Tier 2 Non-Preferred*
`Not Available
`Not Covered
`Humana Preferred Rx PDP
`Tier 3 Preferred*
`Tier 3 Preferred*
`Not Covered
`Not Covered
`Tier 2 Non-Preferred*
`Not Available
`Not Covered
`AARP MedicareComplete
`Tier 3 Preferred
`Tier 3 Preferred
`Not Covered
`Not Covered
`Tier 1 Preferred
`Not Available
`Not Covered
`Humana Gold Plus
`Tier 3 Preferred*
`Tier 3 Preferred*
`Not Covered
`Not Covered
`Tier 1 Preferred*
`Not Available
`Not Covered
`Aetna Medicare Rx Saver
`Tier 4 Non-Preferred
`Tier 3 Preferred
`Not Covered
`Not Covered
`Tier 2 Non-Preferred
`Tier 2 Non-Preferred
`Not Covered
`AARP MedicareRx Saver Plus
`Tier 3 Preferred
`Tier 3 Preferred
`Not Covered
`Not Covered
`Tier 2 Non-Preferred
`Not Available
`Not Covered
`Wellcare Classic
`Tier 3 Preferred
`Tier 3 Preferred
`Not Covered
`Not Covered
`Tier 2 Non-Preferred
`Not Available
`Not Covered
`HumanaChoice
`Tier 3 Preferred*
`Tier 3 Preferred*
`Not Covered
`Not Covered
`Tier 2 Non-Preferred*
`Not Available
`Not Covered
`Silverscript Employer PDP
`Tier 2 Preferred
`Tier 2 Preferred
`Tier 3 Non-Preferred
`Not Covered
`Tier 1 Preferred
`Not Available
`Not Covered
`Humana Enhanced PDP
`Tier 3 Preferred*
`Tier 3 Preferred*
`Not Covered
`Not Covered
`Tier 2 Non-Preferred*
`Not Available
`Not Covered
`Kaiser Permanente Senior Advantage
`Tier 4 Non-Preferred
`Tier 3 Preferred
`Tier 4 Non-Preferred
`Tier 4 Non-Preferred
`Tier 2 Non-Preferred
`Tier 2 Non-Preferred
`Tier 2 Non-Preferred
`Express Scripts High Performance Medicare PDP
`Not Covered
`Not Covered
`Not Covered
`Not Covered
`Tier 2 Non-Preferred
`Tier 2 Non-Preferred
`Tier 2 Non-Preferred
`Express Scripts Premier Access Medicare PDP
`Tier 3 Preferred
`Tier 3 Preferred
`Tier 4 Non-Preferred?
`Tier 4 Non-Preferred*
`Tier 2 Non-Preferred
`Tier 2 Non-Preferred
`Tier 2 Non-Preferred
`
`EXHIBIT 2057
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`Source: CVS/Caremark, Decision Resources Group; SEC Filings
`Note: Planssorted by the numberof lives covered and representthe 15 largest Medicare plans in the U.S. Formulary placementis for years 2017-2018. TRAVATAN® wasdiscontinued in July 2010. RESCULA® was discontinued in March 2015. * denotes quantitylimit restriction.
`denotes prior authorization requirement. + denotes step therapy.
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`+
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`CONFIDENTIAL-PROTECTIVE ORDER MATERIAL
`
`ALCON2057
`Argentum Pharm. LLC v. Alcon Research, Ltd.
`Case IPR2017-01053
`
`