Cosopt in 2026: What's the Current Situation?

If you depend on Cosopt (Dorzolamide/Timolol) eye drops to manage your glaucoma, you may have experienced frustrating pharmacy visits where your medication wasn't available. Shortages of ophthalmic medications have become more common in recent years, and Cosopt has been caught up in these disruptions more than once.

Here's what you need to know about Cosopt availability, cost, and your options in 2026.

Is Cosopt Still in Shortage?

As of early 2026, Cosopt and generic Dorzolamide/Timolol are not listed on the FDA's official drug shortage list. This is encouraging news, but it doesn't tell the whole story. Many patients continue to report difficulty finding the medication at their local pharmacies, particularly in certain regions.

The difference between a formal FDA shortage and what patients experience on the ground can be significant. A drug can be technically "available" at the manufacturer level while individual pharmacies — especially in rural areas or those served by specific wholesalers — may still struggle to stock it consistently.

Why Has Cosopt Been Hard to Find?

Several factors have contributed to Cosopt availability challenges:

• Akorn's bankruptcy in 2023: Akorn was a major manufacturer of generic ophthalmic products, including Dorzolamide/Timolol. When the company went bankrupt, it removed a significant source of supply from the market.
• Manufacturing complexity: Sterile ophthalmic solutions require specialized production facilities. Any quality control issue can shut down a manufacturing line for extended periods.
• Wholesale distribution gaps: Not all pharmacies use the same wholesalers, so availability can vary dramatically from one pharmacy to another in the same city.
• Rising demand: The aging U.S. population means more glaucoma diagnoses each year, increasing overall demand for IOP-lowering medications.

For a deeper dive, read our article on why Cosopt is so hard to find.

How Much Does Cosopt Cost in 2026?

Cost depends heavily on whether you're getting the brand-name or generic version:

• Brand-name Cosopt: $140 to $220 for a 10 mL bottle without insurance
• Generic Dorzolamide/Timolol: $10 to $25 with a discount coupon from GoodRx, SingleCare, or similar services
• Cosopt PF (preservative-free): $45 to $140 depending on the pharmacy and whether a coupon is used

The generic version is the same medication at a fraction of the cost. If you're paying out of pocket, always ask for the generic. For more ways to lower your costs, check out our guide on how to save money on Cosopt.

Are There New Options in 2026?

The glaucoma treatment landscape continues to evolve. While Cosopt remains a trusted option, a few developments are worth knowing about:

• Newer combination drops: Medications like Rocklatan (Netarsudil/Latanoprost) offer once-daily dosing with a different mechanism of action.
• MIGS procedures: Minimally invasive glaucoma surgeries are becoming more common and can reduce or eliminate the need for daily eye drops in some patients.
• Generic competition: With Akorn's manufacturing assets being acquired by other companies, additional generic supply may come online, improving availability and lowering prices further.

If you're interested in alternatives, read our full comparison: Alternatives to Cosopt.

How to Find Cosopt in Stock Right Now

If you need to fill your Cosopt prescription today, here are the most effective strategies:

1. Search Medfinder: Go to medfinder.com and search for Cosopt or Dorzolamide/Timolol to see real-time pharmacy availability near your zip code.
2. Try independent pharmacies: They often use different wholesalers than chain pharmacies and may have stock when CVS or Walgreens don't.
3. Ask about mail-order pharmacy: Your insurance may offer a mail-order option with better access to medications in tight supply.
4. Call your doctor: If you truly can't find it, your ophthalmologist can prescribe an alternative or give you samples to bridge the gap.

For detailed tips, see our guide: How to find Cosopt in stock near you.

Final Thoughts

The Cosopt supply situation in 2026 is better than it was during the worst shortages of 2017-2018, but it's not perfect. Some patients still encounter availability issues at their local pharmacies. The key is to stay proactive: use tools like Medfinder, keep your doctor in the loop, and know your alternatives.

Glaucoma requires consistent treatment. Don't let a temporary supply issue put your vision at risk. With the right approach, you can keep your eye pressure controlled and your treatment on track.