Amoxicillin Medicare Coverage in Pennsylvania
cover Amoxicillin
Medicare Plans Covering Amoxicillin in Pennsylvania
Sorted by lowest 30-day copay at a preferred pharmacy. Prices shown are estimates from CMS formulary data.
| Plan Name | Monthly Premium | Tier | 30-day Copay | Stars | Restrictions | Action |
|---|---|---|---|---|---|---|
| Complete Blue PPO Signature (PPO) Lowest Copay | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Keystone 65 Basic Rx (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Community Blue Medicare HMO Distinct (HMO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Community Blue Medicare HMO Signature (HMO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Advantra Signature Plus (HMO-POS) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| UPMC for Life Complete Care (HMO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| HumanaChoice Giveback H5525-085 (PPO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Humana Gold Plus H6622-037 (HMO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Jefferson Health Plans Special (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Community Blue Medicare PPO Signature (PPO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Capital Blue Cross Value (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Community Blue Medicare HMO Signature (HMO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Aetna Community HealthChoices (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Signature (PPO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| UPMC for Life PPO Essential Care Rx (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| DEVOTED GIVEBACK 015 PA (HMO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| UPMC for Life HMO Premier Rx (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Complete Blue HMO Distinct (HMO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE 007 PA (PPO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| HealthSpring True Choice (PPO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| HealthSpring Preferred (HMO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Advantra Signature (HMO-POS) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| UPMC for Life PPO Premier Rx (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| DEVOTED GIVEBACK 009 PA (HMO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Community Blue Medicare HMO Distinct (HMO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Complete Blue PPO Signature (PPO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Wellcare Simple (HMO-POS) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Complete Blue PPO Distinct (PPO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare PinnacleHealth Prime (HMO-POS) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
Compare All Pennsylvania Plans for Amoxicillin
Enter your exact ZIP code to see plans available in your specific county, ranked by total annual cost.
Frequently Asked Questions
100% of Medicare Part D plans in Pennsylvania cover Amoxicillin. There are 30 plans available. Coverage and costs vary by specific plan.
The average 30-day copay for Amoxicillin in Pennsylvania is $1.44 at a preferred pharmacy. Costs vary by plan. Compare plans to find the lowest cost option for you.
Based on current CMS data, Complete Blue PPO Signature (PPO) offers one of the lowest copays for Amoxicillin in Pennsylvania. Enter your ZIP code to see all plans and compare total annual costs including premiums.
Amoxicillin Coverage in Other States
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Coverage data from CMS formulary files for plan year 2026. How we calculate costs • National coverage for Amoxicillin
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