Ampicillin Medicare Coverage in Connecticut
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Medicare Plans Covering Ampicillin in Connecticut
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 |
|---|---|---|---|---|---|---|
| UHC Dual Complete CT-Q001 (PPO D-SNP) Lowest Copay | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| UHC Dual Complete CT-S2 (PPO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-289 (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Elite (HMO-POS) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| UHC Medicare Advantage CT-0003 (HMO-POS) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Anthem Dual Advantage (HMO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| ConnectiCare Choice Plan 3 (HMO-POS) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Full Dual (HMO-POS D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Anthem Full Dual Advantage (PPO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Elite (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Wellcare Simple Open (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 → |
| Aetna Medicare Partial Dual (HMO-POS D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Anthem Dual Advantage (PPO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Elite Extra (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Wellcare Giveback Open (PPO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| ConnectiCare Choice Dual (HMO-POS D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Signature (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| UHC Dual Complete CT-S001 (PPO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| HumanaChoice Giveback H5216-138 (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Wellcare Giveback (HMO-POS) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Anthem Full Dual Advantage Select (HMO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| ConnectiCare Passage Plan 1 (HMO-POS) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-288 (PPO) | $18.20/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| ConnectiCare Flex Plan 3 (HMO-POS) | $19.40/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| ConnectiCare Flex Plan 3 (HMO-POS) | $19.40/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| ConnectiCare Flex Plan 2 (HMO-POS) | $28.70/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Anthem Medicare Advantage (HMO) | $33.70/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Anthem Medicare Advantage (HMO) | $33.70/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Longevity (PPO I-SNP) | $35.80/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
Compare All Connecticut Plans for Ampicillin
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 Connecticut cover Ampicillin. There are 30 plans available. Coverage and costs vary by specific plan.
The average 30-day copay for Ampicillin in Connecticut is $1.00 at a preferred pharmacy. Costs vary by plan. Compare plans to find the lowest cost option for you.
Based on current CMS data, UHC Dual Complete CT-Q001 (PPO D-SNP) offers one of the lowest copays for Ampicillin in Connecticut. Enter your ZIP code to see all plans and compare total annual costs including premiums.
Ampicillin Coverage in Other States
Click any state to see the plans and costs available there.
Coverage data from CMS formulary files for plan year 2026. How we calculate costs • National coverage for Ampicillin
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