Ampicillin Medicare Coverage in District of Columbia
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Medicare Plans Covering Ampicillin in District of Columbia
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 Choice DC-Y001 (HMO D-SNP) Lowest Copay | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| UHC Dual Choice DC-Q001 (PPO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-383 (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| UHC Dual Choice DC-Y2 (PPO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-389 (PPO) | $16.20/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| UHC Nursing Home Plan EX-F004 (PPO I-SNP) | $27.80/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| CareFirst BlueCross BlueShield Advantage Complete (PPO) | $32.10/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Enhanced Plus (HMO-POS) | $43.90/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC DC-0002 (PPO) | $46.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Premier (PPO) | $70.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| HealthSpring Preferred (HMO) | $0.00/mo | Tier 2 - Generic | $4.00 | N/A | None | Details → |
| HealthSpring True Choice Plus (PPO) | $21.00/mo | Tier 2 - Generic | $4.00 | N/A | None | Details → |
| Kaiser Permanente Medicare Advantage Standard DC (HMO-POS) | $0.00/mo | Tier 2 - Generic | $12.00 | N/A | None | Details → |
| Kaiser Permanente Medicare Advantage High DC (HMO-POS) | $32.00/mo | Tier 2 - Generic | $12.00 | N/A | None | Details → |
| Kaiser Permanente Medicare Advantage Value DC (HMO-POS) | $0.00/mo | Tier 2 - Generic | $15.00 | N/A | None | Details → |
Compare All District of Columbia 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 District of Columbia cover Ampicillin. There are 15 plans available. Coverage and costs vary by specific plan.
The average 30-day copay for Ampicillin in District of Columbia is $1.33 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 Choice DC-Y001 (HMO D-SNP) offers one of the lowest copays for Ampicillin in District of Columbia. Enter your ZIP code to see all plans and compare total annual costs including premiums.
Ampicillin 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 Ampicillin
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