Skip to main content

Ampicillin Medicare Coverage in Montana

100%
of plans in Montana
cover Ampicillin
25 of 25 plans
$0.62
Avg 30-day copay in Montana
25
Plans shown below

Medicare Plans Covering Ampicillin in Montana

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
PacificSource Medicare MyCare Choice Rx 29 (HMO-POS) Lowest Copay $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
HumanaChoice SNP-DE H7617-036 (PPO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
HumanaChoice SNP-DE H7617-037 (PPO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Humana Total Complete H6622-097 (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
HumanaChoice H5216-457 (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Humana Essentials Plus Giveback H7617-024 (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
HumanaChoice H5216-457 (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
AARP Medicare Advantage from UHC MT-0002 (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
UHC Dual Complete MT-S001 (PPO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Humana Value Choice H7617-030 (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Humana Gold Choice H8145-006 (PFFS) $10.80/mo Tier 2 - Generic $0.00 N/A None Details →
HumanaChoice H5216-089 (PPO) $14.00/mo Tier 2 - Generic $0.00 N/A None Details →
Humana Gold Plus H6622-007 (HMO) $18.00/mo Tier 2 - Generic $0.00 N/A None Details →
Humana Full Access H7617-026 (PPO) $29.00/mo Tier 2 - Generic $0.00 N/A None Details →
AARP Medicare Advantage from UHC MT-0001 (PPO) $49.00/mo Tier 2 - Generic $0.00 N/A None Details →
HumanaChoice H5525-054 (PPO) $64.00/mo Tier 2 - Generic $0.00 N/A None Details →
HumanaChoice H5216-048 (PPO) $69.30/mo Tier 2 - Generic $0.00 N/A None Details →
UHC MedicareDirect PF-0001 (PFFS) $69.80/mo Tier 2 - Generic $0.00 N/A None Details →
AARP Medicare Advantage Access from UHC MT-3 (PPO) $73.90/mo Tier 2 - Generic $0.00 N/A None Details →
Blue Cross Medicare Advantage Classic (PPO) $0.00/mo Tier 2 - Generic $1.00 N/A None Details →
Blue Cross Medicare Advantage Choice Plus (PPO) $0.00/mo Tier 2 - Generic $1.00 N/A None Details →
Blue Cross Medicare Advantage Dental Premier (PPO) $0.00/mo Tier 2 - Generic $1.00 N/A None Details →
Blue Cross Medicare Advantage Health Choice (PPO) $0.00/mo Tier 2 - Generic $1.00 N/A None Details →
Blue Cross Medicare Advantage Optimum (PPO) $40.60/mo Tier 2 - Generic $1.00 N/A None Details →

Compare All Montana 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 Montana cover Ampicillin. There are 25 plans available. Coverage and costs vary by specific plan.

The average 30-day copay for Ampicillin in Montana is $0.62 at a preferred pharmacy. Costs vary by plan. Compare plans to find the lowest cost option for you.

Based on current CMS data, PacificSource Medicare MyCare Choice Rx 29 (HMO-POS) offers one of the lowest copays for Ampicillin in Montana. Enter your ZIP code to see all plans and compare total annual costs including premiums.

View national coverage data for Ampicillin

Ampicillin Coverage in Other States

Click any state to see the plans and costs available there.

Alabama 100% avg $0.76/mo Arizona 100% avg $0.41/mo Arkansas 100% avg $0.69/mo California 100% avg $0.72/mo Colorado 100% avg $0.92/mo Connecticut 100% avg $1.00/mo Delaware 100% avg $1.62/mo District of Columbia 100% avg $1.33/mo Florida 100% avg $0.21/mo Georgia 100% avg $0.99/mo Hawaii 100% — Idaho 100% avg $0.68/mo Illinois 100% avg $0.70/mo Indiana 100% avg $1.17/mo Iowa 100% avg $0.04/mo Kansas 100% avg $0.10/mo Kentucky 100% avg $0.39/mo Louisiana 100% avg $6.48/mo Maine 100% avg $0.17/mo Maryland 100% avg $0.56/mo Massachusetts 100% avg $1.52/mo Michigan 100% avg $4.99/mo Minnesota 100% avg $1.32/mo Mississippi 100% avg $0.39/mo Missouri 100% avg $0.40/mo Nebraska 100% — Nevada 100% avg $0.52/mo New Hampshire 100% — New Jersey 100% avg $0.59/mo New Mexico 100% avg $0.42/mo New York 100% avg $1.46/mo North Carolina 100% avg $1.26/mo North Dakota 100% avg $1.10/mo Ohio 100% avg $2.22/mo Oklahoma 100% avg $1.14/mo Oregon 100% avg $1.00/mo Pennsylvania 100% avg $0.56/mo Puerto Rico 100% — Rhode Island 100% — South Carolina 100% avg $0.72/mo South Dakota 100% avg $1.44/mo Tennessee 100% avg $1.29/mo Texas 100% avg $1.13/mo Utah 100% avg $0.91/mo Vermont 100% — Virginia 100% avg $0.07/mo Washington 100% avg $0.34/mo West Virginia 100% avg $1.55/mo Wisconsin 100% avg $0.79/mo Wyoming 100% —

Coverage data from CMS formulary files for plan year 2026. How we calculate costs • National coverage for Ampicillin

Get Ampicillin Delivered to Your Door

Compare prices and get discounts from trusted online pharmacies

Amazon Pharmacy Hims & Hers GoodRx

DrugCovered may earn commissions from pharmacy purchases. Prices and availability vary. Always consult your doctor before starting or changing medications.