Ampicillin Medicare Coverage in South Dakota
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Medicare Plans Covering Ampicillin in South Dakota
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 SD-Q1 (PPO D-SNP) Lowest Copay | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Dual (PPO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| UHC Dual Complete SD-S2 (PPO 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 → |
| Aetna Medicare Full Dual (PPO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Medica Advantage Value (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Great Plain Medicare Advantage Gold (HMO I-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Medica Advantage Select (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Blue Medicare Advantage Classic PPO (PPO) | $12.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Great Plains Medicare Advantage (HMO I-SNP) | $12.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Blue Medicare Advantage Enhanced PPO (PPO) | $17.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Medica Advantage Preferred (PPO) | $29.40/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Medica Prime Solution Thrift w/Rx (Cost) | $43.80/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Enhanced Extra (PPO) | $52.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Medica Prime Solution Standard w/Rx (Cost) | $58.70/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Medica Prime Solution Premier w/Rx (Cost) | $117.70/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Medica Prime Solution Core w/Rx (Cost) | $123.70/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Align ChoicePlus (PPO) | $0.00/mo | Tier 2 - Generic | $4.00 | N/A | None | Details → |
| Align ChoiceElite (PPO) | $55.70/mo | Tier 2 - Generic | $4.00 | N/A | None | Details → |
Compare All South Dakota 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 South Dakota cover Ampicillin. There are 19 plans available. Coverage and costs vary by specific plan.
The average 30-day copay for Ampicillin in South Dakota 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, UHC Dual Complete SD-Q1 (PPO D-SNP) offers one of the lowest copays for Ampicillin in South Dakota. 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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