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Butalbital, Acetaminophen, and Caffeine Medicare Coverage in California

100%
of plans in California
cover Butalbital, Acetaminophen, and Caffeine
252 of 252 plans
30
Plans shown below

Medicare Plans Covering Butalbital, Acetaminophen, and Caffeine in California

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
SFHP Care Plus (HMO D-SNP) Lowest Copay $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
UHC Complete Care CA-18P (HMO-POS C-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
HumanaChoice H5525-087 (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
CCHP Senior Value Program (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Anthem Full Dual Advantage Aligned (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Humana Gold Plus H5619-178 (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Kaiser Permanente Dual Complete North P16 (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Alignment Health My Choice (HMO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Alignment Health S.D. Premium Giveback (HMO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana USAA Honor Giveback with Rx (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
IEHP DualChoice (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
UHC Complete Care CA-27P (HMO-POS C-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Alignment Health the ONE (HMO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana Gold Plus H5619-119 (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Kaiser Permanente Dual Complete North P2 (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
AARP Medicare Advantage from UHC CA-003P (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Astiva Health Savings Plan - NorCal (HMO) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Alignment Health My Choice CalCare (HMO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Kaiser Permanente Dual Complete North P23 (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Humana Gold Plus H5619-012 (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Kaiser Permanente Senior Advantage Santa Cruz (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
UHC Complete Care CA-19P (HMO-POS C-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
AARP Medicare Advantage from UHC CA-0002 (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
CCHP Senior Program (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Anthem Full Dual Advantage Aligned (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Humana Gold Plus H5619-183 (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Kaiser Permanente Dual Complete North P17 (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →

Compare All California Plans for Butalbital, Acetaminophen, and Caffeine

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 California cover Butalbital, Acetaminophen, and Caffeine. There are 30 plans available. Coverage and costs vary by specific plan.

Costs vary by plan. Compare plans to find the lowest cost option for you.

Based on current CMS data, SFHP Care Plus (HMO D-SNP) offers one of the lowest copays for Butalbital, Acetaminophen, and Caffeine in California. Enter your ZIP code to see all plans and compare total annual costs including premiums.

View national coverage data for Butalbital, Acetaminophen, and Caffeine

Butalbital, Acetaminophen, and Caffeine Coverage in Other States

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

Alabama 100% — Arizona 100% — Arkansas 100% — Colorado 100% — Connecticut 100% — Delaware 100% — District of Columbia 100% — Florida 100% avg $0.14/mo Georgia 100% — Hawaii 100% — Idaho 100% — Illinois 100% — Indiana 100% — Iowa 100% — Kansas 100% — Kentucky 100% — Louisiana 100% — Maine 100% — Maryland 100% avg $0.45/mo Massachusetts 100% avg $5.71/mo Michigan 100% avg $4.47/mo Minnesota 100% — Mississippi 100% — Missouri 100% avg $0.25/mo Montana 100% — Nebraska 100% — Nevada 100% — New Hampshire 100% — New Jersey 100% — New Mexico 100% — New York 100% — North Carolina 100% — North Dakota 100% — Ohio 100% avg $0.24/mo Oklahoma 100% — Oregon 100% avg $0.32/mo Pennsylvania 100% — Puerto Rico 100% — Rhode Island 100% — South Carolina 100% — South Dakota 100% — Tennessee 100% — Texas 100% — Utah 100% — Vermont 100% — Virginia 100% — Washington 100% avg $0.29/mo West Virginia 100% — Wisconsin 100% — Wyoming 100% —

Coverage data from CMS formulary files for plan year 2026. How we calculate costs • National coverage for Butalbital, Acetaminophen, and Caffeine

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