Butalbital, Acetaminophen, and Caffeine Medicare Coverage in Hawaii
cover Butalbital, Acetaminophen, and Caffeine
Medicare Plans Covering Butalbital, Acetaminophen, and Caffeine in Hawaii
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 |
|---|---|---|---|---|---|---|
| Humana Gold Plus H0028-082 (HMO) Lowest Copay | $0.00/mo | Tier 2 - Generic | $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 → |
| Kaiser Permanente Senior Advantage Basic (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-465 (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| AlohaCare Advantage Plus (HMO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Kaiser Permanente Dual Complete Oahu (HMO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| UHC Dual Complete HI-Y1 (PPO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Kaiser Permanente Dual Complete Maui (HMO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC HI-0001 (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Kaiser Permanente Senior Advantage Enhanced (HMO) | $13.70/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-313 (PPO) | $14.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC HI-0003 (PPO) | $29.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Kaiser Permanente Senior Advantage Maui (HMO) | $33.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-464 (PPO) | $39.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Kaiser Permanente Senior Advantage Hawaii Island (HMO) | $41.20/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC HI-5 (PPO) | $45.60/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC HI-0004 (PPO) | $54.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC HI-0002 (PPO) | $59.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
Compare All Hawaii Plans for Butalbital, Acetaminophen, and Caffeine
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Frequently Asked Questions
100% of Medicare Part D plans in Hawaii cover Butalbital, Acetaminophen, and Caffeine. There are 18 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, Humana Gold Plus H0028-082 (HMO) offers one of the lowest copays for Butalbital, Acetaminophen, and Caffeine in Hawaii. Enter your ZIP code to see all plans and compare total annual costs including premiums.
Butalbital, Acetaminophen, and Caffeine 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 Butalbital, Acetaminophen, and Caffeine
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