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Butalbital, Acetaminophen, and Caffeine Medicare Coverage in New Jersey

100%
of plans in New Jersey
cover Butalbital, Acetaminophen, and Caffeine
40 of 40 plans
30
Plans shown below

Medicare Plans Covering Butalbital, Acetaminophen, and Caffeine in New Jersey

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 H6622-100 (HMO) Lowest Copay $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Jefferson Health Plans Silver (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Humana Gold Plus H6622-100 (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
UHC Dual Complete NJ-Y001 (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Braven Medicare Choice (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Jefferson Health Plans Elite (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
AARP Medicare Advantage Essentials from UHC NJ-1 (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
HumanaChoice Giveback H7617-045 (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Jefferson Health Plans Choice (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Braven Medicare Choice (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Horizon NJ TotalCare (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Wellpoint Full Dual Advantage (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Humana Gold Plus - Diabetes and Heart (HMO C-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Braven Medicare Choice (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana Gold Plus H6622-099 (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Braven Medicare Choice Plus (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
AARP Medicare Advantage Extras from UHC NJ-7 (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Humana Gold Plus H6622-099 (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Erickson Advantage Guardian (HMO-POS I-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Braven Medicare Choice (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
AARP Medicare Advantage from UHC NJ-6 (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
HumanaChoice Giveback H5216-319 (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Braven Medicare Freedom (PPO) $6.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Braven Medicare Freedom (PPO) $11.40/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Erickson Advantage Liberty (HMO-POS) $14.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Braven Medicare Freedom (PPO) $22.10/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
HumanaChoice H5216-461 (PPO) $31.10/mo Tier 2 - Generic $0.00 N/A None Details →
UHC Nursing Home Plan EX-F003 (PPO I-SNP) $42.40/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
AARP Medicare Advantage from UHC NJ-0004 (PPO) $45.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →

Compare All New Jersey 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 New Jersey 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, Humana Gold Plus H6622-100 (HMO) offers one of the lowest copays for Butalbital, Acetaminophen, and Caffeine in New Jersey. Enter your ZIP code to see all plans and compare total annual costs including premiums.

Butalbital, Acetaminophen, and Caffeine Coverage in Other States

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

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

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