Butalbital, Acetaminophen, and Caffeine Medicare Coverage in New York
cover Butalbital, Acetaminophen, and Caffeine
Medicare Plans Covering Butalbital, Acetaminophen, and Caffeine in New York
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 |
|---|---|---|---|---|---|---|
| EmblemHealth VIP Dual Enhanced (HMO D-SNP) Lowest Copay | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC NY-0007 (HMO-POS) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| HumanaChoice Giveback H5970-030 (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| VNS Health Total (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| EmblemHealth VIP Value (HMO-POS) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| UHC Dual Complete NY-Y001 (HMO-POS D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| EmblemHealth VIP Dual Enhanced (HMO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Humana Direct Choice Giveback (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Nascentia Dual Advantage (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Hamaspik Medicare Choice (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| UHC Dual Complete NY-S002 (HMO-POS D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Anthem HealthPlus Full Dual Advantage LTSS 2 (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Humana Gold Plus Giveback H3533-027 (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC NY-29 (HMO-POS) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Humana Direct Choice GIveback (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| UHC Dual Complete NY-S001 (PPO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| UHC Dual Complete NY-S002 (HMO-POS D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Univera Medicare Dual (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Humana Gold Plus H3533-033 (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| UHC Complete Care NY-30 (HMO-POS C-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| EmblemHealth VIP Dual Reserve (HMO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC NY-0012 (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| UHC Dual Complete NY-S001 (PPO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| HumanaChoice SNP-DE H5970-020 (PPO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| UHC Dual Complete NY-Q001 (HMO-POS D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Medicare Blue Dual (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Humana Gold Plus SNP-DE H3533-034 (HMO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| UHC Complete Care NY-31 (HMO-POS C-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| EmblemHealth VIP Dual (HMO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
Compare All New York Plans for Butalbital, Acetaminophen, and Caffeine
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Frequently Asked Questions
100% of Medicare Part D plans in New York 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, EmblemHealth VIP Dual Enhanced (HMO D-SNP) offers one of the lowest copays for Butalbital, Acetaminophen, and Caffeine in New York. 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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