Butalbital, Acetaminophen, and Caffeine Medicare Coverage in Oklahoma
cover Butalbital, Acetaminophen, and Caffeine
Medicare Plans Covering Butalbital, Acetaminophen, and Caffeine in Oklahoma
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 H6622-033 (HMO) Lowest Copay | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| HumanaChoice Giveback H5216-264 (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| UHC Complete Care OK-9 (HMO-POS C-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Generations Dual Support (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| HumanaChoice SNP-DE H5216-469 (PPO D-SNP) | $0.00/mo | Tier 2 - Generic | $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 → |
| AARP Medicare Advantage Extras from UHC OK-8 (HMO-POS) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Generations Dual Premier (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC OK-0006 (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Generations Classic Rewards (HMO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Humana Full Access H7617-053 (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| HumanaChoice SNP-DE H5216-331 (PPO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC OK-0007 (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage Essentials from UHC OK-3 (HMO-POS) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Generations Classic Plus (HMO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| HumanaChoice Giveback H7617-056 (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-337 (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Humana Gold Plus H5619-111 (HMO-POS) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC OK-0004 (HMO-POS) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Generations Chronic Care (HMO C-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| HumanaChoice SNP-DE H7617-076 (PPO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-337 (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Humana Gold Plus H6622-032 (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| HumanaChoice SNP-DE H5216-228 (PPO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| UHC Complete Care OK-8 (HMO-POS C-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Generations Chronic Care Savings (HMO C-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| HumanaChoice - Diabetes and Heart (PPO C-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| HumanaChoice - Diabetes and Heart (PPO C-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| UHC Dual Complete OK-V001 (HMO-POS D-SNP) | $3.70/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | $5.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
Compare All Oklahoma Plans for Butalbital, Acetaminophen, and Caffeine
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Frequently Asked Questions
100% of Medicare Part D plans in Oklahoma 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 H6622-033 (HMO) offers one of the lowest copays for Butalbital, Acetaminophen, and Caffeine in Oklahoma. 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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