Butalbital, Acetaminophen, and Caffeine Medicare Coverage in South Carolina
cover Butalbital, Acetaminophen, and Caffeine
Medicare Plans Covering Butalbital, Acetaminophen, and Caffeine in South Carolina
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 |
|---|---|---|---|---|---|---|
| HumanaChoice SNP-DE H5216-277 (PPO D-SNP) Lowest Copay | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Humana Gold Plus H5619-171 (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| HumanaChoice Giveback H7617-094 (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Humana Dual Integrated (HMO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| HumanaChoice Giveback H5216-345 (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| HumanaChoice H7617-095 (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| First Choice VIP Care (HMO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Humana Gold Plus H5619-083 (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| UHC Dual Complete SC-S001 (PPO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-347 (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| HumanaChoice Giveback H5216-154 (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Humana Gold Plus H5619-152 (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-423 (PPO) | $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 → |
| UHC Complete Care SC-1 (PPO C-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $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 → |
| Humana Gold Plus Giveback H5619-169 (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| UHC Dual Complete SC-S2 (PPO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC SC-0005 (HMO-POS) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| UHC Dual Complete SC-V001 (PPO D-SNP) | $2.30/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-466 (PPO) | $7.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Humana Together in Health (PPO I-SNP) | $7.30/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Humana Gold Choice H8145-069 (PFFS) | $27.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| HumanaChoice H5525-049 (PPO) | $29.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| UHC Complete Care Support SC-7 (PPO C-SNP) | $35.70/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| UHC Nursing Home Plan SC-F001 (PPO I-SNP) | $35.70/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-280 (PPO) | $35.70/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC SC-0006 (HMO-POS) | $45.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC SC-0004 (PPO) | $58.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| BlueCross Total Value (PPO) | $0.00/mo | Tier 3 - Preferred Brand | 0.2% | N/A | None | Details → |
Compare All South Carolina 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 South Carolina 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, HumanaChoice SNP-DE H5216-277 (PPO D-SNP) offers one of the lowest copays for Butalbital, Acetaminophen, and Caffeine in South Carolina. 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 costs • National coverage for Butalbital, Acetaminophen, and Caffeine
Get Butalbital, Acetaminophen, and Caffeine Delivered to Your Door
Compare prices and get discounts from trusted online pharmacies
DrugCovered may earn commissions from pharmacy purchases. Prices and availability vary. Always consult your doctor before starting or changing medications.