Butalbital, Acetaminophen, Caffeine, and Codeine Phosphate Medicare Coverage in Arizona
cover Butalbital, Acetaminophen, Caffeine, and Codeine Phosphate
Medicare Plans Covering Butalbital, Acetaminophen, Caffeine, and Codeine Phosphate in Arizona
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 |
|---|---|---|---|---|---|---|
| Gold Heart & Diabetes (HMO-POS C-SNP) Lowest Copay | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Alignment Health the ONE + Walgreens (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Gold Dialysis & Kidney (HMO-POS C-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Alignment Health the ONE + Walgreens (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Gold Heart & Diabetes (HMO-POS C-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Alignment Health Heart & Diabetes (HMO C-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Gold Dialysis & Kidney (HMO-POS C-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Alignment Health smartHMO (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | $17.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Alignment Health Heart & Diabetes Plus (HMO C-SNP) | $17.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Alignment Health Heart & Diabetes AZPlus (HMO C-SNP) | $17.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
Compare All Arizona Plans for Butalbital, Acetaminophen, Caffeine, and Codeine Phosphate
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Frequently Asked Questions
100% of Medicare Part D plans in Arizona cover Butalbital, Acetaminophen, Caffeine, and Codeine Phosphate. There are 11 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, Gold Heart & Diabetes (HMO-POS C-SNP) offers one of the lowest copays for Butalbital, Acetaminophen, Caffeine, and Codeine Phosphate in Arizona. Enter your ZIP code to see all plans and compare total annual costs including premiums.
Butalbital, Acetaminophen, Caffeine, and Codeine Phosphate 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, Caffeine, and Codeine Phosphate
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