Butalbital, Acetaminophen, Caffeine, and Codeine Phosphate Medicare Coverage in New York
cover Butalbital, Acetaminophen, Caffeine, and Codeine Phosphate
Medicare Plans Covering Butalbital, Acetaminophen, Caffeine, and Codeine Phosphate 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 |
|---|---|---|---|---|---|---|
| VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP) Lowest Copay | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $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 → |
| Independent Health's Encompass 65 RED 042 (HMO) | $40.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Independent Health's Assure Advantage (HMO C-SNP) | $46.50/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| VNS Health EasyCare Plus (HMO D-SNP) | $51.60/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Independent Health's Medicare Passport Connect (PPO) | $58.80/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Independent Health's Medicare Family Choice (HMO I-SNP) | $58.80/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Independent Health's Encompass 65 RED 044 (HMO) | $95.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Independent Health's Encompass 65 RED 043 (HMO) | $190.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
Compare All New York Plans for Butalbital, Acetaminophen, Caffeine, and Codeine Phosphate
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Frequently Asked Questions
100% of Medicare Part D plans in New York cover Butalbital, Acetaminophen, Caffeine, and Codeine Phosphate. There are 10 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, VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP) offers one of the lowest copays for Butalbital, Acetaminophen, Caffeine, and Codeine Phosphate in New York. 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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