Butalbital, Acetaminophen, Caffeine, and Codeine Phosphate Medicare Coverage in Ohio
cover Butalbital, Acetaminophen, Caffeine, and Codeine Phosphate
Medicare Plans Covering Butalbital, Acetaminophen, Caffeine, and Codeine Phosphate in Ohio
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 |
|---|---|---|---|---|---|---|
| SummaCare Medicare Quartz (HMO) Lowest Copay | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| SummaCare Medicare Topaz (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| SummaCare Medicare Garnet (HMO) | $35.00/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| SummaCare Medicare Garnet (HMO) | $35.00/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| SummaCare Medicare Ruby (HMO) | $50.00/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| SummaCare Medicare Sapphire (HMO-POS) | $83.00/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| SummaCare Medicare Emerald (HMO-POS) | $100.80/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
Compare All Ohio Plans for Butalbital, Acetaminophen, Caffeine, and Codeine Phosphate
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 Ohio cover Butalbital, Acetaminophen, Caffeine, and Codeine Phosphate. There are 7 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, SummaCare Medicare Quartz (HMO) offers one of the lowest copays for Butalbital, Acetaminophen, Caffeine, and Codeine Phosphate in Ohio. 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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