butalbital and acetaminophen Medicare Coverage in Pennsylvania
cover butalbital and acetaminophen
Medicare Plans Covering butalbital and acetaminophen in Pennsylvania
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 |
|---|---|---|---|---|---|---|
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) Lowest Copay | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Keystone First VIP Choice (HMO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| AmeriHealth Caritas VIP Care (HMO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) | $13.10/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) | $17.60/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Security Blue HMO-POS Standard (HMO-POS) | $51.80/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Security Blue HMO-POS Standard (HMO-POS) | $51.80/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Security Blue HMO-POS Deluxe (HMO-POS) | $95.90/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Security Blue HMO-POS Deluxe (HMO-POS) | $95.90/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Freedom Blue PPO Select (PPO) | $95.70/mo | Tier 2 - Generic | $13.00 | N/A | None | Details → |
| Freedom Blue PPO Standard (PPO) | $98.20/mo | Tier 2 - Generic | $13.00 | N/A | None | Details → |
| Freedom Blue PPO Select (PPO) | $115.70/mo | Tier 2 - Generic | $13.00 | N/A | None | Details → |
| Freedom Blue PPO Deluxe (PPO) | $122.40/mo | Tier 2 - Generic | $13.00 | N/A | None | Details → |
| Freedom Blue PPO Classic (PPO) | $140.90/mo | Tier 2 - Generic | $13.00 | N/A | None | Details → |
| Freedom Blue PPO Classic (PPO) | $145.40/mo | Tier 2 - Generic | $13.00 | N/A | None | Details → |
| Keystone 65 Focus Rx (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| Keystone 65 Focus Rx (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| Personal Choice 65 Achieve Rx (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Keystone 65 Basic Rx (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| Keystone 65 Essential Rx (HMO-POS) | $31.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Keystone 65 Select Rx (HMO) | $47.00/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| Keystone 65 Preferred Rx (HMO) | $59.70/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| Keystone 65 Select Rx (HMO) | $63.50/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| Keystone 65 Preferred Rx (HMO) | $79.70/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| Personal Choice 65 Plus Rx (PPO) | $81.20/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| Personal Choice 65 Rx (PPO) | $102.20/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Personal Choice 65 Rx (PPO) | $112.70/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
Compare All Pennsylvania Plans for butalbital and acetaminophen
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 Pennsylvania cover butalbital and acetaminophen. There are 28 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, Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) offers one of the lowest copays for butalbital and acetaminophen in Pennsylvania. Enter your ZIP code to see all plans and compare total annual costs including premiums.
butalbital and acetaminophen 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 and acetaminophen
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