Ceftriaxone Sodium Medicare Coverage in Utah
cover Ceftriaxone Sodium
Medicare Plans Covering Ceftriaxone Sodium in Utah
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 |
|---|---|---|---|---|---|---|
| Humana Value Choice H5216-456 (PPO) Lowest Copay | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Humana Total Complete H2486-003 (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Molina Medicare Complete Care (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC UT-0002 (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Molina Medicare Complete Care Select (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage Essentials from UHC UT-4 (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE 001 UT (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Aetna Medicare Full Dual (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC UT-0005 (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Select Health Medicare Essential (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Full Dual (PPO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE GIVEBACK 002 UT (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HumanaChoice SNP-DE H5216-296 (PPO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| UHC Complete Care UT-6 (HMO-POS C-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Select Health Medicare Dual (HMO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-428 (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC UT-0008 (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Humana Value Choice H7617-032 (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage Extras UT-7 (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Select Health Medicare Essential (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Humana Essentials Plus Giveback H5216-430 (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage Giveback from UHC UT-9 (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HumanaChoice SNP-DE H7617-038 (PPO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| UHC Dual Complete UT-V001 (PPO D-SNP) | $17.40/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Humana Value Choice H5216-456 (PPO) | $20.30/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| HumanaChoice H7617-016 (PPO) | $25.30/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Humana Dual Select H7617-039 (PPO D-SNP) | $27.90/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Humana Full Access H7617-025 (PPO) | $29.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED DUAL CHOICE FULL 004 UT (PPO D-SNP) | $34.40/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| American Health Advantage of Utah (HMO I-SNP) | $37.60/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
Compare All Utah Plans for Ceftriaxone Sodium
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Frequently Asked Questions
100% of Medicare Part D plans in Utah cover Ceftriaxone Sodium. There are 30 plans available. Coverage and costs vary by specific plan.
The average 30-day copay for Ceftriaxone Sodium in Utah is $2.14 at a preferred pharmacy. Costs vary by plan. Compare plans to find the lowest cost option for you.
Based on current CMS data, Humana Value Choice H5216-456 (PPO) offers one of the lowest copays for Ceftriaxone Sodium in Utah. Enter your ZIP code to see all plans and compare total annual costs including premiums.
Ceftriaxone Sodium 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 Ceftriaxone Sodium
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