Chlorhexidine Gluconate Medicare Coverage in Hawaii
cover Chlorhexidine Gluconate
Medicare Plans Covering Chlorhexidine Gluconate in Hawaii
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 |
|---|---|---|---|---|---|---|
| DEVOTED CHOICE GIVEBACK 005 HI (PPO) Lowest Copay | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Kaiser Permanente Dual Complete Oahu (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Humana Gold Plus H0028-082 (HMO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| DEVOTED CORE 004 HI (HMO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE GIVEBACK 005 HI (PPO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Humana USAA Honor Giveback with Rx (PPO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Kaiser Permanente Dual Complete Maui (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| DEVOTED CORE 005 HI (HMO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| HMSA Akamai Advantage Standard (PPO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Kaiser Permanente Senior Advantage Basic (HMO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| AlohaCare Advantage Plus (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-465 (PPO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| UHC Dual Complete HI-Y1 (PPO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE 008 HI (PPO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| DEVOTED GIVEBACK 001 HI (HMO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE 004 HI (PPO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| HMSA Akamai Advantage Dual Care (PPO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE GIVEBACK 009 HI (PPO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| DEVOTED GIVEBACK 002 HI (HMO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE 004 HI (PPO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC HI-0001 (PPO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE PREMIUM 006 HI (PPO) | $8.70/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE PREMIUM 006 HI (PPO) | $8.70/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE PREMIUM 010 HI (PPO) | $9.70/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| HMSA Akamai Advantage Complete (PPO) | $11.70/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Kaiser Permanente Senior Advantage Enhanced (HMO) | $13.70/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-313 (PPO) | $14.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC HI-0003 (PPO) | $29.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| HMSA Akamai Advantage Complete Plus (PPO) | $31.80/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Kaiser Permanente Senior Advantage Maui (HMO) | $33.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
Compare All Hawaii Plans for Chlorhexidine Gluconate
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Frequently Asked Questions
100% of Medicare Part D plans in Hawaii cover Chlorhexidine Gluconate. There are 30 plans available. Coverage and costs vary by specific plan.
The average 30-day copay for Chlorhexidine Gluconate in Hawaii is $2.32 at a preferred pharmacy. Costs vary by plan. Compare plans to find the lowest cost option for you.
Based on current CMS data, DEVOTED CHOICE GIVEBACK 005 HI (PPO) offers one of the lowest copays for Chlorhexidine Gluconate in Hawaii. Enter your ZIP code to see all plans and compare total annual costs including premiums.
Chlorhexidine Gluconate 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 Chlorhexidine Gluconate
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