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cimetidine Medicare Coverage in Wisconsin

100%
of plans in Wisconsin
cover cimetidine
63 of 63 plans
$2.28
Avg 30-day copay in Wisconsin
30
Plans shown below

Medicare Plans Covering cimetidine in Wisconsin

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
iCare Family Care Partnership (HMO D-SNP) Lowest Copay $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
UHC Complete Care WI-1 (PPO C-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana Full Access H5216-410 (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
AARP Medicare Advantage Extras from UHC WI-19 (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
HumanaChoice Giveback H7617-011 (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
AARP Medicare Advantage Essentials from UHC WI-13 (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Anthem Full Dual Advantage (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
UHC Complete Care WI-20 (HMO-POS C-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana Full Access H7617-020 (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
AARP Medicare Advantage from UHC WI-0014 (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
HealthPartners Birch (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
HealthPartners Cedar (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
HumanaChoice Giveback H5216-252 (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
AARP Medicare Advantage from UHC WI-0015 (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana Gold Plus H6622-001 (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Anthem Full Dual Advantage 2 (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
HumanaChoice H5216-253 (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
AARP Medicare Advantage from UHC WI-0017 (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Aspirus Health Plan Essential Rx (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
UHC Dual Complete WI-D003 (HMO-POS D-SNP) $7.50/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP) $7.70/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
UHC Dual Complete WI-D001 (PPO D-SNP) $9.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
HumanaChoice H5216-359 (PPO) $10.00/mo Tier 2 - Generic $0.00 N/A None Details →
Humana Gold Choice H8145-006 (PFFS) $10.80/mo Tier 2 - Generic $0.00 N/A None Details →
HumanaChoice SNP-DE H5216-420 (PPO D-SNP) $15.30/mo Tier 2 - Generic $0.00 N/A None Details →
UHC Dual Complete WI-V001 (HMO-POS D-SNP) $17.30/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
UHC Dual Complete WI-D002 (HMO-POS D-SNP) $18.90/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Network Health Cares (PPO D-SNP) $21.10/mo Tier 2 - Generic $0.00 N/A None Details →
UHC Dual Complete WI-D3 (HMO-POS D-SNP) $21.10/mo Tier 3 - Preferred Brand $0.00 N/A None Details →

Compare All Wisconsin Plans for cimetidine

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 Wisconsin cover cimetidine. There are 30 plans available. Coverage and costs vary by specific plan.

The average 30-day copay for cimetidine in Wisconsin is $2.28 at a preferred pharmacy. Costs vary by plan. Compare plans to find the lowest cost option for you.

Based on current CMS data, iCare Family Care Partnership (HMO D-SNP) offers one of the lowest copays for cimetidine in Wisconsin. Enter your ZIP code to see all plans and compare total annual costs including premiums.

cimetidine Coverage in Other States

Click any state to see the plans and costs available there.

Coverage data from CMS formulary files for plan year 2026. How we calculate costsNational coverage for cimetidine

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