codeine sulfate Medicare Coverage in Montana
cover codeine sulfate
Medicare Plans Covering codeine sulfate in Montana
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 |
|---|---|---|---|---|---|---|
| PacificSource Medicare MyCare Choice Rx 29 (HMO-POS) Lowest Copay | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Blue Cross Medicare Advantage Classic (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| Blue Cross Medicare Advantage Optimum (PPO) | $40.60/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
Compare All Montana Plans for codeine sulfate
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 Montana cover codeine sulfate. There are 3 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, PacificSource Medicare MyCare Choice Rx 29 (HMO-POS) offers one of the lowest copays for codeine sulfate in Montana. Enter your ZIP code to see all plans and compare total annual costs including premiums.
codeine sulfate 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 codeine sulfate
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