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Cyclosporine Medicare Coverage in Pennsylvania

100%
of plans in Pennsylvania
cover Cyclosporine
273 of 273 plans
$1.50
Avg 30-day copay in Pennsylvania
30
Plans shown below

Medicare Plans Covering Cyclosporine 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
Geisinger Gold Classic Essential Rx (HMO) Lowest Copay $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Complete Blue HMO Distinct (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Complete Blue PPO Merit (PPO) $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 →
Jefferson Health Plans Special (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Complete Blue PPO Signature (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
DEVOTED GIVEBACK 011 PA (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Geisinger Gold Preferred Complete Rx (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Community Blue Medicare HMO Signature (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Aetna Medicare Advantra Dual Care (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage from UHC PA-0002 (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Erickson Advantage Guardian (HMO-POS I-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Together Blue Medicare HMO Signature (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
DEVOTED CHOICE GIVEBACK 011 PA (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $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 →
Wellcare Simple (HMO-POS) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Aetna Community HealthChoices (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Jefferson Health Plans Complete (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Complete Blue PPO Signature (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
DEVOTED CORE 012 PA (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Community Blue Medicare HMO Signature (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Aetna Medicare Advantra Dual (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Community Blue Medicare HMO Distinct (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Jefferson Health Plans Flex (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $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 →
Community Blue Medicare HMO Signature (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Aetna Community HealthChoices (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Jefferson Health Plans Giveback (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Complete Blue PPO Signature (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Complete Blue HMO Distinct (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →

Compare All Pennsylvania Plans for Cyclosporine

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 Cyclosporine. There are 30 plans available. Coverage and costs vary by specific plan.

The average 30-day copay for Cyclosporine in Pennsylvania is $1.50 at a preferred pharmacy. Costs vary by plan. Compare plans to find the lowest cost option for you.

Based on current CMS data, Geisinger Gold Classic Essential Rx (HMO) offers one of the lowest copays for Cyclosporine in Pennsylvania. Enter your ZIP code to see all plans and compare total annual costs including premiums.

Cyclosporine 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 Cyclosporine

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