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Dalteparin Sodium Medicare Coverage in Pennsylvania

100%
of plans in Pennsylvania
cover Dalteparin Sodium
77 of 77 plans
30
Plans shown below

Medicare Plans Covering Dalteparin Sodium 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
UPMC for Life Complete Care (HMO D-SNP) Lowest Copay $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
UPMC for Life Complete Care (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Aetna Medicare Advantra Dual Care (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Aetna Community HealthChoices (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
UPMC for Life Complete Care (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Aetna Medicare Advantra Dual (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Aetna Community HealthChoices (HMO D-SNP) $0.00/mo Tier 5 - Specialty $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 →
Aetna Community HealthChoices (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Aetna Community HealthChoices (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Provider Partners Pennsylvania Community Plan (HMO I-SNP) $0.00/mo Tier 1 - Preferred 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 →
Aetna Community HealthChoices (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) $13.10/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) $17.60/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Aetna Medicare Chronic Care Value (HMO C-SNP) $28.80/mo Tier 5 - Specialty $0.00 N/A None Details →
Aetna Medicare Chronic Care Value (HMO C-SNP) $29.70/mo Tier 5 - Specialty $0.00 N/A None Details →
Aetna Medicare Longevity (HMO I-SNP) $32.70/mo Tier 5 - Specialty $0.00 N/A None Details →
Provider Partners Pennsylvania Advantage Plan (HMO I-SNP) $32.70/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Provider Partners Pennsylvania Essential Plan (HMO I-SNP) $32.70/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Aetna Medicare Chronic Care Value (HMO C-SNP) $32.70/mo Tier 5 - Specialty $0.00 N/A None Details →
UPMC for Life PPO Premier Rx (PPO) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
UPMC for Life HMO Premier Rx (HMO) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
Aetna Medicare Signature (PPO) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
UPMC for Life PPO Essential Care Rx (PPO) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
Aetna Medicare Advantra Signature (PPO) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
UPMC for Life PPO Premier Rx (PPO) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
UPMC for Life HMO Premier Rx (HMO) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
Aetna Medicare PinnacleHealth Prime (PPO) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
Aetna Medicare Chronic Care (HMO C-SNP) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →

Compare All Pennsylvania Plans for Dalteparin Sodium

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 Dalteparin Sodium. There are 30 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, UPMC for Life Complete Care (HMO D-SNP) offers one of the lowest copays for Dalteparin Sodium in Pennsylvania. Enter your ZIP code to see all plans and compare total annual costs including premiums.

View national coverage data for Dalteparin Sodium

Dalteparin Sodium Coverage in Other States

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

Alabama 100% — Arizona 100% — Arkansas 100% — California 100% — Colorado 100% — Connecticut 100% — Delaware 100% — District of Columbia 100% — Florida 100% — Georgia 100% — Hawaii 100% — Illinois 100% — Indiana 100% — Iowa 100% — Kansas 100% — Kentucky 100% — Louisiana 100% — Maine 100% — Maryland 100% — Massachusetts 100% — Michigan 100% — Minnesota 100% — Mississippi 100% — Missouri 100% — Nebraska 100% — Nevada 100% — New Hampshire 100% — New Jersey 100% — New Mexico 100% — New York 100% — North Carolina 100% — North Dakota 100% — Ohio 100% — Oklahoma 100% — Oregon 100% — Rhode Island 100% — South Carolina 100% — South Dakota 100% — Tennessee 100% — Texas 100% — Utah 100% — Virginia 100% — Washington 100% — West Virginia 100% — Wisconsin 100% —

Coverage data from CMS formulary files for plan year 2026. How we calculate costs • National coverage for Dalteparin Sodium

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