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Dantrolene Sodium Medicare Coverage in Pennsylvania

100%
of plans in Pennsylvania
cover Dantrolene Sodium
279 of 279 plans
30
Plans shown below

Medicare Plans Covering Dantrolene 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 Action
DEVOTED CORE 014 PA (HMO) Lowest Copay $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Complete Care PA-17 (HMO-POS C-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
DEVOTED CORE 008 PA (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UPMC for Life Complete Care (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $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 →
DEVOTED CHOICE 007 PA (PPO) $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 →
DEVOTED GIVEBACK 015 PA (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Wellcare Simple (HMO-POS) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
AARP Medicare Advantage Extras from UHC PA-18 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $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 →
DEVOTED GIVEBACK 009 PA (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Clover Health Choice (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Perennial Advantage Freedom (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 →
DEVOTED CHOICE GIVEBACK 008 PA (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Jefferson Health Plans Dual Pearl (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $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 →
Geisinger Gold Classic 360 Rx (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $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 →
Geisinger Gold Secure Rx (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
DEVOTED CORE 010 PA (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
DEVOTED CORE 023 PA (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Perennial Advantage Premier (HMO I-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
DEVOTED CHOICE 010 PA (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Jefferson Health Plans Select (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Geisinger Gold Classic Essential Rx (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $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 →
DEVOTED GIVEBACK 011 PA (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage from UHC PA-0010 (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →

Compare All Pennsylvania Plans for Dantrolene 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 Dantrolene 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, DEVOTED CORE 014 PA (HMO) offers one of the lowest copays for Dantrolene Sodium in Pennsylvania. Enter your ZIP code to see all plans and compare total annual costs including premiums.

Dantrolene Sodium 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 Dantrolene Sodium

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