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Dexmethylphenidate hydrochloride Medicare Coverage in Pennsylvania

100%
of plans in Pennsylvania
cover Dexmethylphenidate hydrochloride
172 of 172 plans
30
Plans shown below

Medicare Plans Covering Dexmethylphenidate hydrochloride 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
Aetna Community HealthChoices (HMO D-SNP) Lowest Copay $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Dual Complete PA-S002 (HMO-POS D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $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 →
AARP Medicare Advantage from UHC PA-0010 (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 →
Aetna Community HealthChoices (HMO D-SNP) $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 →
AARP Medicare Advantage from UHC PA-0011 (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $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 →
UHC Dual Complete PA-S001 (PPO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Dual Complete PA-S3 (HMO-POS 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 →
AARP Medicare Advantage Giveback from UHC PA-12 (PPO) $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 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 →
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-0015 (PPO) $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 →
Aetna Medicare Advantra Dual (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 →
AARP Medicare Advantage Essentials from UHC PA-5 (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 →
Geisinger Gold Preferred Complete Rx (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Erickson Advantage Guardian (HMO-POS I-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 →
UHC Complete Care PA-17 (HMO-POS C-SNP) $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 →
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) $13.10/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Erickson Advantage Liberty (HMO-POS) $14.00/mo Tier 4 - Non-Preferred Drug $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 →

Compare All Pennsylvania Plans for Dexmethylphenidate hydrochloride

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Frequently Asked Questions

100% of Medicare Part D plans in Pennsylvania cover Dexmethylphenidate hydrochloride. 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, Aetna Community HealthChoices (HMO D-SNP) offers one of the lowest copays for Dexmethylphenidate hydrochloride in Pennsylvania. Enter your ZIP code to see all plans and compare total annual costs including premiums.

Dexmethylphenidate hydrochloride Coverage in Other States

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

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