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Dicloxacillin Sodium Medicare Coverage in New York

100%
of plans in New York
cover Dicloxacillin Sodium
192 of 192 plans
$1.54
Avg 30-day copay in New York
30
Plans shown below

Medicare Plans Covering Dicloxacillin Sodium in New York

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 Medicare Signature Care (HMO) Lowest Copay $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
UHC Dual Complete NY-Y001 (HMO-POS D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
EmblemHealth VIP Dual (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Trinity Health Plan New York Cash Back (HMO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Univera Medicare Dual (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Aetna Medicare Signature (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Elderplan Flex (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
UHC Dual Complete NY-S001 (PPO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Healthfirst CompleteCare (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
ElderServe MAP (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
UHC Complete Care NY-31 (HMO-POS C-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
EmblemHealth VIP Dual (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
UHC Dual Complete NY-S002 (HMO-POS D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Wellcare Simple Open (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Humana Gold Plus Giveback H3533-027 (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Medicare Blue Dual (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Aetna Medicare Signature (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Elderplan Select (HMO-POS I-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Aetna Medicare Signature (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
HumanaChoice Giveback H5970-030 (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
UHC Dual Complete NY-S001 (PPO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Healthfirst Connection Plan (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Anthem HealthPlus Full Dual Advantage LTSS 2 (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
UHC Complete Care NY-33 (HMO-POS C-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Wellcare Fidelis Simple (HMO-POS) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Hamaspik Medicare Choice (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
UHC Dual Complete NY-S002 (HMO-POS D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
EmblemHealth VIP Dual Enhanced (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →

Compare All New York Plans for Dicloxacillin 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 New York cover Dicloxacillin Sodium. There are 30 plans available. Coverage and costs vary by specific plan.

The average 30-day copay for Dicloxacillin Sodium in New York is $1.54 at a preferred pharmacy. Costs vary by plan. Compare plans to find the lowest cost option for you.

Based on current CMS data, Aetna Medicare Signature Care (HMO) offers one of the lowest copays for Dicloxacillin Sodium in New York. Enter your ZIP code to see all plans and compare total annual costs including premiums.

Dicloxacillin 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 Dicloxacillin Sodium

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