Dicyclomine Hydrochloride Medicare Coverage in Connecticut
cover Dicyclomine Hydrochloride
Medicare Plans Covering Dicyclomine Hydrochloride in Connecticut
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 |
|---|---|---|---|---|---|---|
| UHC Dual Complete CT-Q001 (PPO D-SNP) Lowest Copay | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| UHC Dual Complete CT-S2 (PPO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-289 (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Aetna Medicare Elite (HMO-POS) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| UHC Medicare Advantage CT-0003 (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Anthem Dual Advantage (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| ConnectiCare Choice Plan 3 (HMO-POS) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Aetna Medicare Full Dual (HMO-POS D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Anthem Full Dual Advantage (PPO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Elite (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| HealthSpring True Choice (PPO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Partial Dual (HMO-POS D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Anthem Dual Advantage (PPO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Elite Extra (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Anthem Kidney Care (HMO-POS C-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| ConnectiCare Choice Dual (HMO-POS D-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 → |
| UHC Dual Complete CT-S001 (PPO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HumanaChoice Giveback H5216-138 (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Anthem Full Dual Advantage Select (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| ConnectiCare Passage Plan 1 (HMO-POS) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-288 (PPO) | $18.20/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| ConnectiCare Flex Plan 3 (HMO-POS) | $19.40/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| ConnectiCare Flex Plan 3 (HMO-POS) | $19.40/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| ConnectiCare Flex Plan 2 (HMO-POS) | $28.70/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Anthem Medicare Advantage (HMO) | $33.70/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Anthem Medicare Advantage (HMO) | $33.70/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Longevity (PPO I-SNP) | $35.80/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| ConnectiCare Choice Plan 1 (HMO-POS) | $37.50/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| UHC Medicare Advantage CT-0002 (HMO-POS) | $39.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
Compare All Connecticut Plans for Dicyclomine Hydrochloride
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Frequently Asked Questions
100% of Medicare Part D plans in Connecticut cover Dicyclomine Hydrochloride. There are 30 plans available. Coverage and costs vary by specific plan.
The average 30-day copay for Dicyclomine Hydrochloride in Connecticut is $0.55 at a preferred pharmacy. Costs vary by plan. Compare plans to find the lowest cost option for you.
Based on current CMS data, UHC Dual Complete CT-Q001 (PPO D-SNP) offers one of the lowest copays for Dicyclomine Hydrochloride in Connecticut. Enter your ZIP code to see all plans and compare total annual costs including premiums.
Dicyclomine Hydrochloride Coverage in Other States
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Coverage data from CMS formulary files for plan year 2026. How we calculate costs • National coverage for Dicyclomine Hydrochloride
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