Dicyclomine Hydrochloride Medicare Coverage in Nebraska
cover Dicyclomine Hydrochloride
Medicare Plans Covering Dicyclomine Hydrochloride in Nebraska
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 |
|---|---|---|---|---|---|---|
| Great Plains Medicare Advantage Gold (HMO I-SNP) Lowest Copay | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| MyAdvocate Medicare Advantage SILVER (HMO-POS) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE 001 NE (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Molina Medicare Complete Care (HMO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| HumanaChoice Giveback H5216-340 (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE GIVEBACK 002 NE (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Humana Gold Plus H0028-053 (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Blue Cross and Blue Shield of Nebraska MA Connect (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Signature (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Humana Full Access H5216-411 (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| UHC Dual Complete NE-S003 (HMO-POS D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Humana Gold Plus SNP-DE H0028-080 (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Aetna Medicare Signature Extra (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Signature (HMO-POS) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| UHC Dual Complete NE-S001 (HMO-POS D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Medica Advantage Value (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Dual Care (HMO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Blue Cross and Blue Shield of Nebraska MA Core (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| UHC Dual Complete NE-S002 (PPO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Blue Cross and Blue Shield of Nebraska MA Core (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Medica Advantage Select (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Molina Medicare Complete Care (HMO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED DUAL CHOICE 004 NE (PPO D-SNP) | $14.40/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED DUAL CHOICE FULL 008 NE (PPO D-SNP) | $22.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Medica Advantage Preferred (PPO) | $23.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Blue Cross and Blue Shield of Nebraska MA Access (PPO) | $30.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC NE-0002 (PPO) | $30.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Great Plains Medicare Advantage (HMO I-SNP) | $33.90/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
Compare All Nebraska Plans for Dicyclomine Hydrochloride
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 Nebraska cover Dicyclomine 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, Great Plains Medicare Advantage Gold (HMO I-SNP) offers one of the lowest copays for Dicyclomine Hydrochloride in Nebraska. Enter your ZIP code to see all plans and compare total annual costs including premiums.
Dicyclomine Hydrochloride 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 costs • National coverage for Dicyclomine Hydrochloride
Get Dicyclomine Hydrochloride Delivered to Your Door
Compare prices and get discounts from trusted online pharmacies
DrugCovered may earn commissions from pharmacy purchases. Prices and availability vary. Always consult your doctor before starting or changing medications.