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dicyclomine hydrochloride Medicare Coverage in Arizona

100%
of plans in Arizona
cover dicyclomine hydrochloride
108 of 108 plans
30
Plans shown below

Medicare Plans Covering dicyclomine hydrochloride in Arizona

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
AARP Medicare Advantage Extras from UHC AZ-5 (HMO-POS) Lowest Copay $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Gold Heart & Diabetes (HMO-POS C-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
DEVOTED C-SNP 011 AZ (HMO C-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage CareFlex from UHC AZ-17 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage Essentials from UHC AZ-2 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Humana Gold Plus H4461-059 (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
DEVOTED CHOICE 003 AZ (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Humana Gold Plus - Diabetes and Heart (HMO C-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
HumanaChoice H5216-263 (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
eternalHealth + Fry's Medicare Advantage (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Health Choice Pathway (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Humana Gold Plus H0028-021 (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Gold Dialysis & Kidney (HMO-POS C-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
DEVOTED GIVEBACK 013 AZ (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage from UHC AZ-002P (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Humana Gold Plus - Diabetes and Heart (HMO C-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
DEVOTED CHOICE GIVEBACK 006 AZ (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
HumanaChoice H5216-265 (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
DEVOTED C-SNP 023 AZ (HMO C-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Humana Gold Plus H0028-024 (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Humana Gold Plus H2463-001 (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Complete Care AZ-1P (HMO-POS C-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
HumanaChoice Giveback H7617-051 (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Blue Best Life Classic (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
HumanaChoice Giveback H5216-371 (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Humana Gold Plus H0028-028 (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Banner Medicare Advantage Dual (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
DEVOTED CORE 016 AZ (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Verda Noble Care (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Complete Care AZ-3P (HMO-POS C-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →

Compare All Arizona 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 Arizona 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, AARP Medicare Advantage Extras from UHC AZ-5 (HMO-POS) offers one of the lowest copays for dicyclomine hydrochloride in Arizona. 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 costsNational coverage for dicyclomine hydrochloride

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