Dicyclomine hydrochloride Medicare Coverage in Maryland
cover Dicyclomine hydrochloride
Medicare Plans Covering Dicyclomine hydrochloride in Maryland
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 |
|---|---|---|---|---|---|---|
| HumanaChoice SNP-DE H5216-459 (PPO D-SNP) Lowest Copay | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| UHC Dual Complete MD-S002 (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Alterwood Advantage Select (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| UHC Dual Complete MD-S002 (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Alterwood Advantage Select (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Johns Hopkins Advantage MD (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Humana Gold Plus H6622-095 (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| UHC Dual Complete MD-Q001 (HMO-POS D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Johns Hopkins Advantage MD D-SNP (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Alterwood Advantage Dual Secure (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $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 → |
| KeyCare Advantage Plus (HMO C-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| HumanaChoice SNP-DE H5216-377 (PPO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| CareFirst BlueCross BlueShield Advantage Essential (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| CommuniCare Advantage CSNP (HMO C-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Provider Partners Maryland Community Plan (HMO I-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| HealthSpring Preferred Plus (HMO) | $1.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Johns Hopkins Advantage MD Primary (PPO) | $4.70/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Humana Gold Plus H6622-081 (HMO) | $8.30/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HumanaChoice H7617-044 (PPO) | $9.30/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-376 (PPO) | $9.40/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HealthSpring Alliance (HMO) | $10.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Elite (PPO) | $13.50/mo | Tier 2 - 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 → |
| HumanaChoice H5216-387 (PPO) | $17.80/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HealthSpring Achieve (HMO C-SNP) | $22.40/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| KeyCare Advantage (HMO I-SNP) | $23.20/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| UHC Nursing Home Plan EX-F004 (PPO I-SNP) | $27.80/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Alterwood Advantage Choice (HMO) | $30.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
Compare All Maryland Plans for Dicyclomine hydrochloride
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Frequently Asked Questions
100% of Medicare Part D plans in Maryland cover Dicyclomine hydrochloride. There are 30 plans available. Coverage and costs vary by specific plan.
The average 30-day copay for Dicyclomine hydrochloride in Maryland is $1.14 at a preferred pharmacy. Costs vary by plan. Compare plans to find the lowest cost option for you.
Based on current CMS data, HumanaChoice SNP-DE H5216-459 (PPO D-SNP) offers one of the lowest copays for Dicyclomine hydrochloride in Maryland. 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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