Dicyclomine hydrochloride Medicare Coverage in Montana
cover Dicyclomine hydrochloride
Medicare Plans Covering Dicyclomine hydrochloride in Montana
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 |
|---|---|---|---|---|---|---|
| PacificSource Medicare MyCare Choice Rx 29 (HMO-POS) Lowest Copay | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| HumanaChoice SNP-DE H7617-036 (PPO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HumanaChoice SNP-DE H7617-037 (PPO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Humana Total Complete H6622-097 (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-457 (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Humana Essentials Plus Giveback H7617-024 (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-457 (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC MT-0002 (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| UHC Dual Complete MT-S001 (PPO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Humana Value Choice H7617-030 (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Humana Gold Choice H8145-006 (PFFS) | $10.80/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-089 (PPO) | $14.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Humana Gold Plus H6622-007 (HMO) | $18.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Humana Full Access H7617-026 (PPO) | $29.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC MT-0001 (PPO) | $49.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HumanaChoice H5525-054 (PPO) | $64.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-048 (PPO) | $69.30/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| UHC MedicareDirect PF-0001 (PFFS) | $69.80/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage Access from UHC MT-3 (PPO) | $73.90/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Blue Cross Medicare Advantage Classic (PPO) | $0.00/mo | Tier 2 - Generic | $1.00 | N/A | None | Details → |
| Blue Cross Medicare Advantage Choice Plus (PPO) | $0.00/mo | Tier 2 - Generic | $1.00 | N/A | None | Details → |
| Blue Cross Medicare Advantage Dental Premier (PPO) | $0.00/mo | Tier 2 - Generic | $1.00 | N/A | None | Details → |
| Blue Cross Medicare Advantage Health Choice (PPO) | $0.00/mo | Tier 2 - Generic | $1.00 | N/A | None | Details → |
| Blue Cross Medicare Advantage Optimum (PPO) | $40.60/mo | Tier 2 - Generic | $1.00 | N/A | None | Details → |
Compare All Montana Plans for Dicyclomine hydrochloride
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Frequently Asked Questions
100% of Medicare Part D plans in Montana cover Dicyclomine hydrochloride. There are 25 plans available. Coverage and costs vary by specific plan.
The average 30-day copay for Dicyclomine hydrochloride in Montana is $1.99 at a preferred pharmacy. Costs vary by plan. Compare plans to find the lowest cost option for you.
Based on current CMS data, PacificSource Medicare MyCare Choice Rx 29 (HMO-POS) offers one of the lowest copays for Dicyclomine hydrochloride in Montana. 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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