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Dicyclomine hydrochloride Medicare Coverage in Oklahoma

100%
of plans in Oklahoma
cover Dicyclomine hydrochloride
71 of 71 plans
$3.32
Avg 30-day copay in Oklahoma
30
Plans shown below

Medicare Plans Covering Dicyclomine hydrochloride in Oklahoma

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 Essentials from UHC OK-3 (HMO-POS) Lowest Copay $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Senior Health Plan Silver Plus (HMO) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
HumanaChoice Giveback H7617-056 (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
DEVOTED CHOICE 005 OK (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
HumanaChoice H5216-337 (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage from UHC OK-0007 (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Generations Chronic Care Savings (HMO C-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Humana Gold Plus H5619-111 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage from UHC OK-0004 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Senior Health Plan Oklahoma Dual Complete (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
HumanaChoice SNP-DE H7617-076 (PPO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
DEVOTED CHOICE GIVEBACK 006 OK (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
HumanaChoice H5216-337 (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Generations Dual Support (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Humana Gold Plus H6622-032 (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
HumanaChoice SNP-DE H5216-228 (PPO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Complete Care OK-8 (HMO-POS C-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
HumanaChoice - Diabetes and Heart (PPO C-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
HumanaChoice - Diabetes and Heart (PPO C-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Generations Dual Premier (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Humana Gold Plus H6622-033 (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Aetna Medicare Signature (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
HumanaChoice Giveback H5216-264 (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Aetna Medicare Dual Care (PPO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
UHC Complete Care OK-9 (HMO-POS C-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
HealthSpring Preferred Savings (HMO) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
HealthSpring True Choice (PPO) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
HumanaChoice SNP-DE H5216-469 (PPO D-SNP) $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 001 OK (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →

Compare All Oklahoma 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 Oklahoma cover Dicyclomine hydrochloride. There are 30 plans available. Coverage and costs vary by specific plan.

The average 30-day copay for Dicyclomine hydrochloride in Oklahoma is $3.32 at a preferred pharmacy. Costs vary by plan. Compare plans to find the lowest cost option for you.

Based on current CMS data, AARP Medicare Advantage Essentials from UHC OK-3 (HMO-POS) offers one of the lowest copays for Dicyclomine hydrochloride in Oklahoma. 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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