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Elagolix Medicare Coverage in New York

100%
of plans in New York
cover Elagolix
32 of 32 plans
30
Plans shown below

Medicare Plans Covering Elagolix in New York

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
Nascentia Dual Advantage (HMO D-SNP) Lowest Copay $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
VNS Health Total (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Univera Medicare Dual (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Medicare Blue Dual (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
VNS Health EasyCare (HMO) $25.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Independent Health's Assure Advantage (HMO C-SNP) $46.50/mo Tier 5 - Specialty $0.00 N/A None Details →
VNS Health EasyCare Plus (HMO D-SNP) $51.60/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Independent Health's Medicare Family Choice (HMO I-SNP) $58.80/mo Tier 5 - Specialty $0.00 N/A None Details →
VillageCareMAX Medicare Select Advantage Plan (HMO) $58.80/mo Tier 5 - Specialty $0.00 N/A None Details →
Nascentia Skilled Nursing Facility (HMO I-SNP) $58.80/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Independent Health's Encompass 65 RED 043 (HMO) $190.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Medicare BlueEssential (PPO) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
Medicare BlueActive (PPO) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
Univera SeniorChoice Basic (HMO) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
Medicare BlueVital (PPO) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
Univera SeniorChoice Extra (HMO) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
CDPHP $0 Medicare Rx (HMO) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
Medicare Blue Choice Core (HMO) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
Univera SeniorChoice Core (PPO) $33.00/mo Tier 5 - Specialty 0.3% N/A None Details →
Univera SeniorChoice Advanced (HMO-POS) $36.90/mo Tier 5 - Specialty 0.3% N/A None Details →
Medicare BlueClassic (PPO) $51.00/mo Tier 5 - Specialty 0.3% N/A None Details →
Univera SeniorChoice Secure (HMO-POS) $54.90/mo Tier 5 - Specialty 0.3% N/A None Details →
Medicare BlueBalanced (PPO) $55.00/mo Tier 5 - Specialty 0.3% N/A None Details →
Medicare Blue Choice Prime (HMO) $55.00/mo Tier 5 - Specialty 0.3% N/A None Details →
Univera SeniorChoice Value Plus (HMO-POS) $58.60/mo Tier 5 - Specialty 0.3% N/A None Details →
Medicare BlueEnhanced (PPO) $70.30/mo Tier 5 - Specialty 0.3% N/A None Details →
Medicare BluePlus (PPO) $86.40/mo Tier 5 - Specialty 0.3% N/A None Details →
CDPHP Clear Rx (HMO) $100.00/mo Tier 5 - Specialty 0.3% N/A None Details →

Compare All New York Plans for Elagolix

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Frequently Asked Questions

100% of Medicare Part D plans in New York cover Elagolix. 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, Nascentia Dual Advantage (HMO D-SNP) offers one of the lowest copays for Elagolix in New York. Enter your ZIP code to see all plans and compare total annual costs including premiums.

Elagolix 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 Elagolix

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