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Ergotamine Tartrate and Caffeine Medicare Coverage in Pennsylvania

100%
of plans in Pennsylvania
cover Ergotamine Tartrate and Caffeine
13 of 13 plans
13
Plans shown below

Medicare Plans Covering Ergotamine Tartrate and Caffeine in Pennsylvania

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
HealthSpring True Choice (PPO) Lowest Copay $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
HealthSpring Preferred (HMO) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
HealthSpring TotalCare Plus (HMO D-SNP) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
HealthSpring Achieve (HMO C-SNP) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
HealthSpring Preferred (HMO) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
HealthSpring Preferred (HMO) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
HealthSpring Preferred PA (HMO) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
HealthSpring Preferred Savings (HMO) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
HealthSpring Preferred (HMO) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
HealthSpring True Choice (PPO) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
HealthSpring Preferred (HMO) $0.00/mo Tier 5 - Specialty 0.3% N/A None Details →
HealthSpring Preferred Plus (HMO) $11.30/mo Tier 5 - Specialty 0.3% N/A None Details →
HealthSpring Preferred Plus (HMO) $12.30/mo Tier 5 - Specialty 0.3% N/A None Details →

Compare All Pennsylvania Plans for Ergotamine Tartrate and Caffeine

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 Pennsylvania cover Ergotamine Tartrate and Caffeine. There are 13 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, HealthSpring True Choice (PPO) offers one of the lowest copays for Ergotamine Tartrate and Caffeine in Pennsylvania. Enter your ZIP code to see all plans and compare total annual costs including premiums.

View national coverage data for Ergotamine Tartrate and Caffeine

Ergotamine Tartrate and Caffeine Coverage in Other States

Click any state to see the plans and costs available there.

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Coverage data from CMS formulary files for plan year 2026. How we calculate costs • National coverage for Ergotamine Tartrate and Caffeine

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