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GENTAMICIN SULFATE Medicare Coverage in Nebraska

100%
of plans in Nebraska
cover GENTAMICIN SULFATE
44 of 44 plans
30
Plans shown below

Medicare Plans Covering GENTAMICIN SULFATE in Nebraska

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
Great Plains Medicare Advantage Gold (HMO I-SNP) Lowest Copay $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Wellcare Simple Open (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
MyAdvocate Medicare Advantage SILVER (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
DEVOTED CHOICE 001 NE (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Molina Medicare Complete Care (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
HumanaChoice Giveback H5216-340 (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
DEVOTED CHOICE GIVEBACK 002 NE (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Humana Gold Plus H0028-053 (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Blue Cross and Blue Shield of Nebraska MA Connect (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Humana Full Access H5216-411 (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Wellcare Giveback (HMO-POS) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
UHC Dual Complete NE-S003 (HMO-POS D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Humana Gold Plus SNP-DE H0028-080 (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Wellcare Simple (HMO-POS) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Dual Complete NE-S001 (HMO-POS D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Medica Advantage Value (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Aetna Medicare Dual Care (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Blue Cross and Blue Shield of Nebraska MA Core (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Dual Complete NE-S002 (PPO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Blue Cross and Blue Shield of Nebraska MA Core (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Medica Advantage Select (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Molina Medicare Complete Care (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
DEVOTED DUAL CHOICE 004 NE (PPO D-SNP) $14.40/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
DEVOTED DUAL CHOICE FULL 008 NE (PPO D-SNP) $22.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Medica Advantage Preferred (PPO) $23.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Blue Cross and Blue Shield of Nebraska MA Access (PPO) $30.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage from UHC NE-0002 (PPO) $30.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Great Plains Medicare Advantage (HMO I-SNP) $33.90/mo Tier 3 - Preferred Brand $0.00 N/A None Details →

Compare All Nebraska Plans for GENTAMICIN SULFATE

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 Nebraska cover GENTAMICIN SULFATE. 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, Great Plains Medicare Advantage Gold (HMO I-SNP) offers one of the lowest copays for GENTAMICIN SULFATE in Nebraska. Enter your ZIP code to see all plans and compare total annual costs including premiums.

GENTAMICIN SULFATE 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 GENTAMICIN SULFATE

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