Gentamicin Sulfate Medicare Coverage in Utah
cover Gentamicin Sulfate
Medicare Plans Covering Gentamicin Sulfate in Utah
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 |
|---|---|---|---|---|---|---|
| Humana Total Complete H2486-003 (HMO) Lowest Copay | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Full Dual (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Aetna Medicare Full Dual (PPO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HumanaChoice SNP-DE H5216-296 (PPO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC UT-0002 (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage Essentials from UHC UT-4 (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE 001 UT (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-428 (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Humana Value Choice H7617-032 (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC UT-0005 (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Select Health Medicare Essential (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE GIVEBACK 002 UT (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Humana Essentials Plus Giveback H5216-430 (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| HumanaChoice SNP-DE H7617-038 (PPO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| UHC Complete Care UT-6 (HMO-POS C-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Select Health Medicare Dual (HMO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Humana Value Choice H5216-456 (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC UT-0008 (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage Extras UT-7 (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Select Health Medicare Essential (HMO) | $0.00/mo | Tier 2 - Generic | $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 → |
| AARP Medicare Advantage Giveback from UHC UT-9 (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Molina Medicare Complete Care Select (HMO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| UHC Dual Complete UT-V001 (PPO D-SNP) | $17.40/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Humana Value Choice H5216-456 (PPO) | $20.30/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| HumanaChoice H7617-016 (PPO) | $25.30/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Humana Dual Select H7617-039 (PPO D-SNP) | $27.90/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Humana Full Access H7617-025 (PPO) | $29.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| DEVOTED DUAL CHOICE FULL 004 UT (PPO D-SNP) | $34.40/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| American Health Advantage of Utah (HMO I-SNP) | $37.60/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
Compare All Utah Plans for Gentamicin Sulfate
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Frequently Asked Questions
100% of Medicare Part D plans in Utah cover Gentamicin Sulfate. There are 30 plans available. Coverage and costs vary by specific plan.
The average 30-day copay for Gentamicin Sulfate in Utah is $0.48 at a preferred pharmacy. Costs vary by plan. Compare plans to find the lowest cost option for you.
Based on current CMS data, Humana Total Complete H2486-003 (HMO) offers one of the lowest copays for Gentamicin Sulfate in Utah. Enter your ZIP code to see all plans and compare total annual costs including premiums.
Gentamicin Sulfate 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 Gentamicin Sulfate
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