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glatiramer acetate Medicare Coverage in Utah

100%
of plans in Utah
cover glatiramer acetate
48 of 48 plans
30
Plans shown below

Medicare Plans Covering glatiramer acetate 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
Humana Value Choice H5216-456 (PPO) Lowest Copay $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Humana Total Complete H2486-003 (HMO) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Molina Medicare Complete Care (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
AARP Medicare Advantage from UHC UT-0002 (PPO) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Molina Medicare Complete Care Select (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
AARP Medicare Advantage Essentials from UHC UT-4 (HMO-POS) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
DEVOTED CHOICE 001 UT (PPO) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Aetna Medicare Full Dual (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
AARP Medicare Advantage from UHC UT-0005 (HMO-POS) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Select Health Medicare Essential (HMO) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Aetna Medicare Full Dual (PPO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
DEVOTED CHOICE GIVEBACK 002 UT (PPO) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
HumanaChoice SNP-DE H5216-296 (PPO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
UHC Complete Care UT-6 (HMO-POS C-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Select Health Medicare Dual (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
HumanaChoice H5216-428 (PPO) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
AARP Medicare Advantage from UHC UT-0008 (PPO) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Humana Value Choice H7617-032 (PPO) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
AARP Medicare Advantage Extras UT-7 (HMO-POS) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Select Health Medicare Essential (HMO) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Humana Essentials Plus Giveback H5216-430 (PPO) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
AARP Medicare Advantage Giveback from UHC UT-9 (PPO) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
HumanaChoice SNP-DE H7617-038 (PPO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
UHC Dual Complete UT-V001 (PPO D-SNP) $17.40/mo Tier 5 - Specialty $0.00 N/A None Details →
Humana Value Choice H5216-456 (PPO) $20.30/mo Tier 5 - Specialty $0.00 N/A None Details →
HumanaChoice H7617-016 (PPO) $25.30/mo Tier 5 - Specialty $0.00 N/A None Details →
Humana Dual Select H7617-039 (PPO D-SNP) $27.90/mo Tier 5 - Specialty $0.00 N/A None Details →
Humana Full Access H7617-025 (PPO) $29.00/mo Tier 5 - Specialty $0.00 N/A None Details →
DEVOTED DUAL CHOICE FULL 004 UT (PPO D-SNP) $34.40/mo Tier 5 - Specialty $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 glatiramer acetate

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 Utah cover glatiramer acetate. 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, Humana Value Choice H5216-456 (PPO) offers one of the lowest copays for glatiramer acetate in Utah. Enter your ZIP code to see all plans and compare total annual costs including premiums.

View national coverage data for glatiramer acetate

glatiramer acetate 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 glatiramer acetate

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