Glatiramer Acetate Medicare Coverage in Hawaii
cover Glatiramer Acetate
Medicare Plans Covering Glatiramer Acetate in Hawaii
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 |
|---|---|---|---|---|---|---|
| DEVOTED CHOICE GIVEBACK 005 HI (PPO) Lowest Copay | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Kaiser Permanente Dual Complete Oahu (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Humana Gold Plus H0028-082 (HMO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| DEVOTED CORE 004 HI (HMO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE GIVEBACK 005 HI (PPO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Humana USAA Honor Giveback with Rx (PPO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Kaiser Permanente Dual Complete Maui (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| DEVOTED CORE 005 HI (HMO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| HMSA Akamai Advantage Standard (PPO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Kaiser Permanente Senior Advantage Basic (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| UHC Dual Complete HI-Y1 (PPO D-SNP) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-465 (PPO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| HMSA Akamai Advantage Dual Care (PPO D-SNP) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE 008 HI (PPO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| DEVOTED GIVEBACK 001 HI (HMO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE 004 HI (PPO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE GIVEBACK 009 HI (PPO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| DEVOTED GIVEBACK 002 HI (HMO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE 004 HI (PPO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC HI-0001 (PPO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE PREMIUM 006 HI (PPO) | $8.70/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE PREMIUM 006 HI (PPO) | $8.70/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE PREMIUM 010 HI (PPO) | $9.70/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| HMSA Akamai Advantage Complete (PPO) | $11.70/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Kaiser Permanente Senior Advantage Enhanced (HMO) | $13.70/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-313 (PPO) | $14.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC HI-0003 (PPO) | $29.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| HMSA Akamai Advantage Complete Plus (PPO) | $31.80/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Kaiser Permanente Senior Advantage Maui (HMO) | $33.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-464 (PPO) | $39.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
Compare All Hawaii Plans for Glatiramer Acetate
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Frequently Asked Questions
100% of Medicare Part D plans in Hawaii 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, DEVOTED CHOICE GIVEBACK 005 HI (PPO) offers one of the lowest copays for Glatiramer Acetate in Hawaii. Enter your ZIP code to see all plans and compare total annual costs including premiums.
Glatiramer Acetate 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 costs • National coverage for Glatiramer Acetate
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