Glycopyrrolate and formoterol fumarate Medicare Coverage in Arizona
cover Glycopyrrolate and formoterol fumarate
Medicare Plans Covering Glycopyrrolate and formoterol fumarate in Arizona
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 001 AZ (PPO) Lowest Copay | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Mercy Care Advantage (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| DEVOTED GIVEBACK 013 AZ (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Banner Medicare Advantage Dual (HMO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE 002 AZ (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED C-SNP 023 AZ (HMO C-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Mercy Care Advantage (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Banner Medicare Advantage Dual (HMO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE 003 AZ (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Health Choice Pathway (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| DEVOTED CORE 016 AZ (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE GIVEBACK 006 AZ (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED GIVEBACK 019 AZ (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED CORE 001 AZ (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED CORE 020 AZ (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED CORE 007 AZ (HMO) | $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 → |
| Banner Medicare Advantage Prime (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED CORE 021 AZ (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Mercy Care Advantage (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| DEVOTED C-SNP 011 AZ (HMO C-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED C-SNP PLUS 022 AZ (HMO C-SNP) | $17.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED C-SNP PREMIUM 014 AZ (HMO C-SNP) | $17.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED C-SNP PREMIUM 024 AZ (HMO C-SNP) | $17.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED C-SNP PLUS 025 AZ (HMO C-SNP) | $17.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED C-SNP PLUS 027 AZ (HMO C-SNP) | $17.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| SCAN Classic (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $42.00 | N/A | None | Details → |
| SCAN Balance (HMO C-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $42.00 | N/A | None | Details → |
| SCAN Embrace (HMO-POS I-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $42.00 | N/A | None | Details → |
| SCAN MyChoice (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $42.00 | N/A | None | Details → |
Compare All Arizona Plans for Glycopyrrolate and formoterol fumarate
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 Arizona cover Glycopyrrolate and formoterol fumarate. 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 001 AZ (PPO) offers one of the lowest copays for Glycopyrrolate and formoterol fumarate in Arizona. Enter your ZIP code to see all plans and compare total annual costs including premiums.
Glycopyrrolate and formoterol fumarate 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 Glycopyrrolate and formoterol fumarate
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