Glycopyrrolate and formoterol fumarate Medicare Coverage in Georgia
cover Glycopyrrolate and formoterol fumarate
Medicare Plans Covering Glycopyrrolate and formoterol fumarate in Georgia
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 002 GA (PPO) Lowest Copay | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| CareSource Dual Advantage Plus (HMO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE 004 GA (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE GIVEBACK 005 GA (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Clover Health LiveHealthy (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE 010 GA (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Aetna Medicare Full Dual Care (HMO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE GIVEBACK 011 GA (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Clover Health LiveHealthy Giveback (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE 001 GA (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| CareSource Dual Advantage (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Dual Extra Care (HMO D-SNP) | $0.40/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Aetna Medicare Dual Care (HMO D-SNP) | $4.80/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Aetna Medicare Dual Extra (PPO D-SNP) | $11.40/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Aetna Medicare Dual Extra Care (PPO D-SNP) | $13.70/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Aetna Medicare Dual Care (PPO D-SNP) | $14.60/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Clover Health LiveHealthy Value (PPO) | $25.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED C-SNP CHOICE PLUS 016 GA (PPO C-SNP) | $25.40/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED C-SNP CHOICE PREMIUM 017 GA (PPO C-SNP) | $25.40/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED C-SNP CHOICE PREMIUM 018 GA (PPO C-SNP) | $25.40/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED C-SNP CHOICE PREMIUM 015 GA (PPO C-SNP) | $25.40/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Aetna Medicare Chronic Care (PPO C-SNP) | $0.00/mo | Tier 3 - Preferred Brand | 0.2% | N/A | None | Details → |
| Wellcare Simple (HMO-POS) | $0.00/mo | Tier 3 - Preferred Brand | 0.3% | N/A | None | Details → |
| Aetna Medicare Elite Giveback (PPO) | $0.00/mo | Tier 3 - Preferred Brand | 0.2% | N/A | None | Details → |
| Wellcare Simple Open (PPO) | $0.00/mo | Tier 3 - Preferred Brand | 0.3% | N/A | None | Details → |
| Wellcare Simple (HMO-POS) | $0.00/mo | Tier 3 - Preferred Brand | 0.3% | N/A | None | Details → |
| Aetna Medicare Elite (PPO) | $0.00/mo | Tier 3 - Preferred Brand | 0.2% | N/A | None | Details → |
| Wellcare Giveback (HMO-POS) | $0.00/mo | Tier 3 - Preferred Brand | 0.3% | N/A | None | Details → |
| Wellcare Dual Access Open (PPO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | 0.2% | N/A | None | Details → |
| Aetna Medicare Signature Care (HMO) | $0.00/mo | Tier 3 - Preferred Brand | 0.2% | N/A | None | Details → |
Compare All Georgia 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 Georgia 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 GIVEBACK 002 GA (PPO) offers one of the lowest copays for Glycopyrrolate and formoterol fumarate in Georgia. 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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