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Glycopyrrolate and formoterol fumarate Medicare Coverage in Kentucky

100%
of plans in Kentucky
cover Glycopyrrolate and formoterol fumarate
30 of 30 plans
30
Plans shown below

Medicare Plans Covering Glycopyrrolate and formoterol fumarate in Kentucky

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
Passport Advantage (HMO D-SNP) Lowest Copay $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
DEVOTED CHOICE 003 KY (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Passport Advantage (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Passport Advantage (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Aetna Medicare HIDE (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
DEVOTED CHOICE 001 KY (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Aetna Medicare Partial Dual (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
DEVOTED CHOICE GIVEBACK 002 KY (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
DEVOTED C-SNP CHOICE PLUS 004 KY (PPO C-SNP) $38.40/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
DEVOTED C-SNP CHOICE PREMIUM 005 KY (PPO C-SNP) $38.40/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
DEVOTED C-SNP CHOICE PREMIUM 006 KY (PPO C-SNP) $38.40/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Essence Advantage (HMO) $0.00/mo Tier 3 - Preferred Brand $45.00 N/A None Details →
Essence Advantage Choice (PPO) $19.80/mo Tier 3 - Preferred Brand $47.00 N/A None Details →
Wellcare Dual Liberty Sync (HMO-POS D-SNP) $0.00/mo Tier 3 - Preferred Brand 0.2% N/A None Details →
Aetna Medicare Signature Extra (HMO-POS) $0.00/mo Tier 3 - Preferred Brand 0.2% N/A None Details →
Aetna Medicare Signature (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 →
Aetna Medicare Signature (HMO-POS) $0.00/mo Tier 3 - Preferred Brand 0.2% N/A None Details →
Aetna Medicare Signature (PPO) $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 Signature (HMO-POS) $0.00/mo Tier 3 - Preferred Brand 0.2% N/A None Details →
Aetna Medicare Signature (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 →
Aetna Medicare Signature (HMO-POS) $0.00/mo Tier 3 - Preferred Brand 0.2% N/A None Details →
Wellcare Dual Access Sync Open (PPO D-SNP) $0.00/mo Tier 3 - Preferred Brand 0.3% N/A None Details →
Wellcare Dual Access Sync (HMO-POS D-SNP) $0.00/mo Tier 3 - Preferred Brand 0.2% N/A None Details →
Wellcare Assist (HMO-POS) $31.60/mo Tier 3 - Preferred Brand 0.2% N/A None Details →
Wellcare Dual Reserve (HMO-POS D-SNP) $31.70/mo Tier 3 - Preferred Brand 0.2% N/A None Details →
Aetna Medicare Value Plus (PPO) $38.40/mo Tier 3 - Preferred Brand 0.2% N/A None Details →
Aetna Medicare Premier (PPO) $84.00/mo Tier 3 - Preferred Brand 0.2% N/A None Details →

Compare All Kentucky 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 Kentucky 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, Passport Advantage (HMO D-SNP) offers one of the lowest copays for Glycopyrrolate and formoterol fumarate in Kentucky. Enter your ZIP code to see all plans and compare total annual costs including premiums.

Glycopyrrolate and formoterol fumarate 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 costsNational coverage for Glycopyrrolate and formoterol fumarate

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