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Glycopyrrolate and formoterol fumarate Medicare Coverage in Louisiana

100%
of plans in Louisiana
cover Glycopyrrolate and formoterol fumarate
49 of 49 plans
30
Plans shown below

Medicare Plans Covering Glycopyrrolate and formoterol fumarate in Louisiana

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 006 LA (PPO) Lowest Copay $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
AmeriHealth Caritas VIP Care (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Aetna Medicare Dual Extra Care (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
DEVOTED CHOICE 001 LA (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Aetna Medicare Dual Extra Care (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
DEVOTED CHOICE GIVEBACK 002 LA (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
DEVOTED CHOICE 005 LA (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Aetna Medicare Dual Care (PPO D-SNP) $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 →
Blue adVantage Dual Plus (HMO-POS D-SNP) $18.20/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Aetna Medicare Dual Care (HMO D-SNP) $23.30/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
DEVOTED C-SNP CHOICE PREMIUM 012 LA (PPO C-SNP) $32.90/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
DEVOTED C-SNP CHOICE PREMIUM 013 LA (PPO C-SNP) $32.90/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
DEVOTED C-SNP CHOICE PLUS 014 LA (PPO C-SNP) $32.90/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
DEVOTED DUAL CHOICE FULL 015 LA (PPO D-SNP) $32.90/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
DEVOTED DUAL CHOICE 004 LA (PPO D-SNP) $32.90/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Blue adVantage Classic (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $45.00 N/A None Details →
Blue adVantage Giveback (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $45.00 N/A None Details →
Blue adVantage Classic (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $45.00 N/A None Details →
Blue adVantage Giveback (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $45.00 N/A None Details →
Blue adVantage Liberty (PPO) $0.00/mo Tier 3 - Preferred Brand $45.00 N/A None Details →
Blue adVantage Thrive (PPO) $0.00/mo Tier 3 - Preferred Brand $45.00 N/A None Details →
Blue adVantage Classic (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $45.00 N/A None Details →
Blue adVantage Classic (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $45.00 N/A None Details →
Blue adVantage Classic (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $45.00 N/A None Details →
Blue adVantage Platinum (HMO-POS) $16.00/mo Tier 3 - Preferred Brand $45.00 N/A None Details →
Blue adVantage Platinum (HMO-POS) $16.00/mo Tier 3 - Preferred Brand $45.00 N/A None Details →
Blue adVantage Reliance (HMO-POS) $32.90/mo Tier 3 - Preferred Brand $45.00 N/A None Details →
Blue adVantage Reliance (HMO-POS) $32.90/mo Tier 3 - Preferred Brand $45.00 N/A None Details →
Blue adVantage Premier (PPO) $57.60/mo Tier 3 - Preferred Brand $45.00 N/A None Details →

Compare All Louisiana 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 Louisiana 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 006 LA (PPO) offers one of the lowest copays for Glycopyrrolate and formoterol fumarate in Louisiana. 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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