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Hydrocodone Bitartrate and Acetaminophen Medicare Coverage in Pennsylvania

100%
of plans in Pennsylvania
cover Hydrocodone Bitartrate and Acetaminophen
85 of 85 plans
30
Plans shown below

Medicare Plans Covering Hydrocodone Bitartrate and Acetaminophen in Pennsylvania

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
Aetna Community HealthChoices (HMO D-SNP) Lowest Copay $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Aetna Community HealthChoices (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Aetna Community HealthChoices (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Aetna Medicare Advantra Dual Care (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Aetna Community HealthChoices (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Aetna Medicare Advantra Dual (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Aetna Community HealthChoices (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) $13.10/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) $17.60/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Aetna Medicare Chronic Care Value (HMO C-SNP) $28.80/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Aetna Medicare Chronic Care Value (HMO C-SNP) $29.70/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Aetna Medicare Chronic Care Value (HMO C-SNP) $32.70/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Aetna Medicare Longevity (HMO I-SNP) $32.70/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
HealthSpring Preferred (HMO) $0.00/mo Tier 3 - Preferred Brand $47.00 N/A None Details →
HealthSpring True Choice (PPO) $0.00/mo Tier 3 - Preferred Brand $47.00 N/A None Details →
HealthSpring Achieve (HMO C-SNP) $0.00/mo Tier 3 - Preferred Brand $47.00 N/A None Details →
HealthSpring True Choice (PPO) $0.00/mo Tier 3 - Preferred Brand $47.00 N/A None Details →
HealthSpring Preferred (HMO) $0.00/mo Tier 3 - Preferred Brand $47.00 N/A None Details →
HealthSpring Preferred (HMO) $0.00/mo Tier 3 - Preferred Brand $47.00 N/A None Details →
HealthSpring Preferred PA (HMO) $0.00/mo Tier 3 - Preferred Brand $47.00 N/A None Details →
HealthSpring Preferred Savings (HMO) $0.00/mo Tier 3 - Preferred Brand $47.00 N/A None Details →
HealthSpring Preferred (HMO) $0.00/mo Tier 3 - Preferred Brand $47.00 N/A None Details →
HealthSpring Preferred (HMO) $0.00/mo Tier 3 - Preferred Brand $47.00 N/A None Details →
HealthSpring Preferred Plus (HMO) $11.30/mo Tier 3 - Preferred Brand $47.00 N/A None Details →
HealthSpring Preferred Plus (HMO) $12.30/mo Tier 3 - Preferred Brand $47.00 N/A None Details →
Capital Blue Cross Premier (HMO) $25.30/mo Tier 4 - Non-Preferred Drug $100.00 N/A None Details →
Capital Blue Cross Prime (PPO) $77.30/mo Tier 4 - Non-Preferred Drug $100.00 N/A None Details →
Capital Blue Cross Essential (HMO) $0.00/mo Tier 4 - Non-Preferred Drug 0.4% N/A None Details →

Compare All Pennsylvania Plans for Hydrocodone Bitartrate and Acetaminophen

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 Pennsylvania cover Hydrocodone Bitartrate and Acetaminophen. 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, Aetna Community HealthChoices (HMO D-SNP) offers one of the lowest copays for Hydrocodone Bitartrate and Acetaminophen in Pennsylvania. Enter your ZIP code to see all plans and compare total annual costs including premiums.

Hydrocodone Bitartrate and Acetaminophen 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 Hydrocodone Bitartrate and Acetaminophen

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