Hydroxyzine Pamoate Medicare Coverage in Maryland
cover Hydroxyzine Pamoate
Medicare Plans Covering Hydroxyzine Pamoate in Maryland
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 |
|---|---|---|---|---|---|---|
| UHC Dual Complete MD-Q001 (HMO-POS D-SNP) Lowest Copay | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HumanaChoice SNP-DE H5216-459 (PPO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Provider Partners Maryland Community Plan (HMO I-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| CommuniCare Advantage CSNP (HMO C-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Humana Gold Plus H6622-095 (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Alterwood Advantage Select (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| UHC Dual Complete MD-S002 (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Alterwood Advantage Select (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Erickson Advantage Guardian (HMO-POS I-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| UHC Dual Complete MD-S002 (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Alterwood Advantage Dual Secure (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| HumanaChoice SNP-DE H5216-377 (PPO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Humana Gold Plus H6622-081 (HMO) | $8.30/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| HumanaChoice H7617-044 (PPO) | $9.30/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-376 (PPO) | $9.40/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Erickson Advantage Liberty (HMO-POS) | $14.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-387 (PPO) | $17.80/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| UHC Nursing Home Plan EX-F004 (PPO I-SNP) | $27.80/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Alterwood Advantage Choice (HMO) | $30.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Alterwood Advantage Dual Value (HMO D-SNP) | $31.20/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Provider Partners Maryland Advantage Plan (HMO I-SNP) | $31.20/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Provider Partners Maryland Essential Plan (HMO I-SNP) | $31.20/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| CommuniCare Advantage ISNP (HMO I-SNP) | $31.20/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Alterwood Advantage Choice (HMO) | $40.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Erickson Advantage Freedom (HMO-POS) | $89.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Alterwood Advantage Choice Plus (HMO) | $90.70/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Erickson Advantage Champion (HMO-POS C-SNP) | $119.50/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Erickson Advantage Signature (HMO-POS) | $173.70/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Kaiser Permanente Medicare Advantage Standard 2 MD (HMO-POS) | $0.00/mo | Tier 2 - Generic | $9.00 | N/A | None | Details → |
| Kaiser Permanente Medicare Advantage Standard 1 MD (HMO-POS) | $3.40/mo | Tier 2 - Generic | $12.00 | N/A | None | Details → |
Compare All Maryland Plans for Hydroxyzine Pamoate
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Frequently Asked Questions
100% of Medicare Part D plans in Maryland cover Hydroxyzine Pamoate. There are 30 plans available. Coverage and costs vary by specific plan.
The average 30-day copay for Hydroxyzine Pamoate in Maryland is $1.92 at a preferred pharmacy. Costs vary by plan. Compare plans to find the lowest cost option for you.
Based on current CMS data, UHC Dual Complete MD-Q001 (HMO-POS D-SNP) offers one of the lowest copays for Hydroxyzine Pamoate in Maryland. Enter your ZIP code to see all plans and compare total annual costs including premiums.
Hydroxyzine Pamoate 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 Hydroxyzine Pamoate
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