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Hydroxyzine Pamoate Medicare Coverage in Michigan

100%
of plans in Michigan
cover Hydroxyzine Pamoate
51 of 51 plans
30
Plans shown below

Medicare Plans Covering Hydroxyzine Pamoate in Michigan

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
McLaren Medicare Inspire Select (HMO) Lowest Copay $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
AARP Medicare Advantage from UHC MI-0001 (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $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 MI-S3 (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AmeriHealth Caritas VIP Care (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Humana Full Access H5216-384 (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana Gold Plus H8908-004 (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
UHC Dual Complete MI-Y1 (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Humana Full Access H7617-052 (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana Full Access H5216-287 (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana Full Access H7617-055 (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
HumanaChoice SNP-DE H5216-388 (PPO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana Dual Integrated (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana USAA Honor Giveback with Rx (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana Gold Plus Chronic Kidney Disease (HMO C-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 4 - Non-Preferred Drug $0.00 N/A None Details →
Humana Full Access Giveback H7617-058 (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
UHC Dual Complete MI-S001 (PPO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
McLaren Medicare Inspire (HMO) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Humana Full Access Giveback H5216-306 (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana Gold Plus SNP-DE H8908-007 (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana USAA Honor Giveback with Rx (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
UHC Dual Complete MI-S002 (HMO-POS D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
HumanaChoice - Diabetes and Heart (PPO C-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Aetna Medicare HIDE (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Dual Complete MI-V001 (HMO-POS D-SNP) $0.20/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Humana Value Plus H5216-382 (PPO) $8.80/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana Dual Select H5216-385 (PPO D-SNP) $8.80/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
UHC Complete Care Support MI-3 (PPO C-SNP) $8.80/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →

Compare All Michigan Plans for Hydroxyzine Pamoate

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Frequently Asked Questions

100% of Medicare Part D plans in Michigan cover Hydroxyzine Pamoate. 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, McLaren Medicare Inspire Select (HMO) offers one of the lowest copays for Hydroxyzine Pamoate in Michigan. Enter your ZIP code to see all plans and compare total annual costs including premiums.

Hydroxyzine Pamoate 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 Hydroxyzine Pamoate

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