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Hydroxyzine Pamoate Medicare Coverage in Missouri

100%
of plans in Missouri
cover Hydroxyzine Pamoate
108 of 108 plans
$0.53
Avg 30-day copay in Missouri
30
Plans shown below

Medicare Plans Covering Hydroxyzine Pamoate in Missouri

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
Humana Value Choice H7617-023 (PPO) Lowest Copay $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana Value Choice H5216-318 (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
UHC Complete Care MO-1 (PPO C-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage Essentials from UHC KC-6 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
HumanaChoice SNP-DE H7617-006 (PPO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana Community (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
AARP Medicare Advantage Extras from UHC KC-5 (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage from UHC MO-0006 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Aetna Medicare Dual (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Humana Gold Plus H0028-014 (HMO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Anthem Full Dual Advantage 2 (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
HumanaChoice Giveback H5216-404 (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana Gold Plus Giveback H0028-065 (HMO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana Gold Plus H4623-001 (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
AARP Medicare Advantage from UHC MO-0007 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $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 Essentials Plus Giveback H5216-405 (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
AARP Medicare Advantage from UHC MO-0002 (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Humana Full Access H7617-008 (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana Gold Plus Giveback H0028-066 (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana Community (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Provider Partners Missouri Community Plan (HMO I-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Aetna Medicare Full Dual (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Humana Gold Plus SNP-DE H4461-044 (HMO-POS D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
AARP Medicare Advantage Essentials from UHC MO-4 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Humana Full Access H5216-407 (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
AARP Medicare Advantage from UHC ST-2 (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →

Compare All Missouri Plans for Hydroxyzine Pamoate

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 Missouri cover Hydroxyzine Pamoate. There are 30 plans available. Coverage and costs vary by specific plan.

The average 30-day copay for Hydroxyzine Pamoate in Missouri is $0.53 at a preferred pharmacy. Costs vary by plan. Compare plans to find the lowest cost option for you.

Based on current CMS data, Humana Value Choice H7617-023 (PPO) offers one of the lowest copays for Hydroxyzine Pamoate in Missouri. 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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