Hydroxyzine Pamoate Medicare Coverage in South Carolina
cover Hydroxyzine Pamoate
Medicare Plans Covering Hydroxyzine Pamoate in South Carolina
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 Medicare Full Dual Care (HMO D-SNP) Lowest Copay | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-423 (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Humana Gold Plus Giveback H5619-169 (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $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 → |
| Humana Dual Integrated (HMO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC SC-0005 (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Humana Gold Plus H5619-171 (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| HumanaChoice SNP-DE H5216-277 (PPO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| UHC Dual Complete SC-S001 (PPO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HumanaChoice Giveback H7617-094 (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| HumanaChoice H7617-095 (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| HumanaChoice Giveback H5216-345 (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| UHC Complete Care SC-1 (PPO C-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Humana Gold Plus H5619-083 (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| First Choice VIP Care (HMO D-SNP) | $0.00/mo | Tier 2 - Generic | $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 → |
| HumanaChoice H5216-347 (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| UHC Dual Complete SC-S2 (PPO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Humana Gold Plus H5619-152 (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| HumanaChoice Giveback H5216-154 (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| UHC Dual Complete SC-V001 (PPO D-SNP) | $2.30/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-466 (PPO) | $7.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Humana Together in Health (PPO I-SNP) | $7.30/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Aetna Medicare Chronic Care Total (HMO C-SNP) | $17.20/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Humana Gold Choice H8145-069 (PFFS) | $27.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| HumanaChoice H5525-049 (PPO) | $29.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| UHC Complete Care Support SC-7 (PPO C-SNP) | $35.70/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| UHC Nursing Home Plan SC-F001 (PPO I-SNP) | $35.70/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-280 (PPO) | $35.70/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
Compare All South Carolina Plans for Hydroxyzine Pamoate
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Frequently Asked Questions
100% of Medicare Part D plans in South Carolina 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, Aetna Medicare Full Dual Care (HMO D-SNP) offers one of the lowest copays for Hydroxyzine Pamoate in South Carolina. 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 costs • National coverage for Hydroxyzine Pamoate
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