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Hydroxyzine Pamoate Medicare Coverage in Virginia

100%
of plans in Virginia
cover Hydroxyzine Pamoate
113 of 113 plans
30
Plans shown below

Medicare Plans Covering Hydroxyzine Pamoate in Virginia

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
HumanaChoice H5216-408 (PPO) Lowest Copay $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
UHC Complete Care TC-0005 (HMO-POS C-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Dual Complete VA-Y3 (HMO-POS D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Humana Value Choice H5216-266 (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
AARP Medicare Advantage from UHC VA-0011 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $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 →
AARP Medicare Advantage from UHC VA-0018 (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Anthem Full Dual Advantage (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Dual Complete VA-Y4 (PPO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage from UHC TC-0002 (HMO-POS) $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 →
Humana Gold Choice H8145-004 (PFFS) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
HumanaChoice H5216-271 (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana Gold Plus H5619-091 (HMO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
AARP Medicare Advantage from UHC VA-0004 (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Anthem Dual Advantage (PPO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Complete Care VA-21 (HMO-POS C-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana Essentials Plus Giveback H5216-308 (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana Gold Plus H5619-095 (HMO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
AARP Medicare Advantage from UHC VA-0005 (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Humana Gold Plus Giveback H6622-090 (HMO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
UHC Dual Complete VA-Y001 (HMO-POS D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Humana Gold Plus H1036-333 (HMO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
AARP Medicare Advantage from UHC VA-0008 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Complete Care VA-22 (HMO-POS C-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Humana Dual Fully Integrated H2875-003 (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana Gold Plus H5619-135 (HMO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
AARP Medicare Advantage from UHC VA-0006 (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →

Compare All Virginia Plans for Hydroxyzine Pamoate

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Frequently Asked Questions

100% of Medicare Part D plans in Virginia 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, HumanaChoice H5216-408 (PPO) offers one of the lowest copays for Hydroxyzine Pamoate in Virginia. 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 costsNational coverage for Hydroxyzine Pamoate

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