Hydroxyzine Pamoate Medicare Coverage in Connecticut
cover Hydroxyzine Pamoate
Medicare Plans Covering Hydroxyzine Pamoate in Connecticut
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 CT-Q001 (PPO D-SNP) Lowest Copay | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| UHC Dual Complete CT-S2 (PPO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-289 (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| UHC Medicare Advantage CT-0003 (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Anthem Dual Advantage (HMO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| ConnectiCare Choice Plan 3 (HMO-POS) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Aetna Medicare Full Dual (HMO-POS D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Anthem Full Dual Advantage (PPO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Aetna Medicare Partial Dual (HMO-POS D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Anthem Dual Advantage (PPO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| ConnectiCare Choice Dual (HMO-POS D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| UHC Dual Complete CT-S001 (PPO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HumanaChoice Giveback H5216-138 (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Anthem Full Dual Advantage Select (HMO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| ConnectiCare Passage Plan 1 (HMO-POS) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-288 (PPO) | $18.20/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| ConnectiCare Flex Plan 3 (HMO-POS) | $19.40/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| ConnectiCare Flex Plan 3 (HMO-POS) | $19.40/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| ConnectiCare Flex Plan 2 (HMO-POS) | $28.70/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Aetna Medicare Longevity (PPO I-SNP) | $35.80/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| ConnectiCare Choice Plan 1 (HMO-POS) | $37.50/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| UHC Medicare Advantage CT-0002 (HMO-POS) | $39.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| UHC Nursing Home Plan EX-F003 (PPO I-SNP) | $42.40/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| UHC Medicare Advantage CT-0001 (HMO-POS) | $78.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| CarePartners Access (PPO) | $0.00/mo | Tier 2 - Generic | $2.00 | N/A | None | Details → |
| CarePartners of CT CareAdvantage Preferred (HMO) | $0.00/mo | Tier 2 - Generic | $2.00 | N/A | None | Details → |
| HealthSpring True Choice (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $47.00 | N/A | None | Details → |
| Aetna Medicare Elite (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| HealthSpring TotalCare Plus (HMO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | 0.2% | N/A | None | Details → |
| Wellcare Dual Access (HMO-POS D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
Compare All Connecticut Plans for Hydroxyzine Pamoate
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Frequently Asked Questions
100% of Medicare Part D plans in Connecticut cover Hydroxyzine Pamoate. There are 30 plans available. Coverage and costs vary by specific plan.
The average 30-day copay for Hydroxyzine Pamoate in Connecticut is $4.00 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 CT-Q001 (PPO D-SNP) offers one of the lowest copays for Hydroxyzine Pamoate in Connecticut. 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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