Hydroxyzine Pamoate Medicare Coverage in Minnesota
cover Hydroxyzine Pamoate
Medicare Plans Covering Hydroxyzine Pamoate in Minnesota
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 |
|---|---|---|---|---|---|---|
| AbilityCare (HMO D-SNP) Lowest Copay | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| SecureBlue (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| UHC Complete Care MN-7 (PPO C-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC MN-0001 (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Prime Health Complete (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| PrimeWest Senior Health Complete (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-275 (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| IMCare Classic (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Gundersen MN Quartz Med Advantage Basic D (w/Rx) (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| SeniorCare Complete (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Blue Cross Medicare Advantage Choice (PPO) | $2.70/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Gundersen MN Quartz Med Advantage Core D (w/Rx) (HMO) | $8.20/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-359 (PPO) | $10.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Humana Gold Choice H8145-006 (PFFS) | $10.80/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| UHC Complete Care Support MN-8 (PPO C-SNP) | $16.80/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| UHC Complete Care Support FG-5 (PPO C-SNP) | $19.90/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-092 (PPO) | $25.10/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC FG-0002 (PPO) | $38.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Allina Health Aetna Medicare Value (PPO C-SNP) | $41.50/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC FG-0001 (PPO) | $41.50/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Blue Cross Medicare Advantage Choice (PPO) | $50.10/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Blue Cross Medicare Advantage Choice (PPO) | $50.10/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC MN-0002 (PPO) | $54.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Blue Cross Medicare Advantage Complete (PPO) | $57.20/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Gundersen MN Quartz Med Advantage Value D (w/Rx) (HMO) | $67.40/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Platinum Blue Choice Plan with Rx (Cost) | $85.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-063 (PPO) | $90.10/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC MN-0005 (PPO) | $94.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC FG-0003 (PPO) | $95.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Blue Cross Medicare Advantage Complete (PPO) | $104.80/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
Compare All Minnesota Plans for Hydroxyzine Pamoate
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Frequently Asked Questions
100% of Medicare Part D plans in Minnesota 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, AbilityCare (HMO D-SNP) offers one of the lowest copays for Hydroxyzine Pamoate in Minnesota. 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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