Hydroxyzine Pamoate Medicare Coverage in Nebraska
cover Hydroxyzine Pamoate
Medicare Plans Covering Hydroxyzine Pamoate in Nebraska
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 |
|---|---|---|---|---|---|---|
| Great Plains Medicare Advantage Gold (HMO I-SNP) Lowest Copay | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| MyAdvocate Medicare Advantage SILVER (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Molina Medicare Complete Care (HMO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| HumanaChoice Giveback H5216-340 (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Humana Gold Plus H0028-053 (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Humana Full Access H5216-411 (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| UHC Dual Complete NE-S003 (HMO-POS D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Humana Gold Plus SNP-DE H0028-080 (HMO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE 001 NE (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| UHC Dual Complete NE-S001 (HMO-POS D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE GIVEBACK 002 NE (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Aetna Medicare Dual Care (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Blue Cross and Blue Shield of Nebraska MA Core (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| UHC Dual Complete NE-S002 (PPO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Blue Cross and Blue Shield of Nebraska MA Core (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Molina Medicare Complete Care (HMO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED DUAL CHOICE 004 NE (PPO D-SNP) | $14.40/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED DUAL CHOICE FULL 008 NE (PPO D-SNP) | $22.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Blue Cross and Blue Shield of Nebraska MA Access (PPO) | $30.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC NE-0002 (PPO) | $30.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Great Plains Medicare Advantage (HMO I-SNP) | $33.90/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP) | $35.60/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-014 (PPO) | $38.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED C-SNP CHOICE PREMIUM 009 NE (PPO C-SNP) | $38.40/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| UHC Dual Complete NE-V001 (HMO-POS D-SNP) | $41.50/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| DEVOTED C-SNP CHOICE PLUS 006 NE (PPO C-SNP) | $41.50/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| MyAdvocate Medicare Advantage GOLD (HMO-POS) | $59.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Blue Cross and Blue Shield of Nebraska MA Secure (PPO) | $91.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
Compare All Nebraska Plans for Hydroxyzine Pamoate
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Frequently Asked Questions
100% of Medicare Part D plans in Nebraska 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, Great Plains Medicare Advantage Gold (HMO I-SNP) offers one of the lowest copays for Hydroxyzine Pamoate in Nebraska. 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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