Icosapent Ethyl Medicare Coverage in Pennsylvania
cover Icosapent Ethyl
Medicare Plans Covering Icosapent Ethyl in Pennsylvania
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 |
|---|---|---|---|---|---|---|
| AmeriHealth Caritas VIP Care (HMO D-SNP) Lowest Copay | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Perennial Advantage Premier (HMO I-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| UPMC for Life Complete Care (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Geisinger Gold Preferred Complete Rx (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Geisinger Gold Classic 360 Rx (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| UPMC for Life Complete Care (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Geisinger Gold Secure Rx (HMO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| UPMC for Life Complete Care (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Geisinger Gold Classic Essential Rx (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Provider Partners Pennsylvania Community Plan (HMO I-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Keystone First VIP Choice (HMO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Perennial Advantage Freedom (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Geisinger Gold Value Rx (HMO) | $23.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| American Health Advantage of Pennsylvania (HMO I-SNP) | $32.70/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Provider Partners Pennsylvania Advantage Plan (HMO I-SNP) | $32.70/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Provider Partners Pennsylvania Essential Plan (HMO I-SNP) | $32.70/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Perennial Advantage Strive (HMO I-SNP) | $32.70/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Geisinger Gold Classic Complete Rx (HMO) | $48.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Geisinger Gold Classic Complete Rx (HMO) | $48.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Security Blue HMO-POS Standard (HMO-POS) | $51.80/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Security Blue HMO-POS Standard (HMO-POS) | $51.80/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Geisinger Gold Preferred Advantage Rx (PPO) | $91.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Security Blue HMO-POS Deluxe (HMO-POS) | $95.90/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Security Blue HMO-POS Deluxe (HMO-POS) | $95.90/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Geisinger Gold Classic Advantage Rx (HMO) | $99.30/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Geisinger Gold Classic Advantage Rx (HMO) | $99.30/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Geisinger Gold Classic Advantage Rx (HMO) | $99.30/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Geisinger Gold Preferred Advantage Rx (PPO) | $112.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Peak Advantage Vista (PPO) | $0.00/mo | Tier 2 - Generic | $4.00 | N/A | None | Details → |
| Peak Advantage Summit (PPO) | $20.00/mo | Tier 2 - Generic | $4.00 | N/A | None | Details → |
Compare All Pennsylvania Plans for Icosapent Ethyl
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Frequently Asked Questions
100% of Medicare Part D plans in Pennsylvania cover Icosapent Ethyl. 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, AmeriHealth Caritas VIP Care (HMO D-SNP) offers one of the lowest copays for Icosapent Ethyl in Pennsylvania. Enter your ZIP code to see all plans and compare total annual costs including premiums.
Icosapent Ethyl 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 Icosapent Ethyl
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