immune globulin intravenous (human) Medicare Coverage in Pennsylvania
cover immune globulin intravenous (human)
Medicare Plans Covering immune globulin intravenous (human) 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 |
|---|---|---|---|---|---|---|
| Jefferson Health Plans Special (HMO D-SNP) Lowest Copay | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| DEVOTED CORE 008 PA (HMO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE 007 PA (PPO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| DEVOTED GIVEBACK 015 PA (HMO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Jefferson Health Plans Flex (PPO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Jefferson Health Plans Complete (HMO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| DEVOTED GIVEBACK 009 PA (HMO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE GIVEBACK 008 PA (PPO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Jefferson Health Plans Giveback (HMO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| DEVOTED CORE 010 PA (HMO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| DEVOTED CORE 023 PA (HMO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE 010 PA (PPO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Jefferson Health Plans Dual Pearl (HMO D-SNP) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| DEVOTED GIVEBACK 011 PA (HMO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE GIVEBACK 011 PA (PPO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Clover Health Choice (PPO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Jefferson Health Plans Select (HMO D-SNP) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| DEVOTED CORE 012 PA (HMO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| DEVOTED GIVEBACK 013 PA (HMO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE GIVEBACK 003 PA (PPO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| DEVOTED CORE 014 PA (HMO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| DEVOTED DUAL PLUS 007 PA (HMO D-SNP) | $16.90/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Jefferson Health Plans Flex Pro (PPO) | $18.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| DEVOTED DUAL FULL 026 PA (HMO D-SNP) | $19.50/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| DEVOTED DUAL FULL 025 PA (HMO D-SNP) | $19.70/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| DEVOTED DUAL PLUS 005 PA (HMO D-SNP) | $22.50/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| DEVOTED C-SNP PLUS 021 PA (HMO C-SNP) | $32.70/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| DEVOTED C-SNP PLUS 022 PA (HMO C-SNP) | $32.70/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| DEVOTED C-SNP PREMIUM 016 PA (HMO C-SNP) | $32.70/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Jefferson Health Plans Flex Plus (PPO) | $32.70/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
Compare All Pennsylvania Plans for immune globulin intravenous (human)
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Frequently Asked Questions
100% of Medicare Part D plans in Pennsylvania cover immune globulin intravenous (human). 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, Jefferson Health Plans Special (HMO D-SNP) offers one of the lowest copays for immune globulin intravenous (human) in Pennsylvania. Enter your ZIP code to see all plans and compare total annual costs including premiums.
immune globulin intravenous (human) 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 immune globulin intravenous (human)
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