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leuprolide acetate Medicare Coverage in Pennsylvania

100%
of plans in Pennsylvania
cover leuprolide acetate
87 of 87 plans
30
Plans shown below

Medicare Plans Covering leuprolide acetate 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
Keystone First VIP Choice (HMO D-SNP) Lowest Copay $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
UHC Dual Complete PA-S3 (HMO-POS D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
AARP Medicare Advantage Essentials from UHC PA-5 (HMO-POS) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
AmeriHealth Caritas VIP Care (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
UHC Complete Care PA-17 (HMO-POS C-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
AARP Medicare Advantage from UHC PA-0010 (PPO) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
UPMC for Life Complete Care (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
AARP Medicare Advantage Extras from UHC PA-18 (HMO-POS) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
AARP Medicare Advantage from UHC PA-0011 (PPO) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
UPMC for Life Complete Care (HMO D-SNP) $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 →
UHC Dual Complete PA-S001 (PPO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
AARP Medicare Advantage Giveback from UHC PA-12 (PPO) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Erickson Advantage Guardian (HMO-POS I-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
AARP Medicare Advantage from UHC PA-0015 (PPO) $0.00/mo Tier 5 - Specialty $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 →
UHC Dual Complete PA-S002 (HMO-POS D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
AARP Medicare Advantage from UHC PA-0002 (HMO-POS) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
UPMC for Life Complete Care (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) $13.10/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Erickson Advantage Liberty (HMO-POS) $14.00/mo Tier 5 - Specialty $0.00 N/A None Details →
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) $17.60/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Jefferson Health Plans Flex Pro (PPO) $18.00/mo Tier 5 - Specialty $0.00 N/A None Details →
UHC Dual Complete PA-V001 (HMO-POS D-SNP) $30.40/mo Tier 5 - Specialty $0.00 N/A None Details →
UHC Nursing Home Plan EX-F002 (PPO I-SNP) $32.60/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 →
Jefferson Health Plans Prime (HMO) $32.70/mo Tier 5 - Specialty $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 →

Compare All Pennsylvania Plans for leuprolide acetate

Enter your exact ZIP code to see plans available in your specific county, ranked by total annual cost.

Frequently Asked Questions

100% of Medicare Part D plans in Pennsylvania cover leuprolide acetate. 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, Keystone First VIP Choice (HMO D-SNP) offers one of the lowest copays for leuprolide acetate in Pennsylvania. Enter your ZIP code to see all plans and compare total annual costs including premiums.

View national coverage data for leuprolide acetate

leuprolide acetate Coverage in Other States

Click any state to see the plans and costs available there.

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Coverage data from CMS formulary files for plan year 2026. How we calculate costs • National coverage for leuprolide acetate

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