Skip to main content

Lidocaine and Prilocaine Medicare Coverage in Connecticut

100%
of plans in Connecticut
cover Lidocaine and Prilocaine
42 of 42 plans
$1.22
Avg 30-day copay in Connecticut
30
Plans shown below

Medicare Plans Covering Lidocaine and Prilocaine in Connecticut

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
UHC Dual Complete CT-Q001 (PPO D-SNP) Lowest Copay $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
UHC Dual Complete CT-S2 (PPO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
HumanaChoice H5216-289 (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Medicare Advantage CT-0003 (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Anthem Dual Advantage (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
ConnectiCare Choice Plan 3 (HMO-POS) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Aetna Medicare Full Dual (HMO-POS D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Anthem Full Dual Advantage (PPO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Wellcare Simple Open (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Wellcare Simple (HMO-POS) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Aetna Medicare Partial Dual (HMO-POS D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Anthem Dual Advantage (PPO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Wellcare Giveback Open (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
ConnectiCare Choice Dual (HMO-POS D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
UHC Dual Complete CT-S001 (PPO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
HumanaChoice Giveback H5216-138 (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Wellcare Giveback (HMO-POS) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Anthem Full Dual Advantage Select (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
ConnectiCare Passage Plan 1 (HMO-POS) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
HumanaChoice H5216-288 (PPO) $18.20/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
ConnectiCare Flex Plan 3 (HMO-POS) $19.40/mo Tier 2 - Generic $0.00 N/A None Details →
ConnectiCare Flex Plan 3 (HMO-POS) $19.40/mo Tier 2 - Generic $0.00 N/A None Details →
ConnectiCare Flex Plan 2 (HMO-POS) $28.70/mo Tier 2 - Generic $0.00 N/A None Details →
Aetna Medicare Longevity (PPO I-SNP) $35.80/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
ConnectiCare Choice Plan 1 (HMO-POS) $37.50/mo Tier 2 - Generic $0.00 N/A None Details →
UHC Medicare Advantage CT-0002 (HMO-POS) $39.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
UHC Nursing Home Plan EX-F003 (PPO I-SNP) $42.40/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
UHC Medicare Advantage CT-0001 (HMO-POS) $78.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
CarePartners Access (PPO) $0.00/mo Tier 2 - Generic $2.00 N/A None Details →
CarePartners of CT CareAdvantage Preferred (HMO) $0.00/mo Tier 2 - Generic $2.00 N/A None Details →

Compare All Connecticut Plans for Lidocaine and Prilocaine

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 Connecticut cover Lidocaine and Prilocaine. There are 30 plans available. Coverage and costs vary by specific plan.

The average 30-day copay for Lidocaine and Prilocaine in Connecticut is $1.22 at a preferred pharmacy. Costs vary by plan. Compare plans to find the lowest cost option for you.

Based on current CMS data, UHC Dual Complete CT-Q001 (PPO D-SNP) offers one of the lowest copays for Lidocaine and Prilocaine in Connecticut. Enter your ZIP code to see all plans and compare total annual costs including premiums.

Lidocaine and Prilocaine Coverage in Other States

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

Coverage data from CMS formulary files for plan year 2026. How we calculate costsNational coverage for Lidocaine and Prilocaine

Get Lidocaine and Prilocaine Delivered to Your Door

Compare prices and get discounts from trusted online pharmacies

DrugCovered may earn commissions from pharmacy purchases. Prices and availability vary. Always consult your doctor before starting or changing medications.