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Lidocaine and Prilocaine Medicare Coverage in Iowa

100%
of plans in Iowa
cover Lidocaine and Prilocaine
54 of 54 plans
$0.15
Avg 30-day copay in Iowa
30
Plans shown below

Medicare Plans Covering Lidocaine and Prilocaine in Iowa

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 Plain Medicare Advantage Gold (HMO I-SNP) Lowest Copay $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
DEVOTED GIVEBACK 035 IA (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Gundersen Quartz Med Advantage Basic D (w/Rx) (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Medica Advantage Value (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana Gold Plus H0028-053 (HMO) $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 2 - Generic $0.00 N/A None Details →
HumanaChoice SNP-DE H5216-268 (PPO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Aetna Medicare Dual Care (HMO D-SNP) $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 3 - Preferred Brand $0.00 N/A None Details →
UHC Dual Complete IA-S001 (HMO-POS D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Molina Medicare Complete Care (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
HumanaChoice Giveback H5216-340 (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Blue Medicare Advantage PPO (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Medica Advantage Select (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Wellpoint Full Dual Advantage (HMO-POS D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage from UHC IA-1 (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
MercyOne Health Plan Choice (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Humana Full Access H5216-411 (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
MercyOne Health Plan No Premium (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
DEVOTED CORE 034 IA (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
MercyOne Health Plan Cash Back (HMO) $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 →
MercyOne Health Plan Plus (HMO) $9.70/mo Tier 2 - Generic $0.00 N/A None Details →
Humana Gold Choice H8145-006 (PFFS) $10.80/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Great Plains Medicare Advantage (HMO I-SNP) $12.00/mo Tier 2 - Generic $0.00 N/A None Details →
Medica Advantage Preferred (PPO) $23.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Gundersen Quartz Med Advantage Core D (w/Rx) (HMO) $25.70/mo Tier 2 - Generic $0.00 N/A None Details →
UHC Complete Care IA-5 (HMO-POS C-SNP) $27.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →

Compare All Iowa 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 Iowa 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 Iowa is $0.15 at a preferred pharmacy. Costs vary by plan. Compare plans to find the lowest cost option for you.

Based on current CMS data, Great Plain Medicare Advantage Gold (HMO I-SNP) offers one of the lowest copays for Lidocaine and Prilocaine in Iowa. 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

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