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Lidocaine and Prilocaine Medicare Coverage in Vermont

100%
of plans in Vermont
cover Lidocaine and Prilocaine
2 of 2 plans
2
Plans shown below

Medicare Plans Covering Lidocaine and Prilocaine in Vermont

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
HumanaChoice Giveback H5216-138 (PPO) Lowest Copay $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
HumanaChoice Giveback H7617-046 (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →

Compare All Vermont 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 Vermont cover Lidocaine and Prilocaine. There are 2 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, HumanaChoice Giveback H5216-138 (PPO) offers one of the lowest copays for Lidocaine and Prilocaine in Vermont. Enter your ZIP code to see all plans and compare total annual costs including premiums.

View national coverage data for Lidocaine and Prilocaine

Lidocaine and Prilocaine Coverage in Other States

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

Alabama 100% — Arizona 100% — Arkansas 100% — California 100% — Colorado 100% avg $2.81/mo Connecticut 100% avg $1.22/mo Delaware 100% avg $2.57/mo District of Columbia 100% — Florida 100% avg $0.91/mo Georgia 100% avg $2.08/mo Hawaii 100% — Idaho 100% avg $4.44/mo Illinois 100% avg $0.75/mo Indiana 100% — Iowa 100% avg $0.15/mo Kansas 100% — Kentucky 100% — Louisiana 100% — Maine 100% avg $1.08/mo Maryland 100% avg $0.53/mo Massachusetts 100% avg $8.17/mo Michigan 100% — Minnesota 100% avg $6.08/mo Mississippi 100% — Missouri 100% avg $0.73/mo Montana 100% — Nebraska 100% — Nevada 100% — New Hampshire 100% — New Jersey 100% — New Mexico 100% — New York 100% avg $2.91/mo North Carolina 100% avg $0.66/mo North Dakota 100% avg $8.00/mo Ohio 100% avg $0.33/mo Oklahoma 100% — Oregon 100% avg $0.91/mo Pennsylvania 100% avg $0.97/mo Puerto Rico 100% — Rhode Island 100% — South Carolina 100% avg $1.63/mo South Dakota 100% avg $3.42/mo Tennessee 100% — Texas 100% avg $0.22/mo Utah 100% avg $4.77/mo Virginia 100% — Washington 100% avg $1.39/mo West Virginia 100% avg $4.10/mo Wisconsin 100% avg $3.73/mo Wyoming 100% —

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

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