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Lidocaine Hydrochloride Medicare Coverage in Utah

100%
of plans in Utah
cover Lidocaine Hydrochloride
25 of 25 plans
25
Plans shown below

Medicare Plans Covering Lidocaine Hydrochloride in Utah

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
AARP Medicare Advantage from UHC UT-0008 (PPO) Lowest Copay $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage Giveback from UHC UT-9 (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage Essentials from UHC UT-4 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
DEVOTED CHOICE 001 UT (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Molina Medicare Complete Care (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
AARP Medicare Advantage from UHC UT-0002 (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage from UHC UT-0005 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
DEVOTED CHOICE GIVEBACK 002 UT (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Molina Medicare Complete Care Select (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
UHC Complete Care UT-6 (HMO-POS C-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage Extras UT-7 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Dual Complete UT-V001 (PPO D-SNP) $17.40/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
DEVOTED DUAL CHOICE FULL 004 UT (PPO D-SNP) $34.40/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
UHC Dual Complete UT-S2 (HMO-POS D-SNP) $37.60/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
DEVOTED C-SNP CHOICE PLUS 007 UT (PPO C-SNP) $37.60/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
UHC Nursing Home Plan UT-F001 (PPO I-SNP) $37.60/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
American Health Advantage of Utah (HMO I-SNP) $37.60/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
UHC Dual Complete UT-S001 (PPO D-SNP) $37.60/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
DEVOTED C-SNP CHOICE PREMIUM 003 UT (PPO C-SNP) $37.60/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
AARP Medicare Advantage from UHC UT-0001 (PPO) $39.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage from UHC UT-0003 (HMO-POS) $55.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
HealthSpring Premier (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug 0.5% N/A None Details →
HealthSpring True Choice (PPO) $0.00/mo Tier 4 - Non-Preferred Drug 0.5% N/A None Details →
Regence MedAdvantage + Rx Classic (PPO) $34.70/mo Tier 4 - Non-Preferred Drug 0.4% N/A None Details →
Regence MedAdvantage + Rx Enhanced (PPO) $81.70/mo Tier 4 - Non-Preferred Drug 0.4% N/A None Details →

Compare All Utah Plans for Lidocaine Hydrochloride

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 Utah cover Lidocaine Hydrochloride. There are 25 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, AARP Medicare Advantage from UHC UT-0008 (PPO) offers one of the lowest copays for Lidocaine Hydrochloride in Utah. Enter your ZIP code to see all plans and compare total annual costs including premiums.

Lidocaine Hydrochloride 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 Hydrochloride

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