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Lidocaine Hydrochloride Medicare Coverage in Wisconsin

100%
of plans in Wisconsin
cover Lidocaine Hydrochloride
53 of 53 plans
$8.71
Avg 30-day copay in Wisconsin
30
Plans shown below

Medicare Plans Covering Lidocaine Hydrochloride in Wisconsin

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
My Choice Wisconsin Partnership Plan (HMO D-SNP) Lowest Copay $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
HealthPartners Cedar (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Anthem Medicare Advantage (HMO-POS) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
UHC Complete Care WI-1 (PPO C-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage from UHC WI-0015 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
My Choice Wisconsin Partnership Plan (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Aspirus Health Plan Essential Rx (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Anthem Full Dual Advantage 2 (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
AARP Medicare Advantage from UHC WI-0017 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Cooperative Advantage (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Cooperative Medicare Advantage (HMO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
AARP Medicare Advantage Extras from UHC WI-19 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage Essentials from UHC WI-13 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Complete Care WI-20 (HMO-POS C-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Anthem Full Dual Advantage (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
AARP Medicare Advantage from UHC WI-0014 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Community Care's Partnership Program (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
HealthPartners Birch (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Anthem Medicare Advantage (HMO-POS) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
UHC Dual Complete WI-D003 (HMO-POS D-SNP) $7.50/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP) $7.70/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Dual Complete WI-D001 (PPO D-SNP) $9.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Dual Complete WI-V001 (HMO-POS D-SNP) $17.30/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Dual Complete WI-D002 (HMO-POS D-SNP) $18.90/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Care Advantage WI-E001 (HMO-POS I-SNP) $21.10/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Dual Complete WI-D3 (HMO-POS D-SNP) $21.10/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Network Health Cares (PPO D-SNP) $21.10/mo Tier 2 - Generic $0.00 N/A None Details →

Compare All Wisconsin 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 Wisconsin cover Lidocaine Hydrochloride. There are 30 plans available. Coverage and costs vary by specific plan.

The average 30-day copay for Lidocaine Hydrochloride in Wisconsin is $8.71 at a preferred pharmacy. Costs vary by plan. Compare plans to find the lowest cost option for you.

Based on current CMS data, My Choice Wisconsin Partnership Plan (HMO D-SNP) offers one of the lowest copays for Lidocaine Hydrochloride in Wisconsin. 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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