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Lorazepam Medicare Coverage in New Hampshire

100%
of plans in New Hampshire
cover Lorazepam
9 of 9 plans
9
Plans shown below

Medicare Plans Covering Lorazepam in New Hampshire

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
HumanaChoice Giveback H5216-138 (PPO) Lowest Copay $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
HumanaChoice Giveback H7617-046 (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
WellSense Signature Access (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Humana Gold Plus H5619-180 (HMO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Aetna Medicare Elite (HMO-POS) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
WellSense Signature (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
WellSense Choice (HMO) $13.90/mo Tier 2 - Generic $0.00 N/A None Details →
Humana Gold Plus H5619-137 (HMO) $14.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
WellSense Added Value (HMO) $21.70/mo Tier 1 - Preferred Generic $0.00 N/A None Details →

Compare All New Hampshire Plans for Lorazepam

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 New Hampshire cover Lorazepam. There are 9 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 Lorazepam in New Hampshire. Enter your ZIP code to see all plans and compare total annual costs including premiums.

Lorazepam 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 Lorazepam

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