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memantine hydrochloride and donepezil hydrochloride Medicare Coverage in Arizona

100%
of plans in Arizona
cover memantine hydrochloride and donepezil hydrochloride
47 of 47 plans
30
Plans shown below

Medicare Plans Covering memantine hydrochloride and donepezil hydrochloride in Arizona

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
DEVOTED CHOICE GIVEBACK 006 AZ (PPO) Lowest Copay $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Health Choice Pathway (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
DEVOTED GIVEBACK 019 AZ (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
DEVOTED CORE 001 AZ (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
DEVOTED CORE 020 AZ (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
DEVOTED CORE 007 AZ (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Gold Heart & Diabetes (HMO-POS C-SNP) $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 4 - Non-Preferred Drug $0.00 N/A None Details →
DEVOTED CORE 021 AZ (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
DEVOTED C-SNP 011 AZ (HMO C-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Gold Dialysis & Kidney (HMO-POS C-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
DEVOTED CHOICE 001 AZ (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Mercy Care Advantage (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
DEVOTED GIVEBACK 013 AZ (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Gold Heart & Diabetes (HMO-POS C-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
DEVOTED CHOICE 002 AZ (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
DEVOTED C-SNP 023 AZ (HMO C-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Mercy Care Advantage (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Gold Dialysis & Kidney (HMO-POS C-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
DEVOTED CHOICE 003 AZ (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Mercy Care Advantage (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
DEVOTED CORE 016 AZ (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
DEVOTED C-SNP PLUS 025 AZ (HMO C-SNP) $17.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
DEVOTED C-SNP PLUS 027 AZ (HMO C-SNP) $17.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
DEVOTED C-SNP PLUS 022 AZ (HMO C-SNP) $17.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
DEVOTED C-SNP PREMIUM 014 AZ (HMO C-SNP) $17.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
DEVOTED C-SNP PREMIUM 024 AZ (HMO C-SNP) $17.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Gold Dialysis & Kidney Complete (HMO-POS C-SNP) $17.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Aetna Medicare Prime (HMO) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Wellcare Simple Value (HMO) $0.00/mo Tier 3 - Preferred Brand 0.3% N/A None Details →

Compare All Arizona Plans for memantine hydrochloride and donepezil 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 Arizona cover memantine hydrochloride and donepezil hydrochloride. There are 30 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, DEVOTED CHOICE GIVEBACK 006 AZ (PPO) offers one of the lowest copays for memantine hydrochloride and donepezil hydrochloride in Arizona. Enter your ZIP code to see all plans and compare total annual costs including premiums.

memantine hydrochloride and donepezil 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 memantine hydrochloride and donepezil hydrochloride

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