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Metaxalone Medicare Coverage in Pennsylvania

100%
of plans in Pennsylvania
cover Metaxalone
24 of 24 plans
24
Plans shown below

Medicare Plans Covering Metaxalone in Pennsylvania

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
Keystone First VIP Choice (HMO D-SNP) Lowest Copay $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
AmeriHealth Caritas VIP Care (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Perennial Advantage Freedom (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Perennial Advantage Premier (HMO I-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Perennial Advantage Strive (HMO I-SNP) $32.70/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
American Health Advantage of Pennsylvania (HMO I-SNP) $32.70/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Security Blue HMO-POS Standard (HMO-POS) $51.80/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Security Blue HMO-POS Standard (HMO-POS) $51.80/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Security Blue HMO-POS Deluxe (HMO-POS) $95.90/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Security Blue HMO-POS Deluxe (HMO-POS) $95.90/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Peak Advantage Vista (PPO) $0.00/mo Tier 2 - Generic $4.00 N/A None Details →
Peak Advantage Summit (PPO) $20.00/mo Tier 2 - Generic $4.00 N/A None Details →
Freedom Blue PPO Select (PPO) $95.70/mo Tier 3 - Preferred Brand $45.00 N/A None Details →
Freedom Blue PPO Standard (PPO) $98.20/mo Tier 3 - Preferred Brand $45.00 N/A None Details →
Freedom Blue PPO Select (PPO) $115.70/mo Tier 3 - Preferred Brand $45.00 N/A None Details →
Freedom Blue PPO Deluxe (PPO) $122.40/mo Tier 3 - Preferred Brand $45.00 N/A None Details →
Freedom Blue PPO Classic (PPO) $140.90/mo Tier 3 - Preferred Brand $45.00 N/A None Details →
Freedom Blue PPO Classic (PPO) $145.40/mo Tier 3 - Preferred Brand $45.00 N/A None Details →
Keystone 65 Select Rx (HMO) $47.00/mo Tier 3 - Preferred Brand 0.3% N/A None Details →
Keystone 65 Preferred Rx (HMO) $59.70/mo Tier 3 - Preferred Brand 0.3% N/A None Details →
Keystone 65 Select Rx (HMO) $63.50/mo Tier 3 - Preferred Brand 0.3% N/A None Details →
Keystone 65 Preferred Rx (HMO) $79.70/mo Tier 3 - Preferred Brand 0.3% N/A None Details →
Personal Choice 65 Rx (PPO) $102.20/mo Tier 3 - Preferred Brand 0.3% N/A None Details →
Personal Choice 65 Rx (PPO) $112.70/mo Tier 3 - Preferred Brand 0.3% N/A None Details →

Compare All Pennsylvania Plans for Metaxalone

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 Pennsylvania cover Metaxalone. There are 24 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, Keystone First VIP Choice (HMO D-SNP) offers one of the lowest copays for Metaxalone in Pennsylvania. Enter your ZIP code to see all plans and compare total annual costs including premiums.

Metaxalone 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 Metaxalone

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