NALOXONE HYDROCHLORIDE Medicare Coverage in Pennsylvania
cover NALOXONE HYDROCHLORIDE
Medicare Plans Covering NALOXONE HYDROCHLORIDE 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 |
|---|---|---|---|---|---|---|
| HumanaChoice Giveback H5525-085 (PPO) Lowest Copay | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Humana Gold Plus H6622-036 (HMO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Community Blue Medicare HMO Signature (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Advantra Signature (HMO-POS) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| UPMC for Life Complete Care (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Community Blue Medicare HMO Signature (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Aetna Community HealthChoices (HMO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| DEVOTED CORE 014 PA (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Complete Blue HMO Distinct (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Capital Blue Cross Essential (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE GIVEBACK 003 PA (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| HumanaChoice SNP-DE H7617-048 (PPO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| UPMC for Life HMO Premier Rx (HMO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC PA-0002 (HMO-POS) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| UPMC for Life PPO Premier Rx (PPO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| DEVOTED CORE 008 PA (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Capital Blue Cross Select (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Community Blue Medicare HMO Distinct (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Community Blue Medicare HMO Signature (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Advantra Signature Plus (HMO-POS) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| UPMC for Life Complete Care (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| HumanaChoice Giveback H5525-085 (PPO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Humana Gold Plus H6622-037 (HMO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Jefferson Health Plans Special (HMO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Wellcare Simple (HMO-POS) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Complete Blue PPO Merit (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Community Blue Medicare HMO Signature (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Aetna Community HealthChoices (HMO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Signature (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| UPMC for Life PPO Essential Care Rx (PPO) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
Compare All Pennsylvania Plans for NALOXONE HYDROCHLORIDE
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Frequently Asked Questions
100% of Medicare Part D plans in Pennsylvania cover NALOXONE HYDROCHLORIDE. There are 30 plans available. Coverage and costs vary by specific plan.
The average 30-day copay for NALOXONE HYDROCHLORIDE in Pennsylvania is $0.52 at a preferred pharmacy. Costs vary by plan. Compare plans to find the lowest cost option for you.
Based on current CMS data, HumanaChoice Giveback H5525-085 (PPO) offers one of the lowest copays for NALOXONE HYDROCHLORIDE in Pennsylvania. Enter your ZIP code to see all plans and compare total annual costs including premiums.
NALOXONE HYDROCHLORIDE Coverage in Other States
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Coverage data from CMS formulary files for plan year 2026. How we calculate costs • National coverage for NALOXONE HYDROCHLORIDE
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