Nortriptyline Hydrochloride Medicare Coverage in New Hampshire
cover Nortriptyline Hydrochloride
Medicare Plans Covering Nortriptyline Hydrochloride 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 H7617-046 (PPO) Lowest Copay | $0.00/mo | Tier 4 - Non-Preferred Drug | $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 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HumanaChoice Giveback H5216-138 (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| WellSense Signature (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC NH-2 (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| UHC Complete Care Support NH-2A (HMO-POS C-SNP) | $5.90/mo | Tier 4 - Non-Preferred Drug | $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 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| UHC Medicare Advantage NH-001A (PPO) | $21.70/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| WellSense Added Value (HMO) | $21.70/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC NH-0004 (PPO) | $39.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| UHC Nursing Home Plan EX-F003 (PPO I-SNP) | $42.40/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC NH-1 (HMO-POS) | $59.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC NH-0003 (PPO) | $70.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Aetna Medicare Elite (HMO-POS) | $0.00/mo | Tier 3 - Preferred Brand | 0.2% | N/A | None | Details → |
Compare All New Hampshire Plans for Nortriptyline Hydrochloride
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Frequently Asked Questions
100% of Medicare Part D plans in New Hampshire cover Nortriptyline Hydrochloride. There are 16 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 H7617-046 (PPO) offers one of the lowest copays for Nortriptyline Hydrochloride in New Hampshire. Enter your ZIP code to see all plans and compare total annual costs including premiums.
Nortriptyline 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 Nortriptyline Hydrochloride
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