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Nystatin Medicare Coverage in Pennsylvania

100%
of plans in Pennsylvania
cover Nystatin
306 of 306 plans
$0.86
Avg 30-day copay in Pennsylvania
30
Plans shown below

Medicare Plans Covering Nystatin 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
Complete Blue PPO Signature (PPO) Lowest Copay $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Keystone 65 Basic Rx (HMO) $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 →
UPMC for Life Complete Care (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
HumanaChoice Giveback H5525-085 (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Humana Gold Plus H6622-037 (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Jefferson Health Plans Special (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $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 3 - Preferred Brand $0.00 N/A None Details →
DEVOTED GIVEBACK 015 PA (HMO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Complete Blue HMO Distinct (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
DEVOTED CHOICE 007 PA (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
DEVOTED GIVEBACK 009 PA (HMO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Community Blue Medicare HMO Distinct (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Complete Blue PPO Signature (PPO) $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 →
Community Blue Medicare HMO Signature (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Clover Health Choice (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana Gold Plus H6622-054 (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Jefferson Health Plans Complete (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 Community HealthChoices (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Geisinger Gold Classic 360 Rx (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 →
Provider Partners Pennsylvania Community Plan (HMO I-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
DEVOTED CHOICE GIVEBACK 008 PA (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Perennial Advantage Freedom (HMO) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
AARP Medicare Advantage Essentials from UHC PA-5 (HMO-POS) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →

Compare All Pennsylvania Plans for Nystatin

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 Nystatin. There are 30 plans available. Coverage and costs vary by specific plan.

The average 30-day copay for Nystatin in Pennsylvania is $0.86 at a preferred pharmacy. Costs vary by plan. Compare plans to find the lowest cost option for you.

Based on current CMS data, Complete Blue PPO Signature (PPO) offers one of the lowest copays for Nystatin in Pennsylvania. Enter your ZIP code to see all plans and compare total annual costs including premiums.

Nystatin 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 Nystatin

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