perphenazine and amitriptyline hydrochloride Medicare Coverage in Indiana
cover perphenazine and amitriptyline hydrochloride
Medicare Plans Covering perphenazine and amitriptyline hydrochloride in Indiana
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 |
|---|---|---|---|---|---|---|
| Anthem Full Dual Advantage (HMO D-SNP) Lowest Copay | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Anthem I PathWays Dual Care Advantage (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Anthem I PathWays Dual Care Advantage NFLOC (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| MyTruAdvantage Select (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| MyTruAdvantage Choice Plus (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Anthem Extra Help (HMO-POS) | $22.80/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Anthem Dual Advantage (HMO D-SNP) | $25.90/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| MyTruAdvantage Choice Complete (PPO) | $34.80/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Chronic Care Total (HMO C-SNP) | $38.40/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| CommuniCare Advantage ISNP (HMO I-SNP) | $38.40/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Chronic Care Total (HMO C-SNP) | $38.40/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Anthem Medicare Advantage (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Signature (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Signature (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Anthem Medicare Advantage (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Signature (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Anthem Medicare Advantage (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Anthem Medicare Advantage 3 (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| Aetna Medicare Signature Extra (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Anthem Medicare Advantage 4 (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| Aetna Medicare Signature (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Signature (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Anthem Medicare Advantage (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Signature (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Anthem Medicare Advantage (PPO) | $2.50/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| Anthem Medicare Advantage 3 (HMO) | $6.30/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| Anthem Medicare Advantage 2 (PPO) | $26.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Value Care (PPO) | $31.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Value Care (PPO) | $33.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Anthem Medicare Advantage 2 (HMO-POS) | $40.70/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
Compare All Indiana Plans for perphenazine and amitriptyline 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 Indiana cover perphenazine and amitriptyline 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, Anthem Full Dual Advantage (HMO D-SNP) offers one of the lowest copays for perphenazine and amitriptyline hydrochloride in Indiana. Enter your ZIP code to see all plans and compare total annual costs including premiums.
perphenazine and amitriptyline 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 perphenazine and amitriptyline hydrochloride
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