perphenazine and amitriptyline hydrochloride Medicare Coverage in Arizona
cover perphenazine and amitriptyline hydrochloride
Medicare Plans Covering perphenazine and amitriptyline hydrochloride in Arizona
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 |
|---|---|---|---|---|---|---|
| Gold Heart & Diabetes (HMO-POS C-SNP) Lowest Copay | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Wellpoint I CareMore Home Care 2 (HMO I-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Gold Dialysis & Kidney (HMO-POS C-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Gold Heart & Diabetes (HMO-POS C-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Gold Dialysis & Kidney (HMO-POS C-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Wellpoint I CareMore Home Care (HMO I-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Wellpoint I CareMore Home Care (HMO I-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Verda Noble Care (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Verda Noble Chronic Care (HMO C-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | $17.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| SCAN Classic (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| Aetna Medicare Prime Extra (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Wellpoint Chronic Care (HMO-POS C-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| HealthSpring Preferred (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.5% | N/A | None | Details → |
| SCAN Balance (HMO C-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| Aetna Medicare Signature Extra (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Wellpoint Medicare Advantage 1 (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| HealthSpring True Choice (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.5% | N/A | None | Details → |
| Wellpoint Lung Care 2 (HMO-POS C-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| HealthSpring Achieve (HMO C-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.5% | N/A | None | Details → |
| SCAN Embrace (HMO-POS I-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| Aetna Medicare Signature Advantage (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Wellpoint Premium Savings (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Wellpoint Chronic Care 2 (HMO-POS C-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| HealthSpring Alliance (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.5% | N/A | None | Details → |
| SCAN Strive (HMO C-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Prime Chronic Care (HMO C-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Wellpoint I CareMore Kidney Care (HMO-POS C-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| HealthSpring Preferred Savings (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.5% | N/A | None | Details → |
| SCAN MyChoice (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
Compare All Arizona 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 Arizona 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, Gold Heart & Diabetes (HMO-POS C-SNP) offers one of the lowest copays for perphenazine and amitriptyline hydrochloride in Arizona. 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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