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perphenazine and amitriptyline hydrochloride Medicare Coverage in California

100%
of plans in California
cover perphenazine and amitriptyline hydrochloride
229 of 229 plans
30
Plans shown below

Medicare Plans Covering perphenazine and amitriptyline hydrochloride in California

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
Kaiser Permanente Dual Complete North P21 (HMO D-SNP) Lowest Copay $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
DualConnect (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Contra Costa Health Care Plus (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Advantage D-SNP (HMO) (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Kaiser Permanente Senior Advantage Santa Cruz (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Astiva Health Savings Plan - NorCal (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Kaiser Permanente Dual Complete South P11 (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Kaiser Permanente Senior Advantage Enhanced Stanis (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Champion Advantage (HMO-POS C-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Kaiser Permanente Senior Advantage Basic San Mateo (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
UCLA Health Medicare Advantage Principal Plan (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Imperial Senior Value (HMO C-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Kaiser Permanente Dual Complete South P1 (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
PHP (HMO C-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Kaiser Permanente Dual Complete North P22 (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Kaiser Permanente Senior Advantage Ventura (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Kern Family Health Care Medicare (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Kaiser Permanente Senior Advantage Basic Alameda (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Community y M?s (HMO C-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Kaiser Permanente Senior Advantage Enhanced Solano (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Anthem I CareMore Home Care (HMO I-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Astiva Health Premier Plan - NorCal (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Kaiser Permanente Dual Complete North P16 (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Kaiser Permanente Senior Advantage Basic Stanis (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Champion Connect (HMO-POS C-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Kaiser Permanente Sr Advantage LA, Orange Value (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Imperial Dynamic Plan (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Kaiser Permanente Dual Complete North P2 (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Kaiser Permanente Senior Advantage Enhanced Kern (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →

Compare All California 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 California 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, Kaiser Permanente Dual Complete North P21 (HMO D-SNP) offers one of the lowest copays for perphenazine and amitriptyline hydrochloride in California. Enter your ZIP code to see all plans and compare total annual costs including premiums.

View national coverage data for perphenazine and amitriptyline hydrochloride

perphenazine and amitriptyline hydrochloride Coverage in Other States

Click any state to see the plans and costs available there.

Alabama 100% — Arizona 100% — Arkansas 100% — Colorado 100% — Connecticut 100% — Delaware 100% — District of Columbia 100% — Florida 100% — Georgia 100% — Hawaii 100% — Idaho 100% — Illinois 100% — Indiana 100% — Iowa 100% — Kansas 100% — Kentucky 100% — Louisiana 100% — Maine 100% — Maryland 100% avg $1.92/mo Massachusetts 100% — Michigan 100% — Minnesota 100% — Mississippi 100% — Missouri 100% — Nebraska 100% — Nevada 100% — New Hampshire 100% — New Jersey 100% — New Mexico 100% — New York 100% — North Carolina 100% — North Dakota 100% — Ohio 100% — Oklahoma 100% — Oregon 100% avg $1.33/mo Pennsylvania 100% — Puerto Rico 100% — Rhode Island 100% — South Carolina 100% — South Dakota 100% — Tennessee 100% — Texas 100% — Utah 100% — Virginia 100% — Washington 100% avg $20.00/mo West Virginia 100% — Wisconsin 100% —

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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