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perphenazine and amitriptyline hydrochloride Medicare Coverage in New Jersey

100%
of plans in New Jersey
cover perphenazine and amitriptyline hydrochloride
23 of 23 plans
23
Plans shown below

Medicare Plans Covering perphenazine and amitriptyline hydrochloride in New Jersey

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
Wellpoint Full Dual Advantage (HMO D-SNP) Lowest Copay $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Aetna Medicare FIDE (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Jefferson Health Plans Choice (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Jefferson Health Plans Silver (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Jefferson Health Plans Elite (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Wellpoint Kidney Care (HMO-POS C-SNP) $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 →
Aetna Medicare Prime Giveback (PPO) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Aetna Medicare Prime (PPO) $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 →
Aetna Medicare Prime (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Aetna Medicare Signature Extra (HMO) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Aetna Medicare Elite (HMO) $15.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Aetna Medicare Elite (PPO) $54.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Aetna Medicare Enhanced (PPO) $60.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Aetna Medicare Prime Extra (PPO) $74.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Aetna Medicare Enhanced Extra (PPO) $81.60/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Aetna Medicare Enhanced (HMO-POS) $83.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Aetna Medicare Enhanced Advantage (PPO) $91.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Aetna Medicare Enhanced Extra (PPO) $94.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Aetna Medicare Signature (PPO) $94.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Aetna Medicare Signature (HMO) $105.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →

Compare All New Jersey 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 New Jersey cover perphenazine and amitriptyline hydrochloride. There are 23 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, Wellpoint Full Dual Advantage (HMO D-SNP) offers one of the lowest copays for perphenazine and amitriptyline hydrochloride in New Jersey. 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 costsNational coverage for perphenazine and amitriptyline hydrochloride

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