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perphenazine and amitriptyline hydrochloride Medicare Coverage in California

100%
of plans in California
cover perphenazine and amitriptyline hydrochloride
214 of 214 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
Elite Signature HMO (HMO) Lowest Copay $0.00/mo Tier 4 - Non-Preferred Drug $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 Dual Complete North P17 (HMO D-SNP) $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 →
Kaiser Permanente Senior Advantage Enhanced Stanis (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
CCHP Senior Program (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
CommuniCare Advantage (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Kaiser Permanente Dual Complete South P6 (HMO D-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 →
Kaiser Permanente Dual Complete North P24 (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 →
Elite Core HMO (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $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 Advantage Plus (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Kaiser Permanente Dual Complete North P18 (HMO D-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 →
Champion Ally (HMO) $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 →
CCHP Senior Select Program (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Kaiser Permanente Dual Complete South P7 (HMO D-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 →
Astiva Health Premier Plan (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Kaiser Permanente Dual Complete North P25 (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
CenCal CareConnect (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $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 →
Anthem Full Dual Advantage Aligned (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Kaiser Permanente Senior Advantage Basic SF (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Astiva Health Savings Plan (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Kaiser Permanente Dual Complete North P19 (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Champion Care (HMO C-SNP) $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, Elite Signature HMO (HMO) 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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