perphenazine and amitriptyline hydrochloride Medicare Coverage in New York
cover perphenazine and amitriptyline hydrochloride
Medicare Plans Covering perphenazine and amitriptyline hydrochloride in New York
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 HealthPlus Full Dual Advantage (HMO D-SNP) Lowest Copay | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Full Dual (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Nascentia Dual Advantage (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| VNS Health Total (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Partial Dual (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Aetna Medicare Full Dual Care (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Aetna Medicare Partial Dual Care (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Aetna Medicare Full Dual (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Univera Medicare Dual (HMO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Medicare Blue Dual (HMO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Anthem HealthPlus Full Dual Advantage LTSS 2 (HMO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| VNS Health EasyCare (HMO) | $25.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Independent Health's Encompass 65 RED 042 (HMO) | $40.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Independent Health's Assure Advantage (HMO C-SNP) | $46.50/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| VNS Health EasyCare Plus (HMO D-SNP) | $51.60/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Longevity (PPO I-SNP) | $58.80/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Nascentia Skilled Nursing Facility (HMO I-SNP) | $58.80/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Independent Health's Medicare Passport Connect (PPO) | $58.80/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| VillageCareMAX Medicare Select Advantage Plan (HMO) | $58.80/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Independent Health's Medicare Family Choice (HMO I-SNP) | $58.80/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Independent Health's Encompass 65 RED 044 (HMO) | $95.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Independent Health's Encompass 65 RED 043 (HMO) | $190.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| CDPHP Choice Rx (HMO) | $135.00/mo | Tier 3 - Preferred Brand | $40.00 | N/A | None | Details → |
| Univera SeniorChoice Basic (HMO) | $0.00/mo | Tier 3 - Preferred Brand | 0.2% | N/A | None | Details → |
| Aetna Medicare Signature (PPO) | $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 → |
| Medicare BlueVital (PPO) | $0.00/mo | Tier 3 - Preferred Brand | 0.2% | N/A | None | Details → |
Compare All New York Plans for perphenazine and amitriptyline hydrochloride
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Frequently Asked Questions
100% of Medicare Part D plans in New York 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 HealthPlus Full Dual Advantage (HMO D-SNP) offers one of the lowest copays for perphenazine and amitriptyline hydrochloride in New York. 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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