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perphenazine and amitriptyline hydrochloride Medicare Coverage in Virginia

100%
of plans in Virginia
cover perphenazine and amitriptyline hydrochloride
37 of 37 plans
30
Plans shown below

Medicare Plans Covering perphenazine and amitriptyline hydrochloride in Virginia

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 Full Dual Advantage Support (HMO D-SNP) Lowest Copay $0.00/mo Tier 3 - Preferred Brand $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 →
Anthem Full Dual Advantage (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Anthem Dual Advantage (PPO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Anthem Full Dual Advantage 2 (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Anthem Dual Advantage (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Kaiser Permanente Medicare Advantage Standard 1 VA (HMO-POS) $7.80/mo Tier 2 - Generic $10.00 N/A None Details →
Kaiser Permanente Medicare Advantage Standard 2 VA (HMO-POS) $23.50/mo Tier 2 - Generic $10.00 N/A None Details →
Kaiser Permanente Medicare Advantage High VA (HMO-POS) $66.60/mo Tier 2 - Generic $10.00 N/A None Details →
Kaiser Permanente Medicare Advantage Value 2 VA (HMO-POS) $0.00/mo Tier 2 - Generic $12.00 N/A None Details →
Kaiser Permanente Medicare Advantage Value 1 VA (HMO-POS) $0.00/mo Tier 2 - Generic $12.00 N/A None Details →
Kaiser Permanente Medicare Advantage Care Plus VA (HMO-POS) $26.00/mo Tier 2 - Generic $12.00 N/A None Details →
Aetna Medicare Signature (PPO) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Anthem Medicare Advantage 3 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Aetna Medicare Elite (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Anthem Medicare Advantage 3 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Aetna Medicare Carilion Health Prime (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Anthem Medicare Advantage (HMO-POS) $0.00/mo Tier 3 - Preferred Brand 0.3% N/A None Details →
Aetna Medicare Prime (HMO) $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 →
Anthem Medicare Advantage 3 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Anthem Medicare Advantage 2 (HMO-POS) $0.00/mo Tier 3 - Preferred Brand 0.3% N/A None Details →
HealthSpring Preferred Savings (HMO) $0.00/mo Tier 4 - Non-Preferred Drug 0.5% N/A None Details →
Aetna Medicare Signature Plus (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Anthem Kidney Care (HMO-POS C-SNP) $0.00/mo Tier 3 - Preferred Brand 0.3% N/A None Details →
Aetna Medicare Signature Care (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Aetna Medicare Elite (PPO) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Anthem Medicare Advantage 4 (HMO-POS) $0.00/mo Tier 3 - Preferred Brand 0.3% N/A None Details →
Aetna Medicare Signature (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Anthem Medicare Advantage (PPO) $2.70/mo Tier 3 - Preferred Brand 0.3% N/A None Details →

Compare All Virginia 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 Virginia 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 Full Dual Advantage Support (HMO D-SNP) offers one of the lowest copays for perphenazine and amitriptyline hydrochloride in Virginia. Enter your ZIP code to see all plans and compare total annual costs including premiums.

perphenazine and amitriptyline hydrochloride Coverage in Other States

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

Coverage data from CMS formulary files for plan year 2026. How we calculate costsNational coverage for perphenazine and amitriptyline hydrochloride

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