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perphenazine and amitriptyline hydrochloride Medicare Coverage in Washington

100%
of plans in Washington
cover perphenazine and amitriptyline hydrochloride
32 of 32 plans
$20.00
Avg 30-day copay in Washington
30
Plans shown below

Medicare Plans Covering perphenazine and amitriptyline hydrochloride in Washington

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
Kaiser Permanente Senior Advantage Value (HMO-POS) Lowest Copay $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Wellpoint Full Dual Advantage (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Wellpoint Dual Advantage (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Kaiser Permanente Senior Advantage Enhanced (HMO-POS) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Kaiser Permanente Senior Advantage Standard (HMO-POS) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Kaiser Permanente Medicare Advantage Essential (HMO) $0.00/mo Tier 2 - Generic $5.00 N/A None Details →
Kaiser Permanente Medicare Advantage Optimal (HMO) $60.20/mo Tier 2 - Generic $5.00 N/A None Details →
Kaiser Permanente Medicare Advantage Centennial (HMO) $0.00/mo Tier 2 - Generic $7.00 N/A None Details →
Kaiser Permanente Medicare Advantage Key (HMO) $0.00/mo Tier 2 - Generic $7.00 N/A None Details →
Kaiser Permanente Medicare Advantage Columbia (HMO) $20.90/mo Tier 2 - Generic $7.00 N/A None Details →
Kaiser Permanente Medicare Advantage Essential Thu (HMO) $0.00/mo Tier 2 - Generic $10.00 N/A None Details →
Kaiser Permanente Medicare Advantage Key King (HMO) $0.00/mo Tier 2 - Generic $10.00 N/A None Details →
Kaiser Permanente Medicare Advantage Key Pierce (HMO) $0.00/mo Tier 2 - Generic $10.00 N/A None Details →
Kaiser Permanente Medicare Advantage Anchor (HMO) $0.00/mo Tier 2 - Generic $10.00 N/A None Details →
Kaiser Permanente Medicare Advantage Key Snohomish (HMO) $0.00/mo Tier 2 - Generic $10.00 N/A None Details →
Kaiser Permanente Medicare Advantage Essential Kng (HMO) $0.00/mo Tier 2 - Generic $10.00 N/A None Details →
Kaiser Permanente Medicare Advantage Key Thurston (HMO) $0.00/mo Tier 2 - Generic $10.00 N/A None Details →
Kaiser Permanente Medicare Advantage Essential Pce (HMO) $0.00/mo Tier 2 - Generic $10.00 N/A None Details →
Kaiser Permanente Medicare Advantage Vital Sound (HMO) $0.00/mo Tier 2 - Generic $10.00 N/A None Details →
Kaiser Permanente Medicare Advantage Essential Sno (HMO) $8.10/mo Tier 2 - Generic $10.00 N/A None Details →
Kaiser Permanente Medicare Advantage Harbor (HMO) $51.30/mo Tier 2 - Generic $10.00 N/A None Details →
Aetna Medicare Signature Extra (PPO) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
SCAN MyChoice WA (HMO) $0.00/mo Tier 4 - Non-Preferred Drug 0.4% N/A None Details →
HealthSpring Preferred (HMO) $0.00/mo Tier 4 - Non-Preferred Drug 0.5% N/A None Details →
HealthSpring Preferred (HMO) $0.00/mo Tier 4 - Non-Preferred Drug 0.5% N/A None Details →
Aetna Medicare Signature (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 →
Aetna Medicare Signature Advantage (HMO) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Aetna Medicare Signature (HMO) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
SCAN Classic WA (HMO) $0.00/mo Tier 4 - Non-Preferred Drug 0.4% N/A None Details →

Compare All Washington 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 Washington cover perphenazine and amitriptyline hydrochloride. There are 30 plans available. Coverage and costs vary by specific plan.

The average 30-day copay for perphenazine and amitriptyline hydrochloride in Washington is $20.00 at a preferred pharmacy. Costs vary by plan. Compare plans to find the lowest cost option for you.

Based on current CMS data, Kaiser Permanente Senior Advantage Value (HMO-POS) offers one of the lowest copays for perphenazine and amitriptyline hydrochloride in Washington. 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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