PROCHLORPERAZINE Medicare Coverage in Utah
cover PROCHLORPERAZINE
Medicare Plans Covering PROCHLORPERAZINE in Utah
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 |
|---|---|---|---|---|---|---|
| Molina Medicare Complete Care (HMO D-SNP) Lowest Copay | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Molina Medicare Complete Care Select (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE 001 UT (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Select Health Medicare Essential (HMO) | $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 → |
| DEVOTED CHOICE GIVEBACK 002 UT (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Aetna Medicare Full Dual (PPO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Select Health Medicare Dual (HMO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| HumanaChoice SNP-DE H5216-296 (PPO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Select Health Medicare Essential (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-428 (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Humana Value Choice H7617-032 (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Humana Essentials Plus Giveback H5216-430 (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HumanaChoice SNP-DE H7617-038 (PPO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Humana Total Complete H2486-003 (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Humana Value Choice H5216-456 (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Humana Value Choice H5216-456 (PPO) | $20.30/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HumanaChoice H7617-016 (PPO) | $25.30/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Humana Dual Select H7617-039 (PPO D-SNP) | $27.90/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Humana Full Access H7617-025 (PPO) | $29.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| DEVOTED DUAL CHOICE FULL 004 UT (PPO D-SNP) | $34.40/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| American Health Advantage of Utah (HMO I-SNP) | $37.60/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| DEVOTED C-SNP CHOICE PREMIUM 003 UT (PPO C-SNP) | $37.60/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| DEVOTED C-SNP CHOICE PLUS 007 UT (PPO C-SNP) | $37.60/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-048 (PPO) | $69.30/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Select Health Medicare + Kroger (HMO) | $0.00/mo | Tier 2 - Generic | $5.00 | N/A | None | Details → |
| HealthSpring Premier (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.5% | N/A | None | Details → |
| HealthSpring True Choice (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.5% | N/A | None | Details → |
| Aetna Medicare Elite (PPO) | $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 → |
Compare All Utah Plans for PROCHLORPERAZINE
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Frequently Asked Questions
100% of Medicare Part D plans in Utah cover PROCHLORPERAZINE. There are 30 plans available. Coverage and costs vary by specific plan.
The average 30-day copay for PROCHLORPERAZINE in Utah is $4.09 at a preferred pharmacy. Costs vary by plan. Compare plans to find the lowest cost option for you.
Based on current CMS data, Molina Medicare Complete Care (HMO D-SNP) offers one of the lowest copays for PROCHLORPERAZINE in Utah. Enter your ZIP code to see all plans and compare total annual costs including premiums.
PROCHLORPERAZINE 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 PROCHLORPERAZINE
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