Promethazine Hydrochloride Medicare Coverage in Indiana
cover Promethazine Hydrochloride
Medicare Plans Covering Promethazine Hydrochloride in Indiana
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 |
|---|---|---|---|---|---|---|
| Provider Partners Indiana Community Plan (HMO I-SNP) Lowest Copay | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| MyTruAdvantage Select (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| MyTruAdvantage Choice Plus (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| MyTruAdvantage Choice Complete (PPO) | $34.80/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Provider Partners Indiana Essential Plan (HMO I-SNP) | $38.40/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Chronic Care Total (HMO C-SNP) | $38.40/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Aetna Medicare Chronic Care Total (HMO C-SNP) | $38.40/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| CommuniCare Advantage ISNP (HMO I-SNP) | $38.40/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Provider Partners Indiana Advantage Plan (HMO I-SNP) | $38.40/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| American Health Advantage of Indiana (HMO I-SNP) | $38.40/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Signature (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Signature Extra (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 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 → |
| Aetna Medicare Signature (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Signature (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Signature (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Signature (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Value Care (PPO) | $31.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Value Care (PPO) | $33.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
Compare All Indiana Plans for Promethazine 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 Indiana cover Promethazine Hydrochloride. There are 19 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, Provider Partners Indiana Community Plan (HMO I-SNP) offers one of the lowest copays for Promethazine Hydrochloride in Indiana. Enter your ZIP code to see all plans and compare total annual costs including premiums.
Promethazine 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 Promethazine Hydrochloride
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