Promethazine Hydrochloride Medicare Coverage in Minnesota
cover Promethazine Hydrochloride
Medicare Plans Covering Promethazine Hydrochloride in Minnesota
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 |
|---|---|---|---|---|---|---|
| Gundersen MN Quartz Med Advantage Basic D (w/Rx) (HMO) Lowest Copay | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| PrimeWest Senior Health Complete (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| SecureBlue (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Prime Health Complete (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Blue Cross Medicare Advantage Choice (PPO) | $2.70/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Gundersen MN Quartz Med Advantage Core D (w/Rx) (HMO) | $8.20/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Allina Health Aetna Medicare Value (PPO C-SNP) | $41.50/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Blue Cross Medicare Advantage Choice (PPO) | $50.10/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Blue Cross Medicare Advantage Choice (PPO) | $50.10/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Blue Cross Medicare Advantage Complete (PPO) | $57.20/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Gundersen MN Quartz Med Advantage Value D (w/Rx) (HMO) | $67.40/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Platinum Blue Choice Plan with Rx (Cost) | $85.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Blue Cross Medicare Advantage Complete (PPO) | $104.80/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Blue Cross Medicare Advantage Complete (PPO) | $104.80/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Platinum Blue Complete Plan with Rx (Cost) | $127.60/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Gundersen MN Quartz Med Advantage Elite D (w/Rx) (HMO) | $184.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Allina Health Aetna Medicare Signature (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Align ChoicePlus (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.5% | N/A | None | Details → |
| Allina Health Aetna Medicare Signature (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Allina Health Aetna Medicare Chronic (PPO C-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Allina Health Aetna Medicare Signature Fit (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Allina Health Aetna Medicare Enhanced (PPO) | $28.30/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Align ChoiceElite (PPO) | $30.60/mo | Tier 4 - Non-Preferred Drug | 0.5% | N/A | None | Details → |
| Allina Health Aetna Medicare Grand (PPO) | $46.70/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Allina Health Aetna Medicare Enhanced (PPO) | $48.30/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Allina Health Aetna Medicare Grand Extra (PPO) | $84.90/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
Compare All Minnesota 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 Minnesota cover Promethazine Hydrochloride. There are 26 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, Gundersen MN Quartz Med Advantage Basic D (w/Rx) (HMO) offers one of the lowest copays for Promethazine Hydrochloride in Minnesota. 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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