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Promethazine Hydrochloride Medicare Coverage in Oregon

100%
of plans in Oregon
cover Promethazine Hydrochloride
40 of 40 plans
$0.41
Avg 30-day copay in Oregon
30
Plans shown below

Medicare Plans Covering Promethazine Hydrochloride in Oregon

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
ATRIO Prime Rx (PPO) Lowest Copay $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
PacificSource Dual Care Alliance (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
ATRIO Choice Rx (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Kaiser Permanente Senior Advantage Value (HMO-POS) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
ATRIO Choice Rx (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
PacificSource Medicare Essentials Rx 27 (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
ATRIO Choice Rx (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
AllCare Advantage Redwood Rx (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
ATRIO Support Rx (PPO C-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
PacificSource Medicare Essentials Choice Rx 36 (HMO-POS) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
ATRIO Choice Rx (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
PacificSource Medicare MyCare Rx 40 (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
ATRIO Prime Rx (PPO) $0.00/mo Tier 2 - Generic $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 →
ATRIO Prime Rx (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
ATRIO Prime Rx (HMO) $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 →
PacificSource Dual Care (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
ATRIO Choice Rx (PPO) $0.10/mo Tier 2 - Generic $0.00 N/A None Details →
Samaritan Dual Advantage (HMO D-SNP) $10.50/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
ATRIO Special Needs Plan (HMO D-SNP) $10.50/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
ATRIO Special Needs Plan (HMO D-SNP) $10.50/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
PacificSource Medicare Essentials Choice Rx 14 (HMO-POS) $29.10/mo Tier 2 - Generic $0.00 N/A None Details →
PacificSource Medicare Essentials Rx 41 (HMO) $69.30/mo Tier 2 - Generic $0.00 N/A None Details →
PacificSource Medicare Explorer Rx 4 (PPO) $88.70/mo Tier 2 - Generic $0.00 N/A None Details →
PacificSource Medicare Essentials Rx 6 (HMO) $105.90/mo Tier 2 - Generic $0.00 N/A None Details →
Kaiser Permanente Senior Advantage Value Lane (HMO-POS) $0.00/mo Tier 2 - Generic $10.00 N/A None Details →
Regence BlueAdvantage HMO (HMO) $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 →
HealthSpring Preferred (HMO) $0.00/mo Tier 4 - Non-Preferred Drug 0.5% N/A None Details →

Compare All Oregon 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 Oregon cover Promethazine Hydrochloride. There are 30 plans available. Coverage and costs vary by specific plan.

The average 30-day copay for Promethazine Hydrochloride in Oregon is $0.41 at a preferred pharmacy. Costs vary by plan. Compare plans to find the lowest cost option for you.

Based on current CMS data, ATRIO Prime Rx (PPO) offers one of the lowest copays for Promethazine Hydrochloride in Oregon. Enter your ZIP code to see all plans and compare total annual costs including premiums.

Promethazine 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 Promethazine Hydrochloride

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