Promethazine Hydrochloride Medicare Coverage in Utah
cover Promethazine Hydrochloride
Medicare Plans Covering Promethazine Hydrochloride 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 |
|---|---|---|---|---|---|---|
| Select Health Medicare Essential (HMO) Lowest Copay | $0.00/mo | Tier 3 - Preferred Brand | $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 → |
| Select Health Medicare Dual (HMO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $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 Essential (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $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 → |
| 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 → |
| Select Health Medicare + Kroger (HMO) | $0.00/mo | Tier 3 - Preferred Brand | 0.2% | N/A | None | Details → |
| Aetna Medicare Signature Extra (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Regence MedAdvantage + Rx Classic (PPO) | $34.70/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| Aetna Medicare Value Plus (PPO) | $37.60/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Enhanced (PPO) | $59.10/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Regence MedAdvantage + Rx Enhanced (PPO) | $81.70/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
Compare All Utah Plans for Promethazine Hydrochloride
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Frequently Asked Questions
100% of Medicare Part D plans in Utah cover Promethazine Hydrochloride. There are 16 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, Select Health Medicare Essential (HMO) offers one of the lowest copays for Promethazine Hydrochloride in Utah. 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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