Promethazine Hydrochloride Medicare Coverage in Wisconsin
cover Promethazine Hydrochloride
Medicare Plans Covering Promethazine Hydrochloride in Wisconsin
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 Quartz Med Advantage Basic D (w/Rx) (HMO) Lowest Copay | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| UW Health Quartz Med Advantage Basic D (w/Rx) (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Ally Rx (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Esteem Rx (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| UW Health Quartz Med Advantage Dual Eligible (HMO D-SNP) | $21.10/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Gundersen Quartz Med Advantage Dual Eligible (HMO D-SNP) | $21.10/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Gundersen Quartz Med Advantage Core D (w/Rx) (HMO) | $25.70/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Essence Rx (HMO-POS) | $29.10/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| UW Health Quartz Med Advantage Core D (w/Rx) (HMO) | $34.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Legacy Rx (HMO-POS) | $64.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Gundersen Quartz Med Advantage Value D (w/Rx) (HMO) | $71.40/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| UW Health Quartz Med Advantage Value D (w/Rx) (HMO) | $76.90/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO) | $83.30/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| UW Health Quartz Med Advantage Elite D (w/Rx) (HMO) | $162.00/mo | Tier 4 - Non-Preferred Drug | $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 (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 Premier (PPO) | $19.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Value Care (PPO) | $21.10/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Enhanced (PPO) | $24.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
Compare All Wisconsin Plans for Promethazine Hydrochloride
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Frequently Asked Questions
100% of Medicare Part D plans in Wisconsin cover Promethazine Hydrochloride. There are 21 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 Quartz Med Advantage Basic D (w/Rx) (HMO) offers one of the lowest copays for Promethazine Hydrochloride in Wisconsin. 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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