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promethazine hydrochloride Medicare Coverage in California

100%
of plans in California
cover promethazine hydrochloride
89 of 89 plans
30
Plans shown below

Medicare Plans Covering promethazine hydrochloride in California

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
CalOptima Health OneCare Complete (HMO D-SNP) Lowest Copay $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Contra Costa Health Care Plus (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Alameda Alliance Wellness (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
PHP (HMO C-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
SCAN Classic (HMO) $0.00/mo Tier 4 - Non-Preferred Drug 0.4% N/A None Details →
SCAN Allied (HMO) $0.00/mo Tier 4 - Non-Preferred Drug 0.4% N/A None Details →
Aetna Medicare Signature Extra (HMO) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
SCAN Embrace (HMO-POS I-SNP) $0.00/mo Tier 4 - Non-Preferred Drug 0.4% N/A None Details →
SCAN MyChoice (HMO) $0.00/mo Tier 4 - Non-Preferred Drug 0.4% N/A None Details →
SCAN Balance (HMO C-SNP) $0.00/mo Tier 4 - Non-Preferred Drug 0.4% N/A None Details →
SCAN MyChoice (HMO) $0.00/mo Tier 4 - Non-Preferred Drug 0.4% N/A None Details →
Aetna Medicare Signature (HMO) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
SCAN Balance (HMO C-SNP) $0.00/mo Tier 4 - Non-Preferred Drug 0.4% N/A None Details →
Aetna Medicare Signature (HMO) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
SCAN Classic (HMO) $0.00/mo Tier 4 - Non-Preferred Drug 0.4% N/A None Details →
SCAN Compass (HMO) $0.00/mo Tier 4 - Non-Preferred Drug 0.4% N/A None Details →
SCAN Connections (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
SCAN Affirm partnered with Included LGBTQ+ Health (HMO) $0.00/mo Tier 4 - Non-Preferred Drug 0.4% N/A None Details →
SCAN Classic (HMO) $0.00/mo Tier 4 - Non-Preferred Drug 0.4% N/A None Details →
SCAN MyChoice (HMO) $0.00/mo Tier 4 - Non-Preferred Drug 0.4% N/A None Details →
Aetna Medicare Prime (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
SCAN Alta (HMO) $0.00/mo Tier 4 - Non-Preferred Drug 0.4% N/A None Details →
SCAN Embrace Together (HMO I-SNP) $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 →
SCAN Balance (HMO C-SNP) $0.00/mo Tier 4 - Non-Preferred Drug 0.4% N/A None Details →
Aetna Medicare Signature (HMO) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
SCAN Balance (HMO C-SNP) $0.00/mo Tier 4 - Non-Preferred Drug 0.4% N/A None Details →
Sutter Senior Advantage, a SCAN Medicare Plan (HMO) $0.00/mo Tier 4 - Non-Preferred Drug 0.4% N/A None Details →
SCAN Connections at Home (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
SCAN Affirm partnered with Included LGBTQ+ Health (HMO) $0.00/mo Tier 4 - Non-Preferred Drug 0.4% N/A None Details →

Compare All California Plans for promethazine hydrochloride

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Frequently Asked Questions

100% of Medicare Part D plans in California cover promethazine hydrochloride. There are 30 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, CalOptima Health OneCare Complete (HMO D-SNP) offers one of the lowest copays for promethazine hydrochloride in California. 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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