RALTEGRAVIR Medicare Coverage in Wisconsin
cover RALTEGRAVIR
Medicare Plans Covering RALTEGRAVIR 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 |
|---|---|---|---|---|---|---|
| AARP Medicare Advantage Essentials from UHC WI-13 (HMO-POS) Lowest Copay | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Humana Full Access H7617-020 (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Community Care's Partnership Program (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Humana Gold Plus H6622-001 (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| UHC Complete Care WI-20 (HMO-POS C-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| UHC Complete Care WI-1 (PPO C-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC WI-0014 (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| iCare Family Care Partnership (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Aspirus Health Plan Essential Rx (PPO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Ally Rx (HMO D-SNP) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| My Choice Wisconsin Partnership Plan (HMO D-SNP) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Cooperative Advantage (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Esteem Rx (HMO-POS) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Anthem Full Dual Advantage (HMO D-SNP) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| HumanaChoice Giveback H5216-252 (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| My Choice Wisconsin Partnership Plan (HMO D-SNP) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC WI-0015 (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Gundersen Quartz Med Advantage Basic D (w/Rx) (HMO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Cooperative Medicare Advantage (HMO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-253 (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC WI-0017 (HMO-POS) | $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 5 - Specialty | $0.00 | N/A | None | Details → |
| HealthPartners Birch (PPO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HumanaChoice Giveback H7617-011 (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Anthem Full Dual Advantage 2 (HMO D-SNP) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Humana Full Access H5216-410 (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HealthPartners Cedar (PPO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
Compare All Wisconsin Plans for RALTEGRAVIR
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Frequently Asked Questions
100% of Medicare Part D plans in Wisconsin cover RALTEGRAVIR. 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, AARP Medicare Advantage Essentials from UHC WI-13 (HMO-POS) offers one of the lowest copays for RALTEGRAVIR in Wisconsin. Enter your ZIP code to see all plans and compare total annual costs including premiums.
RALTEGRAVIR 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 costs • National coverage for RALTEGRAVIR
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