sodium oxybate Medicare Coverage in Massachusetts
cover sodium oxybate
Medicare Plans Covering sodium oxybate in Massachusetts
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 |
|---|---|---|---|---|---|---|
| NaviCare (HMO D-SNP) Lowest Copay | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| CCA Senior Care Options (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-249 (PPO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Mass General Brigham SCO (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Fallon Medicare Plus Orange (HMO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Humana Direct Choice Giveback (PPO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Tufts Health Plan Senior Care Options (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| eternalHealth Forever (HMO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| eternalHealth Freedom (PPO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Mass General Brigham Advantage (PPO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Tufts Health One Care (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Tufts Health Plan Senior Care Options CW (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| CCA One Care (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| eternalHealth Give Back (PPO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Tufts Health One Care CW (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Mass General Brigham One Care (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Senior Whole Health SCO (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Molina One Care (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Mass Advantage Premiere (PPO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| HumanaChoice Giveback H7617-046 (PPO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Senior Whole Health SCO NHC (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| HumanaChoice Giveback H5216-138 (PPO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Mass Advantage Extra (PPO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Mass Advantage Basic (HMO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Tufts Medicare Preferred HMO Prime Rx (HMO) | $25.90/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Mass Advantage Plus (HMO) | $39.40/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Tufts Medicare Preferred HMO Prime Rx (HMO) | $39.90/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Tufts Medicare Preferred HMO Prime Rx (HMO) | $40.90/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Tufts Medicare Preferred HMO Prime Rx (HMO) | $41.30/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Fallon Medicare Plus Green (HMO) | $56.40/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
Compare All Massachusetts Plans for sodium oxybate
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Frequently Asked Questions
100% of Medicare Part D plans in Massachusetts cover sodium oxybate. 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, NaviCare (HMO D-SNP) offers one of the lowest copays for sodium oxybate in Massachusetts. Enter your ZIP code to see all plans and compare total annual costs including premiums.
sodium oxybate 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 sodium oxybate
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