sodium oxybate Medicare Coverage in Wisconsin
cover sodium oxybate
Medicare Plans Covering sodium oxybate 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 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 → |
| Cooperative Medicare Advantage (HMO) | $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 → |
| HumanaChoice H5216-253 (PPO) | $0.00/mo | Tier 5 - Specialty | $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 → |
| Esteem Rx (HMO-POS) | $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 → |
| HealthPartners Birch (PPO) | $0.00/mo | Tier 5 - Specialty | $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 → |
| HumanaChoice Giveback H7617-011 (PPO) | $0.00/mo | Tier 5 - Specialty | $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 → |
| My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| HealthPartners Cedar (PPO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Humana Full Access H5216-410 (PPO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| iCare Family Care Partnership (HMO D-SNP) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Humana Full Access H7617-020 (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 → |
| Humana Gold Plus H6622-001 (HMO) | $0.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Aspirus Health Plan Essential Rx (PPO) | $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 → |
| 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 5 - Specialty | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-359 (PPO) | $10.00/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Humana Gold Choice H8145-006 (PFFS) | $10.80/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| HumanaChoice SNP-DE H5216-420 (PPO D-SNP) | $15.30/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Gundersen Quartz Med Advantage Dual Eligible (HMO D-SNP) | $21.10/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Humana Value Plus H5216-173 (PPO) | $21.10/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| UW Health Quartz Med Advantage Dual Eligible (HMO D-SNP) | $21.10/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
| Gundersen Quartz Med Advantage Core D (w/Rx) (HMO) | $25.70/mo | Tier 5 - Specialty | $0.00 | N/A | None | Details → |
Compare All Wisconsin Plans for sodium oxybate
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Frequently Asked Questions
100% of Medicare Part D plans in Wisconsin 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, Gundersen Quartz Med Advantage Basic D (w/Rx) (HMO) offers one of the lowest copays for sodium oxybate in Wisconsin. 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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