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Drug Coverage Check · Plan Year 2026

Does this plan cover
Hydroxyzine Pamoate?

Verified · CMS.gov Plan ID: H6723-006 Cross-check on Medicare.gov →
Verified · CMS 2026

NOT Covered

Hydroxyzine Pamoate is not covered by MedMutual Advantage Signature (HMO-POS) in 2026.

See alternative plans below that do cover this medication, or ask your doctor about therapeutically similar alternatives that may be covered.

Find a plan that covers Hydroxyzine Pamoate Enter your ZIP to compare all plans that do cover this medication and see their costs.
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Plans That Cover Hydroxyzine Pamoate

These Medicare Part D plans cover Hydroxyzine Pamoate in 2026.

# Plan Name Tier 30-Day Copay Monthly Premium Rating
1 Aetna Medicare Prime (HMO-POS) Tier 4 See Plan $0.00/mo View
2 Wellcare Value Script (PDP) Tier 4 See Plan $0.00/mo View
3 Anthem I CareMore Lung Care (HMO-POS C-SNP) Tier 3 See Plan $0.00/mo View
4 Wellcare Low Premium (HMO) Tier 4 See Plan $0.00/mo View
5 Aetna Medicare Signature Extra (PPO) Tier 4 See Plan $0.00/mo View

Therapeutically Similar Alternatives

Talk to your doctor about these therapeutically similar medications. They may be covered at a lower tier or with fewer restrictions.