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Drug Coverage Check · Plan Year 2026

Does this plan cover
HYDROCODONE BITARTRATE AND ACETAMINOPHEN?

Verified · CMS.gov Plan ID: H2491-010 Cross-check on Medicare.gov →
Verified · CMS 2026

YES — Covered

HYDROCODONE BITARTRATE AND ACETAMINOPHEN is covered on Tier 4

30-day copay: $100.00 at a preferred pharmacy

Cost Details

30-Day Supply

Preferred Pharmacy
$100.00
Standard Pharmacy
$100.00

90-Day / Mail Order

Preferred / Mail Order
$0.00
Standard Pharmacy
$0.00

Deductible

Applies to This Drug?
Yes — deductible applies before copay
Plan Deductible
$455.00 / year

Lower-Cost Plans for HYDROCODONE BITARTRATE AND ACETAMINOPHEN

These plans may offer a lower copay for HYDROCODONE BITARTRATE AND ACETAMINOPHEN. Compare total annual costs including premium.

# Plan Name Tier 30-Day Copay Monthly Premium Rating
1 HealthSpring TotalCare (HMO D-SNP) Tier 3 See Plan $0.00/mo View
2 Medicare Plus Blue Secure (PPO) Tier 3 See Plan $0.00/mo View
3 HealthSpring Preferred (HMO) Tier 4 See Plan $0.00/mo View
4 Wellcare Simple Open (PPO) Tier 4 See Plan $0.00/mo View
5 Wellcare Giveback Open (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.