Drug Coverage Check · Plan Year 2026

Does this plan cover
Levalbuterol?

Verified · CMS.gov Plan ID: H1395-001 Cross-check on Medicare.gov →

Verified · CMS 2026

YES — Covered

Levalbuterol 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: $615.00 / year

Lower-Cost Plans for Levalbuterol

These plans may offer a lower copay for Levalbuterol. Compare total annual costs including premium.

#	Plan Name	Tier	30-Day Copay	Monthly Premium	Rating
1	Aetna Medicare Signature (PPO)	Tier 4	See Plan	$0.00/mo	—	View
2	Anthem Medicare Advantage (HMO-POS)	Tier 4	See Plan	$0.00/mo	—	View
3	Tufts Medicare Preferred PPO RX (PPO)	Tier 4	See Plan	$0.00/mo	—	View
4	Aetna Medicare Prime (HMO)	Tier 4	See Plan	$0.00/mo	—	View
5	HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP)	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.

Spiriva Respimat

tiotropium bromide inhalation spray

Avg Tier 3.3 $0.00 avg

Ipratropium Bromide

Avg Tier 1.9 $15.00 avg

Trelegy Ellipta

fluticasone furoate, umeclidinium bromide and vilanterol trifenatate

Avg Tier 3.0 $44.00 avg

Combivent Respimat

ipratropium bromide and albuterol

Avg Tier 3.5 $0.00 avg

Albuterol Sulfate

Avg Tier 2.2 $15.00 avg

Trelegy Ellipta

fluticasone furoate, umeclidinium bromide and vilanterol trifenatate

Avg Tier 2.9 $44.00 avg