FillMapWellcare Absolute Total Care Dual Align (HMO D-SNP)

Does Wellcare Absolute Total Care Dual Align (HMO D-SNP) cover levetiracetam?

Wellcare Absolute Total Care Dual Align (HMO D-SNP)
H5272-001-0 · MA_LOCAL · Medicare Part D
levetiracetam
Your Extra Help level

Everyone on this plan has Medicare and Medicaid, which qualifies you for Extra Help automatically — so the figures below already use the statutory copays, not this plan’s published cost sharing. Nothing here is saved.

Full Extra Help: no deductible, and at most $5.10 generic or $12.65 brand-name per fill.

Optional. Some plans charge less at a preferred pharmacy. Enter your ZIP to see which pharmacies near you take this plan — pick yours and the price above is re-worked for it. Until you do, we show what a standard pharmacy costs. Nothing here is saved.

levetiracetamunder Wellcare Absolute Total Care Dual Align (HMO D-SNP)
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
$19per 30-day fill

Part D caps what you pay out of pocket at $2,100 for 2026. Before that, you pay the full price until you have paid $480 this year.

This plan charges the same at every pharmacy in its network — where you fill it will not change this figure.

Tier
Tier 2
Approval first
Not needed
Try another first
No
Amount limit
None
Talk to your pharmacist or doctor before acting on anything here. They can see your full history and this page cannot. Never start, stop, or switch a medication based on it. Coverage rules change and plans make exceptions — your pharmacy can check your exact benefit in seconds.As of Sep 16, 2026 · CMS Part D monthly PUF. Reference information, not medical advice and not a price.

Covered forms and strengths (12)

  • 24 HR levetiracetam 500 MG Extended Release Oral TabletTier 4
  • 24 HR levetiracetam 750 MG Extended Release Oral TabletTier 4
  • levetiracetam 100 MG/ML Oral SolutionTier 4
  • levetiracetam 1000 MG Oral TabletTier 4
  • levetiracetam 250 MG Oral TabletTier 4
  • levetiracetam 250 MG Tablet for Oral SuspensionTier 3
  • levetiracetam 250 MG Tablet for Oral Suspension [Spritam]Tier 3
  • levetiracetam 500 MG Oral TabletTier 4
  • levetiracetam 500 MG Oral Tablet [Roweepra]Tier 2
  • levetiracetam 500 MG Tablet for Oral SuspensionTier 3
  • levetiracetam 500 MG Tablet for Oral Suspension [Spritam]Tier 3
  • levetiracetam 750 MG Oral TabletTier 4

← All coverage for levetiracetam