AgeRight Advantage Premier Health Plan (HMO C-SNP)
$55.00 /month
Monthly Premium
$300.00
Annual Deductible
975
Drugs Covered
1
States Served
Top Covered Drugs
Most popular medications covered by this plan, ordered by national search frequency. Click any drug to see exact copay, restrictions, and alternatives.
| # | Drug Name | Type | Tier | 30-Day Copay | |
|---|---|---|---|---|---|
| 1 | Fetzima LEVOMILNACIPRAN HYDROCHLORIDE | Brand | Tier 4 | $0.00 | Details |
| 2 | Depo-SubQ Provera medroxyprogesterone acetate | Brand | Tier 3 | $0.00 | Details |
| 3 | Haloperidol | Brand | Tier 1 | $0.00 | Details |
| 4 | Estradiol | Brand | Tier 1 | $0.00 | Details |
| 5 | Fluphenazine Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 6 | Nitroglycerin nitroglycerin | Brand | Tier 2 | $0.00 | Details |
| 7 | SCEMBLIX asciminib | Brand | Tier 5 | $0.00 | Details |
| 8 | Mekinist trametinib | Brand | Tier 5 | $0.00 | Details |
| 9 | Rufinamide | Brand | Tier 2 | $0.00 | Details |
| 10 | FARXIGA DAPAGLIFLOZIN | Brand | Tier 3 | $0.00 | Details |
| 11 | Pilocarpine Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 12 | Amoxicillin | Brand | Tier 1 | $0.00 | Details |
| 13 | Warfarin Sodium | Brand | Tier 1 | $0.00 | Details |
| 14 | RETEVMO selpercatinib | Brand | Tier 5 | $0.00 | Details |
| 15 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $0.00 | Details |
| 16 | Aprepitant aprepitant | Brand | Tier 2 | $0.00 | Details |
| 17 | SOMAVERT pegvisomant | Brand | Tier 5 | $0.00 | Details |
| 18 | Cyclosporine | Brand | Tier 2 | $0.00 | Details |
| 19 | Cefuroxime | Brand | Tier 2 | $0.00 | Details |
| 20 | Probenecid | Brand | Tier 2 | $0.00 | Details |
Showing 20 of 975 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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