American Health Advantage of Louisiana (HMO I-SNP)
$32.90 /month
Monthly Premium
$615.00
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 | FARXIGA DAPAGLIFLOZIN | Brand | Tier 1 | $0.00 | Details |
| 2 | Scopolamine scopolamine | Brand | Tier 1 | $0.00 | Details |
| 3 | Pilocarpine Hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 4 | Ciprofloxacin | Brand | Tier 1 | $0.00 | Details |
| 5 | Warfarin Sodium | Brand | Tier 1 | $0.00 | Details |
| 6 | RETEVMO selpercatinib | Brand | Tier 1 | $0.00 | Details |
| 7 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 1 | $0.00 | Details |
| 8 | Venclexta Venetoclax | Brand | Tier 1 | $0.00 | Details |
| 9 | Aprepitant aprepitant | Brand | Tier 1 | $0.00 | Details |
| 10 | SOMAVERT pegvisomant | Brand | Tier 1 | $0.00 | Details |
| 11 | Talzenna talazoparib | Brand | Tier 1 | $0.00 | Details |
| 12 | Diazepam | Brand | Tier 1 | $0.00 | Details |
| 13 | Cefuroxime | Brand | Tier 1 | $0.00 | Details |
| 14 | Verzenio abemaciclib | Brand | Tier 1 | $0.00 | Details |
| 15 | Sulfasalazine | Brand | Tier 1 | $0.00 | Details |
| 16 | Vizimpro dacomitinib | Brand | Tier 1 | $0.00 | Details |
| 17 | Trifluoperazine Hydrochloride trifluoperazine hydrochloride | Brand | Tier 1 | $0.00 | Details |
| 18 | WINREVAIR SOTATERCEPT-CSRK | Brand | Tier 1 | $0.00 | Details |
| 19 | Ibrance palbociclib | Brand | Tier 1 | $0.00 | Details |
| 20 | Isosorbide Dinitrate | Brand | Tier 1 | $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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