Anthem Medicare Advantage (HMO-POS)
$44.00 /month
Monthly Premium
$150.00
Annual Deductible
974
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 | WELIREG belzutifan | Brand | Tier 5 | 0.3% coinsurance | Details |
| 2 | ISENTRESS RALTEGRAVIR | Brand | Tier 4 | 0.3% coinsurance | Details |
| 3 | Loxapine | Brand | Tier 4 | 0.3% coinsurance | Details |
| 4 | Erlotinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 5 | Metoprolol Tartrate metoprolol tartrate | Brand | Tier 1 | $0.00 | Details |
| 6 | CRESEMBA isavuconazonium sulfate | Brand | Tier 5 | 0.3% coinsurance | Details |
| 7 | Scopolamine scopolamine | Brand | Tier 4 | 0.3% coinsurance | Details |
| 8 | Spiriva Respimat tiotropium bromide inhalation spray | Brand | Tier 3 | 0.3% coinsurance | Details |
| 9 | ZEJULA niraparib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 10 | PredniSONE | Brand | Tier 1 | $0.00 | Details |
| 11 | Imatinib Mesylate | Brand | Tier 5 | 0.3% coinsurance | Details |
| 12 | RETEVMO selpercatinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 13 | Verzenio abemaciclib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 14 | Nefazodone Hydrochloride | Brand | Tier 4 | 0.3% coinsurance | Details |
| 15 | Cobenfy xanomeline and trospium chloride | Brand | Tier 5 | 0.3% coinsurance | Details |
| 16 | Trifluoperazine Hydrochloride trifluoperazine hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 17 | Phenobarbital Oral Solution Phenobarbital Oral | Brand | Tier 4 | 0.3% coinsurance | Details |
| 18 | Dexamethasone | Brand | Tier 4 | 0.3% coinsurance | Details |
| 19 | TicoVac Tick-Borne Encephalitis Vaccine | Brand | Tier 1 | $0.00 | Details |
| 20 | Chlorpromazine Hydrochloride | Brand | Tier 4 | 0.3% coinsurance | Details |
Showing 20 of 974 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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