BCN Advantage Prestige (HMO-POS)
$61.60 /month
Monthly Premium
$0.00
Annual Deductible
899
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 | Fluphenazine Hydrochloride | Brand | Tier 4 | 0.3% coinsurance | Details |
| 2 | Venlafaxine Hydrochloride | Brand | Tier 2 | $7.00 | Details |
| 3 | Methylphenidate Hydrochloride | Brand | Tier 3 | 0.2% coinsurance | Details |
| 4 | Thioridazine Hydrochloride thioridazine hydrochloride | Brand | Tier 3 | 0.2% coinsurance | Details |
| 5 | Xalkori CRIZOTINIB | Brand | Tier 5 | 0.3% coinsurance | Details |
| 6 | TABRECTA capmatinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 7 | Midodrine Hydrochloride midodrine hydrochloride | Brand | Tier 3 | 0.2% coinsurance | Details |
| 8 | Levothyroxine Sodium levothyroxine sodium | Brand | Tier 2 | $7.00 | Details |
| 9 | FARXIGA DAPAGLIFLOZIN | Brand | Tier 3 | 0.2% coinsurance | Details |
| 10 | Daurismo glasdegib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 11 | Cromolyn Sodium | Brand | Tier 3 | 0.2% coinsurance | Details |
| 12 | Gilotrif afatinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 13 | Leucovorin Calcium | Brand | Tier 4 | 0.3% coinsurance | Details |
| 14 | ISENTRESS RALTEGRAVIR | Brand | Tier 5 | 0.3% coinsurance | Details |
| 15 | Trifluoperazine Hydrochloride | Brand | Tier 4 | 0.3% coinsurance | Details |
| 16 | HERNEXEOS zongertinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 17 | TicoVac Tick-Borne Encephalitis Vaccine | Brand | Tier 3 | 0.2% coinsurance | Details |
| 18 | Fiasp insulin aspart injection | Brand | Tier 3 | 0.2% coinsurance | Details |
| 19 | RECOMBIVAX HB Hepatitis B Vaccine (Recombinant) | Brand | Tier 3 | 0.2% coinsurance | Details |
| 20 | Diazepam | Brand | Tier 3 | 0.2% coinsurance | Details |
Showing 20 of 899 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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