BCN Advantage Prestige (HMO-POS)
$58.90 /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 | Isoniazid | Brand | Tier 2 | $7.00 | Details |
| 2 | Risperidone | Brand | Tier 4 | 0.3% coinsurance | Details |
| 3 | REYATAZ ATAZANAVIR | Brand | Tier 5 | 0.3% coinsurance | Details |
| 4 | Venlafaxine Hydrochloride | Brand | Tier 2 | $7.00 | Details |
| 5 | PredniSONE | Brand | Tier 2 | $7.00 | Details |
| 6 | Tafinlar dabrafenib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 7 | CALQUENCE acalabrutinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 8 | Haloperidol | Brand | Tier 3 | 0.2% coinsurance | Details |
| 9 | Phenobarbital | Brand | Tier 3 | 0.2% coinsurance | Details |
| 10 | Loxapine | Brand | Tier 4 | 0.3% coinsurance | Details |
| 11 | Chlorpromazine Hydrochloride | Brand | Tier 4 | 0.3% coinsurance | Details |
| 12 | Tiagabine Hydrochloride | Brand | Tier 4 | 0.3% coinsurance | Details |
| 13 | GARDASIL 9 Human Papillomavirus 9-valent Vaccine, Recombinant | Brand | Tier 3 | 0.2% coinsurance | Details |
| 14 | Medroxyprogesterone Acetate | Brand | Tier 2 | $7.00 | Details |
| 15 | Buspirone Hydrochloride | Brand | Tier 2 | $7.00 | Details |
| 16 | Cobenfy xanomeline and trospium chloride | Brand | Tier 5 | 0.3% coinsurance | Details |
| 17 | Everolimus | Brand | Tier 5 | 0.3% coinsurance | Details |
| 18 | Diltiazem Hydrochloride | Brand | Tier 2 | $7.00 | Details |
| 19 | Ibrance palbociclib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 20 | Fluphenazine Hydrochloride | Brand | Tier 4 | 0.3% 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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