Blue adVantage Reliance (HMO-POS)
$32.90 /month
Monthly Premium
$300.00
Annual Deductible
960
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 | Isosorbide Dinitrate | Brand | Tier 2 | $12.00 | Details |
| 2 | Risperidone | Brand | Tier 3 | $45.00 | Details |
| 3 | Linzess linaclotide | Brand | Tier 3 | $45.00 | Details |
| 4 | Valsartan valsartan | Brand | Tier 1 | $0.00 | Details |
| 5 | Methylphenidate Hydrochloride | Brand | Tier 3 | $45.00 | Details |
| 6 | HYDROCODONE BITARTRATE AND ACETAMINOPHEN | Brand | Tier 3 | $45.00 | Details |
| 7 | Augtyro repotrectinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 8 | Mercaptopurine | Brand | Tier 3 | $45.00 | Details |
| 9 | ELIQUIS apixaban | Brand | Tier 3 | $45.00 | Details |
| 10 | Tacrolimus | Brand | Tier 3 | $45.00 | Details |
| 11 | Fetzima LEVOMILNACIPRAN HYDROCHLORIDE | Brand | Tier 3 | $45.00 | Details |
| 12 | Digoxin | Brand | Tier 2 | $12.00 | Details |
| 13 | Erlotinib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 14 | Emtricitabine, Rilpivirine, Tenofovir Disoproxil Fumarate | Brand | Tier 5 | 0.3% coinsurance | Details |
| 15 | Priftin rifapentine | Brand | Tier 3 | $45.00 | Details |
| 16 | Ibrance palbociclib | Brand | Tier 5 | 0.3% coinsurance | Details |
| 17 | Diazepam | Brand | Tier 2 | $12.00 | Details |
| 18 | PredniSONE | Brand | Tier 1 | $0.00 | Details |
| 19 | Neomycin Sulfate | Brand | Tier 2 | $12.00 | Details |
| 20 | Tafinlar dabrafenib | Brand | Tier 5 | 0.3% coinsurance | Details |
Showing 20 of 960 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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